Balance disorders in headache patients: evaluation by computerized static stabilometry

Acta Neurol Scand. 2005 Jun;111(6):407-13. doi: 10.1111/j.1600-0404.2005.00422.x.

Abstract

Objectives: The aim of the study was to investigate the occurrence of equilibrium disturbances in headache patients, during the interictal period, by computerized static stabilometry.

Materials and methods: Sixty-seven patients were studied: 35 with migraine without aura (MwoA), 12 with tension-type headache (TTH) in the episodic form (ETTH) + MwoA, and 20 with only TTH [10 ETTH + 10 chronic (CTTH)]. The stabilometric parameters considered were: statokinesigram length (L) and surface (S) in open (EO) and closed (EC) eyes conditions with/without occlusal bite, EC with head retroflexion (ECR), and optokinetic stimulation (OKN).

Results: The alteration of at least one of the stabilometric parameters was observed in 45 patients (67.2%): 21 MwoA, 8 ETTH + MwoA, and 16 TTH (8 ETTH + 8 CTTH).

Conclusion: In TTH patients (ETTH, CTTH, ETTH + MwoA), the stabilometric findings show a proprioceptive alteration induced by cervicofacial muscle contraction, which was peripheral in origin. In MwoA patients the alterations appear under OKN and support a control impairment in involuntary oculomotility of central origin.

MeSH terms

  • Adult
  • Cerebellum / physiopathology
  • Comorbidity
  • Diagnosis, Computer-Assisted / instrumentation
  • Diagnosis, Computer-Assisted / methods*
  • Eye Movements / physiology
  • Female
  • Headache Disorders / complications
  • Headache Disorders / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Neurologic Examination / instrumentation
  • Neurologic Examination / methods
  • Ocular Motility Disorders / diagnosis*
  • Ocular Motility Disorders / physiopathology*
  • Postural Balance / physiology
  • Reflex, Vestibulo-Ocular / physiology
  • Somatosensory Disorders / diagnosis
  • Somatosensory Disorders / physiopathology
  • Vestibular Diseases / complications
  • Vestibular Diseases / diagnosis*
  • Vestibular Diseases / physiopathology*
  • Vestibular Nuclei / physiopathology