ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026
Migraine Features in Patients With Sudden Sensorineural Hearing Loss.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-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
objectiveTo investigate the prevalence of migraine features among patients with sudden sensorineural hearing loss (SSNHL) and evaluate potential clinical associations. STUDY
designRetrospective survey-based study.
settingSingle institution tertiary care center.
methods168 adult patients with SSNHL were recruited. Migraine diagnosis was determined using International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria. Patient demographics, migraine-related features, and SSNHL characteristics were analyzed using univariate and multivariate logistic regression.
resultsOf 168 SSNHL patients, 77 (46%) met full ICHD-3 migraine criteria, which is higher than the general population. An additional 23% met the majority of the migraine criteria. Multivariate analysis revealed that aural fullness preceding hearing loss (P < .001), concordant laterality of hearing loss and headache (P < .001), hyperacusis (P = .006), otalgia (P = .01), and motion sickness (P = .03) were independently associated with migraine. Interestingly, 89% of patients with migraine headache and SSNHL had their SSNHL on the same side as their headaches.
conclusionsThese findings reveal a high prevalence of migraine headache among patients with SSNHL. Clinical features, including aural fullness and concordant laterality (dominant headaches on the same side as SSNHL), were predictive of migraine in SSNHL patients. These findings support the hypothesis that migraine and SSNHL may share overlapping vascular and neurogenic mechanisms, highlighting the importance of identifying migraine features in SSNHL to optimize management and explore potential therapeutic strategies.
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