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This study seeks to add order to disarray by delineating symptoms and signs of a clearly identified group of migraine patients. Fifty patients with well\u2010defined basilar migraine underwent a thorough neurotologic examination, as well as comprehensive auditory and vestibular testing. Patients were selected from 5880 patients seen over a 2\u2010year period and were prospectively entered into the study after detailed questionnaires and testing were completed for each patient. The most common symptoms found were dysequilibrium, phonophobia, and head pressure. The most common signs were positional nystagmus, low\u2010frequency hearing loss, abnormal loudness discomfort level, and an abnormality on caloric examination. Advanced vestibular testing showed abnormal amplitude scaling, abnormal toes\u2010down pertubation, and an abnormal sway (condition 6) on dynamic posturography. There was frequently an asymmetry on computerized rotation. The author concludes that the majority of patients have subtle findings on testing, but a few have severe peripheral injury due to the basilar migraine. Findings are consistent with the theory that basilar migraine is a central nervous system maladaptation syndrome which creates otoneurologic symptoms and, in a small percentage of cases, may injure the peripheral end\u2010organ.<\/jats:p>","DOI":"10.1002\/lary.1991.101.s52.1","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T14:20:19Z","timestamp":1488205219000},"page":"1-41","source":"Crossref","is-referenced-by-count":47,"title":["Neurotologic Findings in Basilar Migraine"],"prefix":"10.1002","volume":"101","author":[{"given":"James 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