{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:11:57Z","timestamp":1787317917823,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T00:00:00Z","timestamp":1595635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["R01 DC017261"],"award-info":[{"award-number":["R01 DC017261"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["R01 NS075599"],"award-info":[{"award-number":["R01 NS075599"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006380","name":"Rehabilitation Research and Development Service","doi-asserted-by":"publisher","award":["A\u2010ORD 1IO1RX002101"],"award-info":[{"award-number":["A\u2010ORD 1IO1RX002101"]}],"id":[{"id":"10.13039\/100006380","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006380","name":"Rehabilitation Research and Development Service","doi-asserted-by":"publisher","award":["IK2 RX002010 012020"],"award-info":[{"award-number":["IK2 RX002010 012020"]}],"id":[{"id":"10.13039\/100006380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether patients with vestibular migraine are more likely to suffer from an occipital headache than patients with migraine without vestibular symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vestibular migraine is an underdiagnosed disorder in which migraine is associated with vestibular symptoms. Anatomical evidence and symptomatology hint at the involvement of brain structures in the posterior fossa (back of the head location). We hypothesized that vestibular migraine patients are more likely than migraineurs without vestibular symptoms to experience headaches located in the back of the head, that is, occipital headaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cross\u2010sectional study was conducted at the University of Iowa Hospital and Clinics. Chart analysis of 169 patients was performed. The primary outcome was the location of the headache in vestibular migraine patients and migraineurs without vestibular symptoms. The secondary outcomes included the association of vestibular migraine with gender, age at onset of headache, age at onset of vestibular symptoms (such as vertigo, head motion\u2010induced dizziness), aura, motion sickness, other associated symptoms, family history of headaches, and family history of motion sickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In vestibular migraine group, 45\/103 (44%) had occipital location for their headaches vs 12\/66 (18%) in migraine patients without vestibular symptoms, for an odd\u2019s ratio of 3.5 (95%\u00a0CI\u00a0=\u00a01.7\u20107.2,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Additionally, the age at onset of headache was greater in the vestibular migraine group (28\u00a0\u00b1\u00a012 vs 18\u00a0\u00b1\u00a09\u00a0years,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) and motion sickness was more common (41\/98 (42%) in the vestibular migraine group, 1\/64 (2%) in the migraine without vestibular symptoms group,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that patients with vestibular migraine are more likely to have occipital headaches than patients with migraine without vestibular symptoms. Our data support the initiation of a prospective study to determine whether a patient presenting with occipital headaches, with late onset of age of headache, and with a history of motion sickness is at an increased risk for the possible development of vestibular migraine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13898","type":"journal-article","created":{"date-parts":[[2020,7,26]],"date-time":"2020-07-26T02:28:52Z","timestamp":1595730532000},"page":"1581-1591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Patients With Vestibular Migraine are More Likely to Have Occipital Headaches than those With Migraine Without Vestibular Symptoms"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4392-2211","authenticated-orcid":false,"given":"Anne\u2010Sophie","family":"Wattiez","sequence":"first","affiliation":[{"name":"Department of Molecular Physiology and Biophysics University of Iowa Iowa City IA USA"},{"name":"Center for the Prevention and Treatment of Visual Loss Iowa VA Health Care System Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah A.","family":"O\u2019Shea","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Iowa Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Ten Eyck","sequence":"additional","affiliation":[{"name":"Institute for Clinical and Translational Science University of Iowa Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levi P.","family":"Sowers","sequence":"additional","affiliation":[{"name":"Center for the Prevention and Treatment of Visual Loss Iowa VA Health Care System Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Recober","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Iowa Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew F.","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Molecular Physiology and Biophysics University of Iowa Iowa City IA USA"},{"name":"Center for the Prevention and Treatment of Visual Loss Iowa VA Health Care System Iowa City IA USA"},{"name":"Department of Neurology University of Iowa Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deema","family":"Fattal","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Iowa Iowa City IA USA"},{"name":"Neurology Section Iowa City VA Medical Center Iowa City IA 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