Can Auditory and Vestibular Findings Differentiate Vestibular Migraine and Meniere’s Disease?
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Background and Objectives: Besides evaluating the auditory and vestibular systems of patients with vestibular migraine (VM) and Meniere’s disease (MD), this study aimed to examine the clinical overlaps between these two conditions by detailed evaluation of the patient’s symptoms.Subjects and Methods: The ears of the patients with VM and MD were evaluated and patients’ vestibular and auditory complaints were questioned particularly. Pure tone audiometry, vestibular evoked myogenic potential (VEMP) responses, and caloric test results were evaluated for objective measurements.Results: The VM group had better air-conduction and boneconduction threshold and speech reception threshold and speech discrimination score test values (p<0.05). Regarding the interaural N1-P1 asymmetry ratio, the cervical VEMP between the groups had significant differences (p=0.019). The MD group had more unilateral tinnitus and ear fullness complaints and canal paresis results (p<0.01). The VM group had more motion sickness complaints (p<0.01).Conclusions: If only ears with hearing loss are evaluated; there was no significant difference between VM and MD, but regardless of hearing level or only the patients with normal hearing were evaluated, the VM group had better hearing levels. It should be considered that patients with VM may have VM-independent hearing loss, and patient complaints should be sufficiently detailed to make an accurate distinction from MD.
Abstract
Background and Objectives: Besides evaluating the auditory and vestibular systems of patients with vestibular migraine (VM) and Meniere’s disease (MD), this study aimed to examine the clinical overlaps between these two conditions by detailed evaluation of the patient’s symptoms.Subjects and Methods: The ears of the patients with VM and MD were evaluated and patients’ vestibular and auditory complaints were questioned particularly. Pure tone audiometry, vestibular evoked myogenic potential (VEMP) responses, and caloric test results were evaluated for objective measurements.Results: The VM group had better air-conduction and boneconduction threshold and speech reception threshold and speech discrimination score test values (p<0.05). Regarding the interaural N1-P1 asymmetry ratio, the cervical VEMP between the groups had significant differences (p=0.019). The MD group had more unilateral tinnitus and ear fullness complaints and canal paresis results (p<0.01). The VM group had more motion sickness complaints (p<0.01).Conclusions: If only ears with hearing loss are evaluated; there was no significant difference between VM and MD, but regardless of hearing level or only the patients with normal hearing were evaluated, the VM group had better hearing levels. It should be considered that patients with VM may have VM-independent hearing loss, and patient complaints should be sufficiently detailed to make an accurate distinction from MD.
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