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| Author(s): |
Gabriela Ferreira Carvalho
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2012-08-17 |
| Examining board members: |
Debora Bevilaqua Grossi;
Daniela Cristina Carvalho de Abreu;
Fabíola Dach
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| Advisor: | Debora Bevilaqua Grossi |
| Abstract | |
Migraine is a prevalent primary headache that seems to be a risk factor for cardiovascular disease. Furthermore, evidence suggests that white matter and posterior fossa lesions are more likely to happen in migraineurs with aura than in those without aura and the clinical repercussion of these findings is uncertain. Accordingly, herein we contrasted the center of pressure dislocation (COPD), mobility, and symptoms of dizziness, in individuals with migraine with aura (MA), migraine without aura (MO), and in controls (CG). Participants (women) were selected among patients seen in an outpatient headache clinic. Patients were diagnosed with migraine with aura or migraine without aura by neurologists experts on headache disorders according to ICHD-II (2004). COPD was measured with stabilometry using force plates. Mobility was measured with the Timed Up and Go (TUG) test, and dizziness symptoms with the Dizziness Handicap Inventory (DHI). Exclusion criteria included obesity, history of vestibular problems, systemic disorders and other primary headaches. Of 92 volunteers, 31 had MO (38±10 years), 31 had MA (37±8) and 30 were controls (33±9). Subjects with MA had significantly larger COPD relative to those with MO and GC when standing in the bipedal position with their eyes opened and closed (p<0.02). They were also more likely to have larger COPD relative to MO while in the unipodal position with eyes opened (p<0.02). No differences were seen between MA and MO regarding the TUG, although both groups were significantly different than the CG. Dizziness symptoms happened in 80% of those with MA and 65% with MO, with significant impact on activities of daily life. Aura negatively affects the static balance in individuals with migraine. Migraine (with and without aura), in turn, impairs dynamic balance and mobility. Dizziness is prevalent in individuals with migraine, impacting several aspects of daily life. (AU) | |
| FAPESP's process: | 10/03379-2 - Assessment of balance and agility in migraine with and without aura |
| Grantee: | Gabriela Ferreira Carvalho |
| Support Opportunities: | Scholarships in Brazil - Master |