Migraine-related vertigo: Diagnosis and treatment

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

A comprehensive review of the neurotologjc manifestations of migraine is presented, focusing on the most recent publications regarding the epidemiology, clinical presentation, pathophysiology, diagnosis, and management of migraine-related vertigo (MV). A strong association exists between vertigo and migraine, with MV being the most common cause of spontaneous (nonpositional) episodic vertigo. Symptoms can be quite variable among patients and within individual patients over time, creating a diagnostic challenge. MV generally presents with attacks of spontaneous or positional vertigo lasting seconds to days with associated migrainous symptoms. Operational diagnostic criteria have been proposed but are not included in the most recent International Headache Society classification of migraine. Better elucidation of the neurologic linkages between the central vestibular pathways and migraine-related pathways and the discovery of ion channel defects underlying some causes of familial migraine, ataxia, and vertigo have furthered the understanding of MV pathophysiology. Treatment of MV currently parallels that of migraine headache, as proper studies of optimal MV management are just beginning.

Original languageEnglish (US)
Pages (from-to)217-226
Number of pages10
JournalCurrent Pain and Headache Reports
Volume11
Issue number3
DOIs
StatePublished - Jun 2007

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Vertigo
Migraine Disorders
Therapeutics
Ataxia
Ion Channels
Nervous System
Headache
Epidemiology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Migraine-related vertigo : Diagnosis and treatment. / Eggers, Scott Daniel.

In: Current Pain and Headache Reports, Vol. 11, No. 3, 06.2007, p. 217-226.

Research output: Contribution to journalArticle

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