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Vestibular migraine

Author
Carrie Elizabeth Robertson, MD
Section Editor
Jerry W Swanson, MD, MHPE
Deputy Editor
Janet L Wilterdink, MD

INTRODUCTION

Vestibular migraine is a term used to describe episodic vertigo in patients with a history of migraines or with other clinical features of migraine. While an association between episodic vertigo and migraine was noted as long ago as 1873, attempts at a more scientific analysis of this relationship have only begun over the last 20 years [1]. Many reports have documented a relationship between vestibular and migraine disorders, but problems with terminology and spurious correlations have limited progress [2-4].

Alternative terms that have been used more or less synonymously include migraine-associated vertigo, migraine-related vestibulopathy, migrainous vertigo, benign recurrent vertigo, and benign paroxysmal vertigo of childhood, highlight some of the uncertainties surrounding our understanding of this disorder.  

Vestibular migraine is considered to be distinct from migraine with brainstem aura (MBA). While vertigo is a common feature of MBA, the diagnostic criteria for MBA require that more than one neurologic symptom of putative brainstem or bilateral cortical origin occurs as part of a headache aura. Patients with vestibular migraine typically do not have other neurologic symptoms and may not even have headache with their attacks of vertigo.

This topic will discuss vestibular migraine. Migraine with brainstem aura (basilar migraine) and other manifestations of migraine are discussed separately. (See "Migraine with brainstem aura (basilar-type migraine)" and "Pathophysiology, clinical manifestations, and diagnosis of migraine in adults".)

EPIDEMIOLOGY

A population-based study in Germany, screening a representative sample of the population using the criteria described above, estimated a lifetime prevalence of vestibular migraine of approximately 1 percent [5]. While two-thirds of patients identified as having vestibular migraine had consulted a clinician regarding this problem, only 20 percent were given that diagnosis. Other epidemiology studies report similar statistics [6,7].

             

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Literature review current through: Nov 2016. | This topic last updated: Mon Aug 10 00:00:00 GMT+00:00 2015.
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