Meniere disease tied to higher risk for migraine (Treat for migraine)

Medical Xpress / JAMA Otolaryngology–Head & Neck Surgery ^ | July 22, 2022 | So Young Kim et al

[ConservativeMind]

Patients with Meniere disease (MD) have a greater risk for migraine occurrence, according to a study recently published in JAMA Otolaryngology-Head & Neck Surgery.

So Young Kim, M.D., Ph.D., from CHA University in Seongnam, South Korea, and colleagues used the Korean National Health Insurance Service Health Screening Cohort (2002 to 2015) to identify 6,919 patients with Meniere disease and 27,676 matched controls. The incidence of migraine was compared between the groups.

The researchers found that the Meniere disease group had a 2.22-fold higher risk for migraine versus the control group. Meniere disease was present in 1,098 of 35,889 patients with migraine and in 781 of 71,778 matched control participants. Among individuals with migraine, 3.1 percent had Meniere disease compared with 1.1 percent of individuals in the control group, yielding a 1.95-fold higher risk for Meniere disease in the migraine group than the matched control group.

"In this case-control study of a nationally representative cohort of Korean adults, Meniere disease and migraine had bidirectional associations. Patients with Meniere disease showed a higher occurrence of migraine and vice versa," the authors write. "The diagnosis of migraine should be considered when patients with Meniere disease experience headache. Thus, the medicines for migraine could be effective in controlling symptoms of Meniere disease."

[ConservativeMind]

Meniere disease affects a person’s ear, with debilitating, but temporary, issues.

Apparently, headache medicine options may work for Meniere’ potentially similar issues.

[ConservativeMind]

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[packagingguy]

But does having migraine make you disposed to getting Meniere disease?

I have occasional migraines, or had at one time. My dad has Meniere’s, but he had part of his temporal bone removed back in the 1930’s due to infection.

We aren’t sure temporal bone surgery caused Meniere’s of whether it was a coincidence.

I’d take migraines any day over Meniere disease.

[ryderann]

I’ve had good luck with pantothenic acid (B-5, I think). When you first get that metallic taste in your mouth that signals the onset of a migraine, take two pantothenic acid capsules. Take another two in a half-hour. See if that helps. I think it has something to do with your histamine.

[W650]

Thank you for posting this. I have ask neurologist and ENT super specialist if there was a connection as I have both. It all started with auras. Went to a neurologist who diagnosed me with migraines, but said I was very lucky as I didn't get the headaches, just the auras followed by a sickly feeling. It eventually lead to sound sensitivity and hyperacusis and tinnitus. Years latter the meniere's came full blast and most of my hearing went quickly. The specialist that did my cochlear implant said meniere’s was commonly misdiagnosed but he was certain I had it as I can get vertigo without notice.

I need to say on a low sodium diet to avoid the vertigo. Some doctors recommended Betahistine but it's not commonly available in the US but mainly used in Europe. I'm not sure if it did anything.

[packagingguy]

I’ll try that if I have another migraine. I’ve been on clonidine to prevent migraines and cannot remember when my last one was, it’s been years. Plus it makes you feel calm without the intoxicating effect of tranquilizers.

[joe fonebone]

Damn dude....
You just described ME...
No cochlear implant, but I just saw an ENT for the vertigo.
I have had the aura’s for years now, and the tinnitus since I got out of the military.

[W650]

I'll try some pantothenic acid to see if it helps. The 1st doc that prescribed the Betahistine also known a Serc told me there was a connection to histamine.

One of the docs told me it was a controversial med that he didn't believe in as it was an inert substance. I needed to find a compound pharmacy and insurance didn't cover it.

[JerseyDvl]

My father has this and it can make him bed bound for days. He gets terribly dizzy, nauseous, and has trouble with balance.
Nowadays, it’s actually controlled rather well for him with Diazepam at the onset of symptoms.

[The Sentient Sheep]

I started having migraines after vigorous exercise in my late 20’s and developed full blown bilateral Meniere’s by my early 30’s. Low end hearing loss, and the terrifying incapacitating vertigo attacks that would last for hours. I truly wanted to die during the episodes. Think sea sickness x10. Eventually one ear was permanently damaged with a lose of 80% the other ear 40%. By the grace of God I went into remission and it has been 15 years since a vertigo attack. I can hear with hearing aids. My balance is good I am very fortunate. It is a horrible disease and it’s cause is really unknown.

[DannyTN]

I thought MD was Muscular Distrophe.

My doctor has it. I see MD at the end of his name.

[Organic Panic]

I use to get frequent migraines. Mostly from the combo of old crt computer monitors and overhead fluorescent lights. I get them after the first snow too. But I tell you all what... Marijuana stops them, for me, as soon as the “flashes” start. Completely. In minutes.

[Wilhelm Tell]

Sorry you had such a rough time with migraines, and then Meniere’s. I was just curious, if I may ask, did that affect both ears or one?

[W650]

Sorry to hear that. Is your hearing good? Try to avoid high sodium processed foods.For the vertigo I keep the non drowsy form of Dramamine aka Meclizine near by at all times. The sooner I take it the better if I feel vertigo coming on, a nurse who had delt with episodes of vertigo told me the best thing to do is let it dissolve under your tongue for fastest results.

[W650]

Both ears, the left lost about 50% and the right lost so much that ever the most powerful hearing aid made would not help. My speech recognition was at 8%, that went to 96% at a year after getting the cochlear implant.

One of the supper specialist gave me steroid injections in both ears which initially helped, but wore off after a month each time. That left me with permanent distortion in both ears.

[ckilmer]

I have a terrible case of tinnitus and slight balance issues. I thought it was a case of meniere’s because I once had a case of vertigo a four or five years ago. but no such incidents since then.

my ear doctor didn’t think that I have vertigo.

I look forward to the day when doctors will find a cure for tinnitus. It really degrades the quality of life.

[joe fonebone]

My mom had real bad vertigo.
She had the doctor write her a prescription for generic dramamine.
It was a helluva lot cheaper that way

[Sans-Culotte]

It all started with auras. Went to a neurologist who diagnosed me with migraines, but said I was very lucky as I didn't get the headaches, just the auras followed by a sickly feeling. It eventually lead to sound sensitivity and hyperacusis and tinnitus. Years latter the meniere's came full blast and most of my hearing went quickly. The specialist that did my cochlear implant said meniere’s was commonly misdiagnosed but he was certain I had it as I can get vertigo without notice.

I have been lucky with my migraines. In my twenties and early thirties I used to have them frequently. It would start with the aura and then progress to an intense headache and sometimes nausea. All I could do was sleep it off. Nowadays I occasionally get the aura and only a slight headache. I usually lie down and close my eyes until the aura passes (I can't really work or do anything else while that is going on). I don't know what changed to make my migraines rarer and less painful. I do take Feverfew daily as a preventative. I also had sinus surgery and two orbital decompression surgeries (due to Thyroid Eye Disease). I wonder if those surgeries had something to do with it?

[truckdriverswife]

Hello all. Long time lurker. Signed up to post on this article. Started with the tinnitus over 10 years ago and then the hearing loss followed shortly thereafter. the vertigo started 5 years ago and my regular doctor sent me to an ENT. I was diagnosed with Meniere’s. I quit smoking, alcohol, caffeine and salt. It didn’t work. The meclizine and valium didn’t work. I had intratympanic dexamethazone shots for months. They worked for a few weeks and the vertigo returned with a vengeance. I used to get a warning but now they come with no warning and are extremely violent. The nausea and vomiting last for hours. I had to stop driving over a year ago. I was terrified of having an attack and hurting someone. The anxiety of wondering when the next attack will come is debilitating. Thank God I can work from home and my supervisors have been wonderful about me having to lay down when an attack comes.

My ENT referred me to Dr. Tawfik at Vanderbilt and he is wonderful. I go back late September for a cochlear implant assessment, another MRI and a final vestibular function test. If all goes well, I am having a labyrinthectomy and a cochlear implant. I’m nearly deaf in my affected ear and have no speech recognition. If it goes bilateral, I will have the same for the right ear. I would rather be completely deaf than have this vertigo any longer. I’ve also started having what they call drop attacks. It’s like someone is pushing me to the ground. I’m afraid I’m going to get a face full of concrete if something isn’t done.

Anyway, that’s my story and I am praying for all the sufferers on this forum. My husband drivers a truck and has had to start driving local so he can get me to my appointments and run me around to do my errands.

Best of luck to all of you. I know how you all feel.

and thanks for listening to my long windedness. :)

[ConservativeMind]

Have any of you tried the following therapy to minimize Meniere disease?

Antibiotic can be used to treat rare inner-ear condition, treat vertigo

https://medicalxpress.com/news/2018-07-antibiotic-rare-inner-ear-condition-vertigo.html

Also, this looks pretty interesting, and likely harmless:

Study shows loud noises cause fluid buildup in the ear and suggests simple cure for noise-induced hearing loss

https://medicalxpress.com/news/2021-11-loud-noises-fluid-buildup-ear.html