Cognitive Control and Oculomotor Performance in Tension-Type Headache and Migraine: Saccadometry Findings

Makaleler > Tam Makale · 2025

Yazarlar: Asya Fatma MEN, Gülce KİRAZLI, Tuğba YILMAZ

Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi, Uluslararası, Scopus, 2025, cilt 33, ss 192-201

DOI: 10.24179/kbbbbc.2025-111572

Özet

ABS TRACT Objective:The aim of this study was to comparatively evaluate antisaccade and prosaccade eye movements using saccadometry method in individuals diagnosed with tension-type headache (TTH) and migraine and to investigate the effect on cognitive control and executive function processes.Materials and Methods: The study included 29 GTBA patients, 29 migraine patients and 29 healthy control subjects.Antisaccade and prosaccade tests were performed using Video Nystagmography (VNG) system.Parameters analyzed included latency, velocity, accuracy and directional error rate.Results: In the antisaccade task, latency increased significantly (p = 0.0001), accuracy decreased (p = 0.002) and directional error rate increased (p = 0.0001) in both migraine and GTBA groups.Latency duration and directional error rate were higher in the migraine group compared to the GTBA group (p = 0.0001).In addition, both patient groups showed lower performance in the antisaccade velocity parameter compared to the control group (p = 0.008).No significant difference was found between migraine and GTBA groups.In the prosaccade task, no significant difference was found between the groups (p>0.05).Conclusion: Saccadometry, especially through antisaccade tasks, may be an alternative effective tool for the objective assessment of executive dysfunction in patients with TTH and migraine.Integration of saccadometry into VNG test batteries may support a multidisciplinary assessment approach between audiology, neurology and otolaryngology.

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