VM-PATHI Correlates With Cognitive Function Improvement After Successful Treatment in Patients With Vestibular Migraine
Evan J. Patel, Maxwell Hum, Adam Gardi, Kristen K. Steenerson, Habib G. Rizk, Jeffrey D. Sharon- Neurology (clinical)
- Sensory Systems
- Otorhinolaryngology
Objective
To assess changes in cognitive function in vestibular migraine patients undergoing treatment.
Study Design
Prospective cohort.
Setting
Single-institution tertiary-care center.
Patients
Thirty-four patients with vestibular migraine were included in the study. Average age at diagnosis was 47.9 years. A majority of patients (91.2%) were female.
Interventions
Vestibular therapies included pharmacologic treatment (67.6%), mindfulness-based stress reduction (58.8%), vestibular physical therapy (20.6%), and lifestyle changes only (2.9%).
Main Outcome Measures
Pretreatment and posttreatment questionnaires were collected including the Cognitive Failures Questionnaire (CFQ), Vestibular Migraine Patient Assessment Tool and Handicap Inventory (VM-PATHI), and Dizziness Handicap Inventory.
Results
Median time between pretreatment and posttreatment questionnaire was 4.4 months (range, 2.8–15.6. mo). CFQ scores decreased in subjects who responded to treatment, as defined by those with a positive change in VM-PATHI score (average decrease, 6.5;
Conclusions
Self-reported cognitive dysfunction improves with successful treatment of vestibular migraine.