Vestibular migraine: Considered from both the vestibular and the migraine point of view

AKDAL HALMAGYI G., KAYA ÖZÇELİK P., ÖZGE A.

NEUROLOGICAL SCIENCES AND NEUROPHYSIOLOGY, vol.37, no.2, pp.41-49, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Review
  • Volume: 37 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.4103/nsn.nsn_72_20
  • Journal Name: NEUROLOGICAL SCIENCES AND NEUROPHYSIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.41-49
  • Keywords: Dizziness, headache, migraine, vertigo, vestibular migraine, GREATER OCCIPITAL NERVE, MENIERES-DISEASE, INTERNATIONAL CLASSIFICATION, DIAGNOSTIC-CRITERIA, MOTION SICKNESS, VERTIGO, DIZZINESS, SYMPTOMS, PREVALENCE, PROPHYLAXIS
  • Dokuz Eylül University Affiliated: Yes

Abstract

A temporal overlap between vestibular symptoms, such as vertigo and head movement intolerance, and migraine symptoms, such as headache, photophobia, and phonophobia, is a requisite diagnostic criterion for the diagnosis of vestibular migraine (VM). Diagnostic criteria for VM have been proposed by an International Vestibular Research Group (the Barany Society) and a headache research group (International Headache Society); however, in practice, it is still acceptable to divide patients suspected of VM into "definite VM" and "probable VM" groups. Here, a neuro-otologist and a headache specialist consider VM from their own points of view using four real cases, two from a dizzy clinic and two from a headache clinic, with expert opinions and arguments according to the current literature. The management is summarized on the basis of mechanism and comorbidity and the importance of prophylactic medication.