ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Auditory pathways in migraine and vestibular migraine: New insights into sound sensitivity and spectral resolution dysfunction.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aims to evaluate suppression, hyperacusis, uncomfortable loudness level, and auditory spectral resolution skills in participants with Vestibular Migraine (VM) and Migraine.
methodA total of 69 individuals, consisting of participants diagnosed with vestibular migraine (VMG), migraine (MG), and healthy controls (CG), were enrolled in the study. Individuals were evaluated using pure-tone audiometry (PTA), Spectral-Temporally Modulated Ripple Test (SMRT), suppression in Transient Evoked Otoacoustic Emsission (TEOAEs), Loudness Discomfort Level (LDL) hyperacusis test, and Khalfa Hyperacusis Questionnaire (KHQ).
resultsThe SMRT scores in the VMG and MG groups were comparable; however, both were significantly lower than in the CG. TEOAE suppression was absent in 56.5% of the VM group and 65.2% of the MG, showing a significant difference. The average LDL values of the study groups were significantly lower than those of the control group. Hyperacusis was observed in 47.73% of the VM group and suspected in 78.26%, while in the MG group, hyperacusis was observed in 52.17% and suspected in 86.95%. A moderate negative correlation was found between age and SMRT scores, while no significant correlations were observed between age and Total TEOAEs, KHQ, or LDL. Weak negative correlations were noted between Total TEOAEs and KHQ as well as SMRT scores. Additionally, LDL values showed a weak negative correlation with KHQ scores.
conclusionThis study demonstrates that individuals with vestibular migraine and migraine exhibit diminished tolerance to sound, reduced efferent system suppression, and impaired auditory spectral resolution skills compared to the control group.
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