The vestibulo-collic reflex is abnormal in migraine
Correction(s) for this article
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CORRIGENDUM
- Volume 27Issue 12Cephalalgia
- pages: 1424-1424
- First Published online: November 20, 2007
V De Pasqua
Headache Research Unit, Department of Neurology and
Search for more papers by this authorCorresponding Author
J Schoenen
Headache Research Unit, Department of Neurology and
Res Ctr Cell Mol Neurobiology, Liège University, Liège, Belgium
Professor Dr Jean Schoenen, Headache Research Unit, Department of Neurology, Liège University, CHR Citadelle, Boulevard du 12ème de Ligne, 1, 4000 Liège, Belgium. Tel. + 32 4225 6391, fax + 32 4 225 6451, e-mail [email protected]Search for more papers by this authorV De Pasqua
Headache Research Unit, Department of Neurology and
Search for more papers by this authorCorresponding Author
J Schoenen
Headache Research Unit, Department of Neurology and
Res Ctr Cell Mol Neurobiology, Liège University, Liège, Belgium
Professor Dr Jean Schoenen, Headache Research Unit, Department of Neurology, Liège University, CHR Citadelle, Boulevard du 12ème de Ligne, 1, 4000 Liège, Belgium. Tel. + 32 4225 6391, fax + 32 4 225 6451, e-mail [email protected]Search for more papers by this authorAbstract
Interictal evoked central nervous system responses are characterized in migraineurs by a deficit of habituation, at both cortical and subcortical levels. The click-evoked vestibulo-collic reflex (VCR) allows the assessment of otolith function and an oligosynaptic pathway linking receptors in the saccular macula to motoneurons of neck muscles. Three blocks of 75 averaged responses to monaural 95-dB normal hearing level 3-Hz clicks were recorded over the contracted ipsilateral sternocleidomastoid muscle in 25 migraineurs between attacks and 20 healthy subjects, without vestibular symptoms. Amplitudes, raw and corrected for baseline electromyography, were significantly smaller in migraine patients. Whereas in healthy volunteers the VCR habituated during stimulus repetition (−4.96% ± 14.3), potentiation was found in migraineurs (4.34% ± 15.3; P = 0.04). The combination with a reduced mean amplitude does not favour vestibular hyperexcitability as an explanation for the habituation deficit in migraine, but rather an abnormal processing of repeated stimuli in the reflex circuit.
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