Otologic Migraine: How Migraine Affects the Ear

PROGRAM DESCRIPTION: Atypical migraine is a common issue in patients presenting to otolaryngologists. In the past, migraine was considered to be a headache-only problem. However, current understanding is that migraine causes many symptoms in the head and neck. In this presentation, we will review the otologic manifestations of migraine. We will discuss vestibular symptoms, cochlear symptoms (tinnitus, hearing loss, hyperacusis), and sensory symptoms (aural pressure, pain, middle ear myoclonus). We will discuss the nuances in the diagnosis of these various conditions and the treatment algorithm when approaching therapeutic options. Treatment of vestibular, cochlear, and sensory issues with emphasis on integrative approach using medical therapy, lifestyle (sleep optimization, stress reduction), and dietary changes will be discussed in detail. This lecture aims to provide information relevant to the comprehensive and subspecialty otolaryngologist, advanced practice provider, and otolaryngologist in-training, on the best methods of recognizing atypical migraine patients and treating them properly.

OUTCOME OBJECTIVE 1: Recognize the various otologic manifestations of migraine.

OUTCOME OBJECTIVE 2: Understand the multitude of non-vestibular migraine symptoms of the ear.

OUTCOME OBJECTIVE 3: Learn the treatment approaches available for the treatment of migraine.

BACKGROUND STATEMENT: The background statement is an opportunity to provide additional information to the Annual Meeting Program Committee on the clinical relevance or timeliness of your presentation. The text will not be published and is for the use of the selection committee.

Comprehensive Otolaryngology Track Statement : Otologic migraine is common in the otolaryngology practice but not always recognized due to concurrent symptoms. Some patients present similarly to other otologic symptoms and understanding the nuances in diagnosis and treatment of otologic migraine is essential for otolaryngologists.