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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
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Abstract
Title
PREVALENCE AND DIAGNOSIS OF MIGRAINE SYMPTOMS IN OTOLARYNGOLOGY CLINIC PATIENTS: A DESCRIPTIVE STUDY
Author
Dr Sajeel Dounde
Email
keyword
Ear, Treatment, Outpatient, Otolaryngology, non-migraine
Abstract
The purpose of this study is to identify the most prevalent migraine symptoms in patients presenting to an otolaryngology clinic, including typical (headache and dizziness) and atypical (ear fullness, pressure, pain, tinnitus, facial fullness, and nasal congestion). An otolaryngology practice has prospectively collected data for the purpose of this descriptive study. The most common presentations of migraine headache and migrainous vertigo were diagnosed according to the international headache society (IHS) criteria for migraine headache and Neuhauser's criteria for migrainous vertigo, respectively. An individualized approach was used to diagnose atypical otological and rhinologic migraine symptoms. From the time of the first presentation, charts were reviewed every six months. There were 11% of patients with "migrainous chief complaint" out of 2004 consecutive patients. All of the migrainous chief complaint patients had a history of headache, although they did not all present with headache symptoms at presentation. By applying a t-test, the age distributions of migraine and nonmigraine groups differed significantly. In the migraine group, the corrected female to male ratio was three to one. 86% of patients with atypical complaints also had a history of concomitant typical symptoms. Despite the diversity of migraine presentations, the actual diagnostic criteria do not meet these needs. Most atypical migraine presentations can be diagnosed by examining the history of the migraine. It seems that any practitioner of otolaryngology should have a thorough understanding of migraine.
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