Tags

Type your tag names separated by a space and hit enter

Comorbidities in vestibular migraine.
J Vestib Res. 2014; 24(5-6):387-95.JV

Abstract

A growing body of clinical and epidemiological evidence supports a specific relationship between vestibular symptoms and migraine. Without a biomarker or complete understanding of pathophysiology, diagnosis of vestibular migraine (VM) currently depends upon symptoms in two dimensions: episodic vestibular symptoms temporally related to migraine symptoms. The Bárány Society and the International Headache Society have recently developed consensus diagnostic criteria. However, many issues remain unsettled, including the type, duration, and timing of vestibular symptoms related to headache that should be required for diagnosing VM. This paper focuses on the challenging third dimension of comorbidity, a frequent cause of diagnostic uncertainty that may confound clinical application and research validation of VM criteria. Several other neurotologic conditions occur more frequently in migraineurs than controls, including benign paroxysmal positional vertigo, Ménière's disease, and motion sickness. Patients with VM also have high rates of chronic subjective dizziness, which may be associated with anxious, introverted temperaments that can affect clinical presentation and treatment response. Broadly inclusive studies of well-characterized patients with other neurotologic and psychiatric comorbidities are needed to fully understand how vestibular symptoms and migraine interact in order to truly validate vestibular migraine, distill its essential features, define its boundaries, and characterize overlapping comorbidities.

Authors+Show Affiliations

Department of Neurology, Mayo Clinic, Rochester, MN, USA.Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.Division of Audiology, Mayo Clinic, Rochester, MN, USA.Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25564081

Citation

Eggers, Scott D Z., et al. "Comorbidities in Vestibular Migraine." Journal of Vestibular Research : Equilibrium & Orientation, vol. 24, no. 5-6, 2014, pp. 387-95.
Eggers SD, Neff BA, Shepard NT, et al. Comorbidities in vestibular migraine. J Vestib Res. 2014;24(5-6):387-95.
Eggers, S. D., Neff, B. A., Shepard, N. T., & Staab, J. P. (2014). Comorbidities in vestibular migraine. Journal of Vestibular Research : Equilibrium & Orientation, 24(5-6), 387-95. https://doi.org/10.3233/VES-140525
Eggers SD, et al. Comorbidities in Vestibular Migraine. J Vestib Res. 2014;24(5-6):387-95. PubMed PMID: 25564081.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbidities in vestibular migraine. AU - Eggers,Scott D Z, AU - Neff,Brian A, AU - Shepard,Neil T, AU - Staab,Jeffrey P, PY - 2015/1/8/entrez PY - 2015/1/8/pubmed PY - 2015/12/31/medline KW - Vestibular migraine KW - comorbidity KW - diagnostic criteria KW - epidemiology KW - validation SP - 387 EP - 95 JF - Journal of vestibular research : equilibrium & orientation JO - J Vestib Res VL - 24 IS - 5-6 N2 - A growing body of clinical and epidemiological evidence supports a specific relationship between vestibular symptoms and migraine. Without a biomarker or complete understanding of pathophysiology, diagnosis of vestibular migraine (VM) currently depends upon symptoms in two dimensions: episodic vestibular symptoms temporally related to migraine symptoms. The Bárány Society and the International Headache Society have recently developed consensus diagnostic criteria. However, many issues remain unsettled, including the type, duration, and timing of vestibular symptoms related to headache that should be required for diagnosing VM. This paper focuses on the challenging third dimension of comorbidity, a frequent cause of diagnostic uncertainty that may confound clinical application and research validation of VM criteria. Several other neurotologic conditions occur more frequently in migraineurs than controls, including benign paroxysmal positional vertigo, Ménière's disease, and motion sickness. Patients with VM also have high rates of chronic subjective dizziness, which may be associated with anxious, introverted temperaments that can affect clinical presentation and treatment response. Broadly inclusive studies of well-characterized patients with other neurotologic and psychiatric comorbidities are needed to fully understand how vestibular symptoms and migraine interact in order to truly validate vestibular migraine, distill its essential features, define its boundaries, and characterize overlapping comorbidities. SN - 1878-6464 UR - https://www.unboundmedicine.com/medline/citation/25564081/Comorbidities_in_vestibular_migraine_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/VES-140525 DB - PRIME DP - Unbound Medicine ER -