Vestibular migraine

ABSTRACT Vestibular migraine (VM) remains an underdiagnosed condition, often mistaken with brainstem aura. VM is defined by recurrent vestibular symptoms in at least 50% of migraine attacks. Diagnosis is established by clinical criteria based on the International Classification of Headache Disorders...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2022-05, Vol.80 (S 05), p.232-237
Main Authors: Silva, Viviane Passarelli Ramin, Castro, Luiz Henrique Martins, Calderaro, Marcelo
Format: Article
Language:English
Subjects:
Adult
Ataxia
Benign Paroxysmal Positional Vertigo - diagnosis
Brain stem
Classification
Diagnosis, Differential
Epilepsy - diagnosis
HEADACHE
Headaches
Humans
Ischemia
Meniere's disease
Migraine
Migraine Disorders
Migraine Disorders - diagnosis
NEUROSCIENCES
Posture
PSYCHIATRY
Transient ischemic attack
Vertigo
Vestibular system
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Summary:ABSTRACT Vestibular migraine (VM) remains an underdiagnosed condition, often mistaken with brainstem aura. VM is defined by recurrent vestibular symptoms in at least 50% of migraine attacks. Diagnosis is established by clinical criteria based on the International Classification of Headache Disorders (ICHD-3). Estimated prevalence of VM is 1 to 2.7% of the adult population. Vestibular symptoms usually appear after the headache. VM pathophysiology remains poorly understood. Vertigo may occur before, during, after the migraine attack, or even independently, and may last seconds to hours or days. Pathophysiological mechanisms for VM are still poorly understood and are usually extrapolated from migraines. Differential diagnoses include Ménière's disease, benign paroxysmal positional vertigo, brainstem aura, transient ischemic attack, persistent perceptual postural vertigo, and episodic type 2 ataxia. Specific treatment recommendations for vestibular migraine are still scarce.
ISSN:0004-282X
1678-4227
1678-4227
DOI:10.1590/0004-282X-ANP-2022-S111