Tags

Type your tag names separated by a space and hit enter

Vestibular migraine: An update on current understanding and future directions.
Cephalalgia. 2020 01; 40(1):107-121.C

Abstract

BACKGROUND

Vestibular migraine is among the most common causes of recurrent vertigo in the general population. Despite its prevalence and high impact on healthcare cost and utilization, it has remained an under-recognized condition with largely unknown pathophysiology. In the present article, we aim to provide an overview of the current understanding of vestibular migraine.

METHODS

We undertook a narrative literature review on the epidemiology, presentations, clinical and laboratory findings, pathophysiology, and treatments of vestibular migraine.

RESULTS

Currently, the diagnosis of vestibular migraine relies solely on clinical symptoms since clinical tests of vestibular function are typically normal, or difficult to interpret based on inconsistent results reported in earlier studies. The challenges related to diagnosis of vestibular migraine lie in its relatively broad spectrum of manifestations, the absence of typical migraine headaches with vestibular symptoms, and its very recent definition as a distinct entity. Here, we highlight these challenges, discuss common vestibular symptoms and clinical presentations in vestibular migraine, and review the current aspects of its clinical diagnosis and evaluation. The concepts related to the pathophysiology and treatment of vestibular migraine are also discussed.

CONCLUSION

Vestibular migraine is still underdiagnosed clinically. Future studies are needed to address the pathophysiological mechanisms and investigate effective treatment regimens.

Authors+Show Affiliations

Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Living Water Neurological Clinic, Tainan, Taiwan.Neurological Institute, Taipei-Veterans General Hospital, Taipei, Taiwan. Brain Research Center and School of Medicine, National Yang-Ming University, Taipei, Taiwan.Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

31394919

Citation

Huang, Tzu-Chou, et al. "Vestibular Migraine: an Update On Current Understanding and Future Directions." Cephalalgia : an International Journal of Headache, vol. 40, no. 1, 2020, pp. 107-121.
Huang TC, Wang SJ, Kheradmand A. Vestibular migraine: An update on current understanding and future directions. Cephalalgia. 2020;40(1):107-121.
Huang, T. C., Wang, S. J., & Kheradmand, A. (2020). Vestibular migraine: An update on current understanding and future directions. Cephalalgia : an International Journal of Headache, 40(1), 107-121. https://doi.org/10.1177/0333102419869317
Huang TC, Wang SJ, Kheradmand A. Vestibular Migraine: an Update On Current Understanding and Future Directions. Cephalalgia. 2020;40(1):107-121. PubMed PMID: 31394919.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vestibular migraine: An update on current understanding and future directions. AU - Huang,Tzu-Chou, AU - Wang,Shuu-Jiun, AU - Kheradmand,Amir, Y1 - 2019/08/08/ PY - 2019/8/10/pubmed PY - 2021/4/1/medline PY - 2019/8/10/entrez KW - Vestibular migraine KW - dizziness KW - headache KW - migraine KW - vertigo KW - vestibular SP - 107 EP - 121 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 40 IS - 1 N2 - BACKGROUND: Vestibular migraine is among the most common causes of recurrent vertigo in the general population. Despite its prevalence and high impact on healthcare cost and utilization, it has remained an under-recognized condition with largely unknown pathophysiology. In the present article, we aim to provide an overview of the current understanding of vestibular migraine. METHODS: We undertook a narrative literature review on the epidemiology, presentations, clinical and laboratory findings, pathophysiology, and treatments of vestibular migraine. RESULTS: Currently, the diagnosis of vestibular migraine relies solely on clinical symptoms since clinical tests of vestibular function are typically normal, or difficult to interpret based on inconsistent results reported in earlier studies. The challenges related to diagnosis of vestibular migraine lie in its relatively broad spectrum of manifestations, the absence of typical migraine headaches with vestibular symptoms, and its very recent definition as a distinct entity. Here, we highlight these challenges, discuss common vestibular symptoms and clinical presentations in vestibular migraine, and review the current aspects of its clinical diagnosis and evaluation. The concepts related to the pathophysiology and treatment of vestibular migraine are also discussed. CONCLUSION: Vestibular migraine is still underdiagnosed clinically. Future studies are needed to address the pathophysiological mechanisms and investigate effective treatment regimens. SN - 1468-2982 UR - https://www.unboundmedicine.com/medline/citation/31394919/Vestibular_migraine:_An_update_on_current_understanding_and_future_directions_ L2 - https://journals.sagepub.com/doi/10.1177/0333102419869317?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -