Otoacoustic emissions recorded in people with chronic migraine

Migraine, a moderate to severe chronic headache occurring on one or both sides, is a common disease affects young people. Although hearing loss in subjects with migraine is not rare, the correlation of migraine with hearing loss is not clear. In this study, we examined hearing loss in young migraine subjects to determine if migraine may be a factor in causing cochlear dysfunction. Seven college students with migraine and three age matched subjects without history of migraine were assessed using extended high frequency audiometry and distortion product otoacoustic emissions (DPOAEs). There was no significant difference in regular audiometry threshold between the migraine group and the control group. However, high frequency audiometry (9-16 kHz) showed thresholds at 25 dB nHL or higher in six out of twenty ears in the migraine group. The amplitude of DPOAEs were reduced for more than 10 dB in the migraine group in comparison with the control group. These data suggest that migraine may affect cochlear dysfunction evidenced by the reduced amplitude of DPOAE and high frequency pure-tone audiometry.