Manifestations of Migraine in Otolaryngology: A Traditional Review
[ X ]
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkiye Klinikleri
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Migraines are recurring headaches that frequently occur with nausea and sensitivity to light. They can be easily diagnosed because they occur with headaches of varying severity and periods when the patient experiences no symptoms. It is stated that headaches are usually throbbing and relieved after sleeping. Rhinosinusitis-related headaches, the most frequently encountered by ear, nose, and throat (ENT) physicians, are generally more disturbing in the mornings due to stasis and being in a horizontal position at night. It is generally accepted that the leading cause of migraines is neuroinflammation of the trigemino-vascular system. The trigemino-vascular system contains peripheral trigeminal nerve endings that innervate the pia mater, dura mater, and cranial blood vessels, among other structures. Patients with suspected migraine may also present primarily with vestibular symptoms. It is expected to have an aura before attacks. However, at the first presentation, patients may also describe migraine without aura or migraine headache accompanied by photophobia and phonophobia. Given the enigmatic origins of both tinnitus and migraines, it is plausible that they have a common pathophysiology connected to the central nervous system. In particular, migraine-related tinnitus is caused by trigeminal nerve activation and is likely hypersensitivity of the cerebral cortex. Some symptoms that may be noticed include vertigo, tinnitus, impaired hearing, ataxia, and issues with vision in both eyes. With a comprehensive literature analysis, this study discusses the otolaryngologic features of migraines to update the general information, especially that of ENT specialists. © 2024 Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. Production and hosting by Türkiye Klinikleri.
Açıklama
Anahtar Kelimeler
headache; Migraine; tinnitus; trigeminal nerve stimulation; vertigo
Kaynak
Journal of Ear Nose Throat and Head Neck Surgery
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
32
Sayı
4
