migraine-associated vertigo

(redirected from vestibular migraine)

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.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
References in periodicals archive ?
Dr Meighan's retirement was forced upon her due to a pituitary tumour which left her with chronic vestibular migraine and fatigue.
Of the group, 43 people had Meniere's disease, an inner ear disorder that can affect hearing and balance, 67 hVertigoad vestibular migraine that can cause vertigo but may not cause a headache, and seven had benign paroxysmal positional vertigo, one of the most common causes of vertigo, where a person's head movements trigger the episodes.
It is suggested that vestibular migraine could cause vertigo mimicking MD [20] and even autonomic nervous system dysfunction with syncope [21].
The most common otoneurological dysfunctions in children and adolescents with dizziness are vestibular migraine and benign paroxysmal positional vertigo (BPPV).
Sun-Uk Lee, M.D., from the Seoul National University College of Medicine in South Korea, and colleagues compared headshaking nystagmus (HSN) in 35 patients with RSV-HSN to that recorded in randomly selected patients with compensated vestibular neuritis (VN), vestibular migraine (VM), and Meniere disease (MD).
These recurrent vertigo attacks and migraine association have been known for a long time, and in this clinical table called vestibular migraine (VM); vertiginous symptoms are heterogeneous feature, and are findings that indicate a vestibular problem (1-3).
Exclusion criteria were any kind of hearing damage, unilateral weakness >25% and directional preponderance >35% in the caloric test, and positive Meniere disease or vestibular migraine.
Vestibular migraine (VM) is one of the most common causes of episodic vertigo in adults, with a lifetime prevalence of 1% (1, 2).
The patients who had central-type vertigo, PBBV, and vestibular migraine were excluded from the study.
Recently, vestibular migraine (VM) was integrated as an independent entity in the appendix of the International Classification of Headache Disorders 3-beta (ICHD-3 beta, A1.6.5) [3].
Additionally, she now reported a new onset of periodic headaches that did not fulfill migraine or vestibular migraine criteria [13].
One-third of the patients also had vertigo with migraine, raising the possibility of vestibular migraine. However, we could not be definite whether it was a comorbid phenomenon, given the fact that both symptoms are very common in the general population.

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