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Benign Paroxysmal Positional Vertigo Is Associated with an Increased Risk for Migraine Diagnosis: A Nationwide Population-Based Cohort Study

Author

Listed:
  • I-An Shih

    (Department of Public Health, College of Public Health, China Medical University, Taichung 404327, Taiwan
    Department of Neurology, Ching Chyuan Hospital, Taichung 428433, Taiwan
    Premium Healthcare Center, Chung Shan Medical University Hospital, Taichung 402306, Taiwan)

  • Chung-Y. Hsu

    (Graduate Institute of Biomedical Sciences, China Medical University, Taichung 406040, Taiwan)

  • Tsai-Chung Li

    (Department of Public Health, College of Public Health, China Medical University, Taichung 404327, Taiwan
    Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung 413305, Taiwan)

  • Shuu-Jiun Wang

    (Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Neurology, National Yang-Ming Chiao Tung University School of Medicine, Taipei 11217, Taiwan
    Institute of Brain Science, National Yang-Ming Chiao Tung University School of Medicine, Taipei 11217, Taiwan
    Brain Research Center, National Yang-Ming Chiao Tung University School of Medicine, Taipei 11217, Taiwan)

Abstract

Previous studies reported an increased risk of benign paroxysmal positional vertigo (BPPV) in patients with migraine. Hence, we aimed to assess the risk of migraine in patients with BPPV. This cohort study was conducted using the Taiwan National Health Insurance Research Database. The BPPV cohort consisted of patients aged <45 years with a diagnosis of BPPV between 2000 and 2009. An age- and sex-matched comparison group free from a history of BPPV or migraine was selected. All cases were followed up from 1 January 2000 to 31 December 2010 or until death or a diagnosis of migraine. The baseline demographic characteristics in both groups were compared using Student’s t -test and the chi-square test. Cox proportional hazards regression analysis was used to estimate the hazard ratio for migraine in the BPPV cohort compared with the comparison group after adjustment for age, sex, and comorbidities. Notably, 117 of the 1386 participants with BPPV and 146 of the 5544 participants without BPPV developed migraine. After adjustment for age, sex, and comorbidities, BPPV showed an adjusted hazard ratio indicating a 2.96-fold increased risk of migraine (95% confidence interval: 2.30–3.80, p < 0.001). We found that BPPV is associated with an increased risk of a migraine diagnosis.

Suggested Citation

  • I-An Shih & Chung-Y. Hsu & Tsai-Chung Li & Shuu-Jiun Wang, 2023. "Benign Paroxysmal Positional Vertigo Is Associated with an Increased Risk for Migraine Diagnosis: A Nationwide Population-Based Cohort Study," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3563-:d:1071622
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