Vestibular migraine: clinical and epidemiological aspects

Morganti, Lígia; Salmito, Márcio Cavalcante; Duarte, Janaína; Sumi, K; Simões, Juliana Caminha; Ganança, Fernando Freitas

doi:10.1016/j.bjorl.2015.06.003

Cited by 37 publications

(46 citation statements)

References 23 publications

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“…It is worth emphasising that abnormal vestibular testing results are also found in patients with migraine without a history of vestibular symptoms [72]. In most patients, tonal audiometry is normal [73]. The most consistent laboratory finding in VM is a unilaterally reduced caloric response as well as bilateral caloric hyporesponsiveness, but only in a small percentage of patients.…”

Section: Laboratory Findingsmentioning

confidence: 99%

Vestibular migraine — an underdiagnosed cause of vertigo. Diagnosis and treatment

Nowaczewska

2020

Neurol Neurochir Pol.

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Introduction. Migraine and vertigo are two common conditions. The main disorder connecting both these entities is vestibular migraine (VM). State of the art. VM may affect 1-3% of the general population. It is a disabling disease of recurrent attacks of vestibular symptoms accompanied by migraine features which occur in patients with a current or previous history of migraine. The episodes can last minutes, hours or even days, and may occur without any concurrent headache, which can prompt misdiagnosis. VM often begins several years after a typical migraine, and the delay between onset of headache and vertigo may be long. The diagnosis is based on the patient's clinical history and can be challenging due to the lack of an established confirmatory diagnostic test or biomarkers. The mechanism of vestibular migraine remains unclear and is still under investigation, but it seems to be an interaction between trigeminal and vestibular systems. Due to the lack of specific trials, treatment recommendations are based on migraine guidelines. Several drugs seem to be effective, although there have been few randomised controlled trials in this area. Regardless of the published strict and detailed diagnostic criteria, this condition remains little known, and as a consequence is underdiagnosed and undertreated. Clinical implications. Efforts should be made to educate medical communities and patients about this disease and to encourage neurologists and ENT specialists to cooperate. Every patient with vertigo of unknown origin should be directly asked about a past or present history of migraine, or migraine symptoms experienced during their vertigo episodes. Future directions. There is a growing need for studies regarding the pathophysiology of VM as well as randomised trials to establish clear treatment recommendations and to improve management of this surprisingly common disorder.

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Section: Laboratory Findingsmentioning

confidence: 99%

Vestibular migraine — an underdiagnosed cause of vertigo. Diagnosis and treatment

Nowaczewska

2020

Neurol Neurochir Pol.

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“…40 Vestibular migraine might also be triggered by the injury associated with traumatic neck pain. 65,72 Conversely, in those who have a primary diagnosis of concussion, associated neck trauma should also be considered as a potential cause of some symptoms.…”

Section: Differential Diagnosismentioning

confidence: 99%

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Treleaven¹

2017

J Orthop Sports Phys Ther

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“…A big challenge for diagnosis is multiple temporal patterns of vertigo and migraine in VM. 51-65.6% of VM patients suffered from migraine before the onset of vertigo (Morganti et al, 2016;Zhang et al, 2016;Beh et al, 2019), and there was an interval of 8-20 years between the two symptoms (Cohen et al, 2011;Pagnini et al, 2014). 10.2-13% of patients had an earlier onset of vertigo than migraine (Qiu et al, 2014;Zhang et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Temporal Patterns of Vertigo and Migraine in Vestibular Migraine

et al. 2020

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Vestibular migraine (VM) is a multidisciplinary disease under exploration. Multiple temporal patterns of vertigo and migraine make it difficult to diagnose VM, and their effect on the clinical features of VM is still unclear. Here we investigated the clinical features of VM under three temporal patterns. 172 VM patients were enrolled in this study and divided into three groups: 86 patients in group A had an earlier onset of migraine than vertigo, 35 patients in group B had an earlier onset of vertigo than migraine, and 51 patients in group C had concurrent vertigo and migraine. No significant difference was found among three groups regarding types, intensity and accompanying symptoms of the vestibular attack. Patients in group C presented higher frequency and longer duration of vertigo than group A and B, while patients in group A presented lower frequency and shorter duration of headaches than group B and C. Additionally, the frequency, duration, intensity and accompanying symptoms of headache in group A decreased significantly after the onset of vertigo, especially in women around menopause. We hypothesized that vestibular stimulation could inhibit the trigeminal pain pathway, while painful trigeminal stimulation could excite the vestibular system. Our findings may contribute to the clinical identification of VM and further clarification of its pathogenesis.

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Vestibular migraine: clinical and epidemiological aspects

Cited by 37 publications

References 23 publications

Vestibular migraine — an underdiagnosed cause of vertigo. Diagnosis and treatment

Vestibular migraine — an underdiagnosed cause of vertigo. Diagnosis and treatment

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Temporal Patterns of Vertigo and Migraine in Vestibular Migraine

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