migraine-associated vertigo

migraine-associated vertigo

An idiopathic condition characterised by dizziness and/or recurrent vertigo (DRV) linked to migraines, and which is one the most common causes of chronic DRV. It is more common in females (1.5–5:1 ratio) and is more common in families. Many patients do not have headaches, or have chronic nonspecific headaches that do not fit into the International Headache Society’s migraine classification. Atypical Meniere's disease is now regarded as a migrainous vertigo syndrome.

Cllinical findings
Chronic dizziness and dysequilibrium, episodic rotational vertigo, chronic daily headaches, migraine headaches, light sensitivity, poor visual acuity and other changes in vision, visual "snow", nausea and severe motion intolerance. Because many of the symptoms cannot be objectively tested, physical and neurologic examinations and neuroimaging are often normal.

DiffDx
Meniere's disease, vestibular neuritis, psychiatric disorders.
References in periodicals archive ?
who explained the differential diagnoses and the progression of treatment from therapy for endolymphatic hydrops to therapy for migraine-associated vertigo.
0%) a differential diagnosis of endolymphatic hydrops versus migraine-associated vertigo.
1%) had not improved with treatment for endolymphatic hydrops but did subsequently experience an alleviation of symptoms after they had been referred to a neurologist and prescribed treatment for migraine-associated vertigo (MAV group).
This method entails initial treatment for endolymphatic hydrops followed by treatment for migraine-associated vertigo for those who do not respond.
For example, these trends suggest that patients with migraine-associated vertigo are younger and have much shorter vertigo attacks than those with endolymphatic hydrops.