Evidence map›Paper›PMID 30759189›Full record

ArticleBrain : a journal of neurology2019

Abnormal visuo-vestibular interactions in vestibular migraine: a cross sectional study.

Nadja F Bednarczuk, Angela Bonsu, Marta Casanovas Ortega, Anne-Sophie Fluri, John Chan, Heiko Rust, Fabiano de Melo, Mishaal Sharif, Barry M Seemungal, John F Golding and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04664088 (The Efficacy and Safety of Acupuncture for Prophylaxis of Vestibular Migraine), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04664088 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Efficacy and Safety of Acupuncture for Prophylaxis of Vestibular Migraine

TypeinterventionalSponsorAffiliated Hospital of Jiaxing UniversityRan2021 to 2023Enrolled72ConditionsVestibular MigraineArmsAcupuncture, Venlafaxine
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Editorial: Vestibular migraine.Frontiers in neurology · 2025
    Article
  15. Focused Update on Migraine and Vertigo Comorbidity.Current pain and headache reports · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Nadja F BednarczukAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Angela BonsuAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Marta Casanovas OrtegaAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Anne-Sophie FluriAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
John ChanAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Heiko RustDepartment of Neurology, University Hospital Basel, Petersgraben 4, Basel, Switzerland.
Fabiano de MeloDepartment of Neurology, Hospital das Clinicas da Faculdade de Medicina de Rebeirao Preto-USP, Campus Universitario s/n Riberao Preto, Sao Paulo, Brazil.
Mishaal SharifAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Barry M SeemungalAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
John F GoldingAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Diego KaskiAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Adolfo M BronsteinAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Qadeer ArshadAcademic Department of Neuro-Otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London, UK.
Charing Cross Hospital · GBImperial College London · GBUniversity Hospital of Basel · CHUniversity of Westminster · GB

Funding

Department of Health ICA-CDRF-2017-03-070Medical Research Council MR/J004685/1Medical Research Council MR/P006493/1
6 · The paper itself

Abstract

Vestibular migraine is among the commonest causes of episodic vertigo. Chronically, patients with vestibular migraine develop abnormal responsiveness to both vestibular and visual stimuli characterized by heightened self-motion sensitivity and visually-induced dizziness. Yet, the neural mechanisms mediating such symptoms remain unknown. We postulate that such symptoms are attributable to impaired visuo-vestibular cortical interactions, which in turn disrupts normal vestibular function. To assess this, we investigated whether prolonged, full-field visual motion exposure, which has been previously shown to modulate visual cortical excitability in both healthy individuals and avestibular patients, could disrupt vestibular ocular reflex and vestibular-perceptual thresholds of self-motion during rotations. Our findings reveal that vestibular migraine patients exhibited abnormally elevated reflexive and perceptual vestibular thresholds at baseline. Following visual motion exposure, both reflex and perceptual thresholds were significantly further increased in vestibular migraine patients relative to healthy controls, migraineurs without vestibular symptoms and patients with episodic vertigo due to a peripheral inner-ear disorder. Our results provide support for the notion of altered visuo-vestibular cortical interactions in vestibular migraine, as evidenced by vestibular threshold elevation following visual motion exposure.

Indexed as

AdultCross-Sectional StudiesDizzinessFemaleHumansMaleMiddle AgedMigraine DisordersMotionReflex, Vestibulo-OcularVertigoVestibular DiseasesVestibular Function TestsVestibular NeuronitisVestibule, LabyrinthVisual Perceptionvestibular migrainevestibular thresholdsvisual motion adaptationvisuo-vestibular interaction

Identifiers

PMID30759189
PMCPMC6391603
OpenAlexW2914307124

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.