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01 May 2004

Diagnosis of migrainous vertigo: validity of a structured interview

Dawn A. Marcus, Cindy Kapelewski, Thomas E. Rudy, Rolf G. Jacob, Joseph M. Furman

Med Sci Monit 2004; 10(5): CR197-201 :: ID: 11658

Abstract

Background:Migraine and vestibular symptoms are co-morbid. Migraine is increasingly recognized as a cause of benign, recurrent vertigo. Although the International Headache Society does not currently include the diagnosis of migrainous vertigo, specific criteria have been proposed and utilized in clinical trials.Material/Methods: Seventeen adult migraineurs were separately screened for the diagnosis of migrainous vertigo using a standardized structured interview for migrainous vertigo (SIM-V) and a clinical evaluation by an experienced neurotologist. The SIM-V was administered by a nurse who read and recorded subject responses, obtaining no additional information for the diagnosis of migrainous vertigo. Comparison of diagnoses between clinician and SIM-V was made using Cohen’s kappa reliability testing. Subjects were asked to return for a second interview by the same nurse using the SIM-V, at least 2 weeks after the initial assessment. Testing stability was evaluated by comparing diagnoses obtained with each SIM-V administration.Results: Cohen’s kappa demonstrated excellent test validity (kappa=0.75). Fourteen subjects returned for repeat testing, with excellent retest stability (kappa=0.85). The additional three subjects could not be relocated or were not interested in attending a retest appointment.Conclusions: The SIM-V is an easy-to-administer screening tool for the diagnosis of migrainous vertigo. Diagnostic comparison to a standard clinical assessment shows good test validity. Retest stability was also demonstrated. The SIM-V may be a useful screening tool for migraineurs with an additional complaint of dizziness.

Keywords: Dizziness, Headache, Interviews, Mass Screening, Migraine Disorders - diagnosis, Questionnaires, Reproducibility of Results, Vertigo - diagnosis, Dizziness, Headache, Interviews as Topic, Mass Screening, Migraine Disorders - diagnosis, Questionnaires, Reproducibility of Results, Vertigo - diagnosis

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750