Vestibular migraine: the chameleon in vestibular disease

Li, Minping; Xue, Xiangxin; Qi, Weiwei; Liang, Yingyin; Huang, Yiqing; Huang, Hongbo

doi:10.1007/s10072-021-05133-1

Cited by 14 publications

(13 citation statements)

References 97 publications

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“…The primary distinction between BPPV and VM is the duration of the vertigo episode: an acute episode of BPPV lasts less than one minute, whereas a typical episode of VM lasts 5 minutes to 72 hours [5]. Although residual dizziness and associated symptoms in BPPV may be misinterpreted as an active continuation of the vertigo episode, a thorough history taking and the use of repositioning maneuvers that result in semicircular canal-specific nystagmus with latency, as opposed to persistent nystagmus of moderate velocity in VM, may help in differential diagnosis [5,54].…”

Section: Differential Diagnosismentioning

confidence: 99%

“…Although rare, vertebrobasilar TIAs can occur as isolated episodes of vertigo, lasting minutes to hours without additional brainstem symptoms; however, TIAs are not associated with headache and usually follow a course of increasing frequency (if evident cardiovascular risk factors are not corrected) rather than weeks or months of vertigo-free periods as in the case of VM [36,55]. In suspected stroke cases, HINTS (head impulse test, nystagmus, and skew test) examination may be beneficial [54].…”

Section: Differential Diagnosismentioning

confidence: 99%

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Vestibular Migraine

Ryliškienė¹,

Jokubaitis²

2024

Pain Management - From Acute to Chronic and Beyond

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The consensus diagnostic criteria for vestibular migraine (VM) are used to specifically describe episodic vestibular symptoms associated with migraine. Because of an incomplete understanding of the etiology, a variety of clinical manifestations, and overlap with other vestibular disorders, the precise prevalence of VM is unknown. Clinical examination during vestibular episodes and vestibular laboratory tests interictally are more commonly abnormal in patients with VM than in controls, but none of the findings are specific for the diagnosis. The majority of information about VM treatment originates from case studies and retrospective reviews. In this chapter, the current epidemiology data, pathophysiology, significance of clinical and laboratory findings, and possible therapeutic approaches with existing and new medications or devices will be discussed.

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Section: Differential Diagnosismentioning

confidence: 99%

Section: Differential Diagnosismentioning

confidence: 99%

Vestibular Migraine

Ryliškienė¹,

Jokubaitis²

2024

Pain Management - From Acute to Chronic and Beyond

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“…One reason may be that some of these symptoms are mistaken for other conditions. Vestibular migraine, for instance, is widely known as a "chameleon" disease that is difficult to diagnose and frequently mis-classified as either benign or sinister [23,40]. Additionally, vestibular symptoms tend to be episodic or triggered only during specific positions [5].…”

Section: Duration To Seek Carementioning

confidence: 99%

Regional differences in patient-reported outcomes as a proxy of healthcare practices for Americans living with vestibular symptoms

Souza

Grove

Gerend³

et al. 2022

VES

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BACKGROUND: Geographical location is known to affect health outcomes; however, evidence regarding whether location affects healthcare for persons suspected to have vestibular dysfunction is lacking. OBJECTIVE: To investigate whether location affects healthcare seeking and outcomes for adults with symptoms of vestibular pathology. METHODS: We assessed for regional disparities associated with demographics, diagnosis, chronological factors, and financial expenditures from Americans who participated in the Vestibular Disorders Association registry (N = 905, 57.4±12.5 years, 82.7% female, 94.8% White, and 8.1% Hispanic or Latino). Respondents were grouped per geographical regions defined by the United States Census Bureau. RESULTS: There were no significant between-region differences for age (p = 0.10), sex (p = 0.78), or ethnicity (p = 0.24). There were more Asian respondents in the West versus the Midwest (p = 0.05) and more Black respondents in the South versus the West (p = 0.05). The time to first seek care was shorter in the Northeast (17.3 [SD = 49.5] weeks) versus the South (42.4 [SD = 83.7] weeks), p = 0.015. The time from the first healthcare visit to receiving a final diagnosis was shorter in the Northeast (46.5 [SD = 75.4] weeks) versus the South (68.9 [SD = 89.7] weeks), p = 0.015. Compared to the Midwest, fewer respondents in the Northeast reported “no” out-of-pocket financial impact, p = 0.039. CONCLUSIONS: Geographical location affects healthcare seeking and outcomes for persons suspected to have vestibular dysfunction.

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“…'Cerebellar vertigo' is a clinically important entity. Taking into consideration the common overlap of vertigo and migraine across vestibular diseases and the fact that vestibular migraine often imitates various vestibular disorders, there is a need for clinical trials focusing on specific laboratory biomarkers including serological, radiological and electrophysiological examinations as well as for development of more detailed and complete diagnostic criteria (16). The analysis of a total of 610 patients at a mean age of 58,1±16,3 years from the outpatient clinic of the German Center of Vertigo and Balance Disorders demonstrates that iPad-based medical device (medx) designed for the diagnosis of vertigo and dizziness has an accuracy for the most common diagnoses between 82,1% and 96,6%, a sensitivity of 40% to 80,5% and a specificity of more than 80% (9).…”

Section: Comparative Diagnosis Of Common Vestibular Disordersmentioning

confidence: 99%

Recent advances in the epidemiology and diagnosis of some common vestibular disorders

Milkov

2021

International Bulletin of Otorhinolaryngology

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There is a rising interest in the diagnosis of the common vestibular disorders in childhood and adulthood. The results from numerous epidemiological investigations prove the socio-medical importance of this pathology. In the present survey, the applications of the main diagnostic methods in this interdisciplinary field are discussed.Here belong the caloric test, the video head impulse test, the cervical and ocular vestibular evoked myogenic potentials, the videonistagmography, the electrococheography, the magnetic resonance imaging, the computed tomography, etc. A special attention is paid to the comparative diagnosis of some socially significant common vestibular disorders.

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Vestibular migraine: the chameleon in vestibular disease

Cited by 14 publications

References 97 publications

Vestibular Migraine

Vestibular Migraine

Regional differences in patient-reported outcomes as a proxy of healthcare practices for Americans living with vestibular symptoms

Recent advances in the epidemiology and diagnosis of some common vestibular disorders

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