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Published in: Neurological Sciences 1/2024

24-07-2023 | Tension Headache | Original Article

Dizziness and vertigo in patients with tension-type headache: A case–control study

Authors: Sanjay Prakash, Kalu Singh Rawat, Harsh Patel, Kaushik Rana, Chetsi Shah, Varoon Vadodaria

Published in: Neurological Sciences | Issue 1/2024

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Abstract

Background

A few studies have demonstrated dizziness and vertigo in patients with tension-type headache (TTH). However, the prevalence and other characteristics of vestibular symptoms in TTH has not been studied in a systemic manner so far. The aim of the study was to see the prevalence of vestibular symptoms in patients with tension-type headache as compared with controls.

Methods

This case–control study included 100 TTH patients and 100 controls who do not have significant history of headaches.

Results

Vestibular symptoms (Vertigo, dizziness, vestibulovisual or postural symptom) were experienced by 25% of patients with TTH and 10% in the control group (Odd Ratio = 3.0 [95% CI, 1.4–6.6], P = .006). The vestibular symptoms were statistically more in patients with chronic tension-type headache (CTTH) than episodic TTH (67% vs 9%. 9, P5 =  < 0.005). Hospital Anxiety and Depression score (HAD-A and HAD-D) scores in patients with TTH with vestibular symptoms were significantly higher than TTH without vestibular symptoms- HAD-A (5.1 ± 1.7 vs 4.0 ± 1.5, P = 0.002) and HAD-D(5.8 ± 2.1 vs 4.2 ± 1.9, P =  < 0.001). Phonophobia was also more frequent in TTH patients with vertigo (42% vs.13%, P5 = 0.005).

Conclusion

Vestibular symptoms may be more common in patients TTH than control. The prevalence of vestibular symptoms depends on the frequency of TTH.
Literature
Metadata
Title
Dizziness and vertigo in patients with tension-type headache: A case–control study
Authors
Sanjay Prakash
Kalu Singh Rawat
Harsh Patel
Kaushik Rana
Chetsi Shah
Varoon Vadodaria
Publication date
24-07-2023
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 1/2024
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-023-06970-y

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