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Vestibular migraine.
Cephalalgia. 2015 Mar; 35(3):262-70.C

Abstract

BACKGROUND

The combination of vertigo, dizziness and balance disturbance with migraine is called vestibular migraine. Although it is estimated that up to 1% of the population suffers from this disease, it is still widely unknown and often underdiagnosed. Recently, the International Headache Society and the Báràny Society published the first joint document with mutually accepted diagnostic criteria for vestibular migraine.

METHOD

This review summarizes current knowledge on vestibular migraine with regard to epidemiology, clinical presentation, pathophysiology, differential diagnosis and therapeutic options.

RESULTS

Approximately 30-50% of patients with migraine report vertigo, dizziness or balance disturbances with at least one migraine attack. Vestibular migraine often appears in a temporal delay to the first onset of migraine headache. In some patients the symptom of sudden onset disequilibrium was the main complaint and more worrisome than the accompanying migraine headache. The duration of attacks varies from a few seconds up to few days. The underlying pathophysiology of vestibular migraine is still widely unknown. As an important differential diagnosis, Ménière's disease has to be considered and excluded.

CONCLUSION

As randomized controlled treatment trials are still missing in vestibular migraine, the therapeutic recommendations for vestibular migraine are currently based on the guidelines of migraine.

Authors+Show Affiliations

Department of Neurology, Headache Center and Vertigo and Dizziness Center, University of Duisburg-Essen, Germany.Department of Neurology, Headache Center and Vertigo and Dizziness Center, University of Duisburg-Essen, Germany.Department of Neurology, Headache Center and Vertigo and Dizziness Center, University of Duisburg-Essen, Germany.Department of Neurology, Headache Center and Vertigo and Dizziness Center, University of Duisburg-Essen, Germany.Department of Neurology, Headache Center and Vertigo and Dizziness Center, University of Duisburg-Essen, Germany mark.obermann@uni-due.de.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24847169

Citation

Stolte, Benjamin, et al. "Vestibular Migraine." Cephalalgia : an International Journal of Headache, vol. 35, no. 3, 2015, pp. 262-70.
Stolte B, Holle D, Naegel S, et al. Vestibular migraine. Cephalalgia. 2015;35(3):262-70.
Stolte, B., Holle, D., Naegel, S., Diener, H. C., & Obermann, M. (2015). Vestibular migraine. Cephalalgia : an International Journal of Headache, 35(3), 262-70. https://doi.org/10.1177/0333102414535113
Stolte B, et al. Vestibular Migraine. Cephalalgia. 2015;35(3):262-70. PubMed PMID: 24847169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vestibular migraine. AU - Stolte,Benjamin, AU - Holle,Dagny, AU - Naegel,Steffen, AU - Diener,Hans-Christoph, AU - Obermann,Mark, Y1 - 2014/05/20/ PY - 2014/5/22/entrez PY - 2014/5/23/pubmed PY - 2015/12/15/medline KW - Vestibular migraine KW - dizziness KW - gait disturbance KW - migraine KW - migraine with aura KW - vertigo SP - 262 EP - 70 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 35 IS - 3 N2 - BACKGROUND: The combination of vertigo, dizziness and balance disturbance with migraine is called vestibular migraine. Although it is estimated that up to 1% of the population suffers from this disease, it is still widely unknown and often underdiagnosed. Recently, the International Headache Society and the Báràny Society published the first joint document with mutually accepted diagnostic criteria for vestibular migraine. METHOD: This review summarizes current knowledge on vestibular migraine with regard to epidemiology, clinical presentation, pathophysiology, differential diagnosis and therapeutic options. RESULTS: Approximately 30-50% of patients with migraine report vertigo, dizziness or balance disturbances with at least one migraine attack. Vestibular migraine often appears in a temporal delay to the first onset of migraine headache. In some patients the symptom of sudden onset disequilibrium was the main complaint and more worrisome than the accompanying migraine headache. The duration of attacks varies from a few seconds up to few days. The underlying pathophysiology of vestibular migraine is still widely unknown. As an important differential diagnosis, Ménière's disease has to be considered and excluded. CONCLUSION: As randomized controlled treatment trials are still missing in vestibular migraine, the therapeutic recommendations for vestibular migraine are currently based on the guidelines of migraine. SN - 1468-2982 UR - https://www.unboundmedicine.com/medline/citation/24847169/Vestibular_migraine_ L2 - https://journals.sagepub.com/doi/10.1177/0333102414535113?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -