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Expert Rev Neurother 2020 Jun 29. Epub 2020 Jun 29.

Headache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences , Tehran, Iran.

Introduction: Despite the available prophylactic and acute drugs for migraine management, this disabling disorder remains undertreated especially among pediatrics. In this review, the authors aim at assessing the preventive role cinnarizine plays in treating migraine based on previously published studies.

Areas Covered: Randomized clinical trials, randomized controlled trials, non-randomized open-label trials and retrospective studies concerning cinnarizine in migraine prevention in children and adults were reviewed. Read More

Otolaryngol Clin North Am 2020 Aug 23;53(4):617-626. Epub 2020 Apr 23.

Department of Otolaryngology Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794, USA. Electronic address:

The search for an effective medication that will eliminate tinnitus has a long history. Currently, no drugs exist that universally cure tinnitus. Pharmacologic interventions that have been investigated can be divided into those that attempt to eliminate the perception of tinnitus, and those that are designed to treat the negative comorbidities associated with tinnitus, thereby mitigating tinnitus' negative impact on quality of life. Read More

Semin Neurol 2020 Feb 14;40(1):76-82. Epub 2020 Jan 14.

Department of Neurology and Head and Neck Surgery, David Geffen School of Medicine at UCLA, Ronald Regan Medical Center, Los Angeles, California.

Vestibular migraine (VM), also known as migrainous vertigo or migraine-associated vertigo, is characterized by recurrent vestibular attacks often accompanied by migraine headaches and other migraine symptoms. It is one of the most common presenting complaints to physicians in primary care, otolaryngology, and neurology. Epidemiologic data suggest that VM may affect 1 to 3% of the general population and 10 to 30% of patients seeking treatment for dizziness. Read More

Zh Nevrol Psikhiatr Im S S Korsakova 2019 ;119(6):128-136

Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

The review considers the results of domestic and foreign studies of modern neurophysiological diagnosis of vestibular disorders in migraine and epilepsy. Currently, there is a large number of physiological and clinical methods to evaluate the functions of the peripheral and central parts of the vestibular sensory system. However, among the tests, the samples for the assessment of the physiological state of horizontal semicircular canals and associated stem canals predominate. Read More

Can J Neurol Sci 2019 09 1;46(5):512-517. Epub 2019 Jul 1.

Seton Hall University/Saint Francis Medical Center, Neuroscience Institute, Trenton, NJ, USA.

Background: Migraine is a common disorder most typically presenting as headache and often associated with vertigo and motion sickness. It is a genetically complex condition with multiple genes ultimately contributing to the predisposition and development of this episodic neurological disorder. We identified a large American family of 29 individuals of which 17 members suffered from at least one of these disorders, migraine, vertigo, or motion sickness. Read More

Orv Hetil 2019 Jun;160(25):967-972

Fül-Orr-Gégészeti és Fej-, Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ Pécs, Munkácsy M. u. 2., 7621.

The existence of cervical vertigo is still a question under debate. The basic hypothesis of the disease is that the abnormalities of the neck cause dizziness. The name itself is not accurate, as on the basis of the descriptions we cannot talk about true vertigo. Read More

J Neuroophthalmol 2019 06;39(2):208-219

Department of Neurology and Neurotherapeutics (SCB), University of Texas Southwestern Medical Center, Dallas, Texas.

Background: Vestibular migraine (VM) is the most common neurologic cause of vertigo in adults and results in significant utilization of health care resources, but remains under-recognized and underdiagnosed.

Evidence Acquisition: Review of literature in PubMed using the following terms: vestibular migraine, migraine-associated vertigo, vertiginous migraine, benign recurrent vertigo, migraine-associated dizziness, migraine, migraine treatment, Meniere disease (MD), vertebrobasilar ischemia (VBI), posterior circulation stroke, benign paroxysmal positional vertigo, and episodic-ataxia Type 2 (EA2).

Results: VM can manifest with a variety of vestibular symptoms, including spontaneous vertigo, triggered vertigo, positional vertigo, and head-motion dizziness. Read More

Adv Otorhinolaryngol 2019 15;82:119-126. Epub 2019 Jan 15.

This chapter is a brief overview of migraine associated vertigo (MAV), focusing on the points most relevant to the practicing clinician. We review the definition of MAV, theories regarding its underlying pathophysiology, clinical presentation, epidemiology, findings on physical examination and oto vestibular testing, differential diagnosis, management and prognosis. Read More

Eur J Paediatr Neurol 2018 Jul 30;22(4):667-673. Epub 2018 Mar 30.

Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 243 Charles Street, Boston, MA, 02114, USA.

Introduction: Migraine variant disorders of childhood include benign paroxysmal torticollis of infancy (BPTI) and benign paroxysmal vertigo of childhood (BPVC). This study aimed to review our experience with BPTI and BPVC and determine the incidence of children transitioning between each of these disorders and to vestibular migraine (VM).

Methods: We retrospectively reviewed the medical records of patients seen at the Balance and Vestibular Program at Boston Children's Hospital between January 2012 and December 2016 who were diagnosed with BPTI, BPVC, and/or VM. Read More

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(3):97-102

Russian Scientific Center for Medical Rehabilitation and Balneology, Moscow, Russia.

Cervical vertigo (CV) hasn't yet been recognized by many neurologists, as it has no specific clinical symptoms and reliable diagnostic criteria. However, over the past 150 years, there has been accumulated numerous experimental and clinical evidence to support the legitimacy of CV allocation as a separate nosology. This review presents data regarding the vertigo associated with neck pathology: possible evidence of CV existence and the description of its type as well. Read More

Indian J Otolaryngol Head Neck Surg 2017 Dec 4;69(4):563-567. Epub 2017 Feb 4.

Department of ENT and Head-Neck Surgery, Hinduja Sindhi Hospital, Bengaluru, Karnataka 560027 India.

Migraine related vertigo (MRV) is largely accepted in the vestibular community and probably represents the second most common cause of vertigo after benign positional vertigo by far exceeding Meniere's disease. The data on vestibular migraine management is still relatively poor, despite its enormous importance in daily practice. A 55-year old male presented with history of giddiness, imbalance, sweating and sensation of nausea with severe pulsating headache of one day duration. Read More

Curr Treat Options Neurol 2017 Sep 30;19(11):38. Epub 2017 Sep 30.

Department of Neurology, Thomas Jefferson University, 900 Walnut St Suite 200, Philadelphia, PA, 19107, USA.

Opinion Statement: Vestibular migraine (VM) is a disorder with a spectrum of clinical presentations and among the most common causes of chronic vestibular symptoms. Some present with attacks before or during typical migraine, but many others have fluctuating or daily symptoms. While the symptoms and pathogenesis of vestibular migraine may have elements of both central and peripheral disorders, hearing loss should be absent. Read More

J Clin Med Res 2017 Sep 27;9(9):733-744. Epub 2017 Jul 27.

Division of Otolaryngology-Head and Neck Surgery, Montreal University Hospital Center (CHUM), University of Montreal; Montreal, Quebec, Canada.

The diagnosis of Meniere's disease (MD) and vestibular migraine (VM) is primarily based on clinical criteria and their differentiation is often difficult. Currently, there are no known definitive diagnostic tests that can reliably distinguish the two conditions. Patients with MD and patients with VM are treated differently, therefore improving the diagnosis of these two pathologies should avoid errors in management. Read More

J Laryngol Otol 2017 Jun 2;131(6):508-513. Epub 2017 Mar 2.

Department of Surgery,Division of Otolaryngology - Head and Neck Surgery,Pennsylvania State University,College of Medicine,Hershey,USA.

Background: Benign paroxysmal positional vertigo and migraine-associated dizziness are common. The prevalence of benign paroxysmal positional vertigo seems to be higher in patients with migraine-associated dizziness than in those without migraine.

Methods: A database of 508 patients seen at the primary author's balance clinic was analysed to determine the prevalence of migraine, as defined by International Headache Society criteria, in patients with benign paroxysmal positional vertigo. Read More

Eur Rev Med Pharmacol Sci 2016 12;20(23):4913-4917

Neurology Department 2, Xuzhou First People's Hospital, Xuzhou, Jiangsu, PR China.

Objective: To study the impact of migraine-associated vertigo (MV) on the cognitive state of patients and their quality of life.

Patients And Methods: A total of 120 patients were enrolled in the study, including 40 diagnosed with MV, forty with a simple migraine and 40 healthy volunteers. Cognitive assessments were done using the mini-mental state examination (MMSE), and a battery of tests for cognitive functions in performance, memory, language, space and attention during interictal periods. Read More

Headache 2017 Mar 2;57(3):455-459. Epub 2016 Dec 2.

Department of Neurology, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.

Objective: To use modern high-resolution inner ear imaging modalities to evaluate for endolymphatic hydrops (EH) in a patient with migraine-associated fluctuating hearing loss without vertigo spells or dizziness.

Background: EH has been well described in patients with Meniere's disease on both human temporal bone studies and modern high-resolution imaging; however, there is no study to date, to our knowledge, that examines the presence of EH in a patient with migraine and bilateral hearing loss. We present the MRI findings using a sequence for detecting EH in a unique case of a patient experiencing migraine headaches accompanied by fluctuating hearing loss without vertigo. Read More

Otol Neurotol 2016 12;37(10):1614-1619

*Department of Otolaryngology, Massachusetts Eye and Ear Infirmary†Department of Otolaryngology, Harvard Medical School‡Department of Audiology§Eaton Peabody Lab, Massachusetts Eye and Ear Infirmary, Massachusetts.

Objective: To assess the cervical vestibular evoked myogenic potentials (cVEMPs) ability to track disease progression in Ménière's disease patients over time and identify the most sensitive outcome measurement.

Study Design: Retrospective.

Setting: Large specialty hospital, department of otolaryngology. Read More

Eur Arch Otorhinolaryngol 2016 Nov 9;273(11):3567-3572. Epub 2016 Mar 9.

Department of Ear, Nose and Throat, National Hospital Abuja, Plot 132, Central area, Garki (Phase II), Abuja, Nigeria.

The clinician's major role in management of the dizzy patient involves determining what dizziness is vertigo, and what vertigo is of central or peripheral origin. These demand attention to details of history, otolaryngological workup including vestibular assessment, and often use of diagnostic and management algorithms. There is paucity of published reports of the management outcomes of peripheral vestibular diseases from Africa. Read More

Eur J Paediatr Neurol 2016 Jan 22;20(1):85-92. Epub 2015 Oct 22.

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, USA.

Objective: Epidemiologic studies have shown Vestibular migraine (VM) to be the most common cause of vertigo in children, but little is known about the typical presentation and response to treatment of this disorder in the pediatric population. The aim of this study was to evaluate the diagnostic features and response to therapy of VM in children managed at a pediatric vestibular clinic.

Methods: Twenty-eight patients ≤18 years old with a diagnosis of VM were identified from 208 patients seen at the Balance and Vestibular Program at Boston Children's Hospital from July 2012-July 2014, after excluding 12 patients with a history of major otologic or neurologic surgery, recent concussion, or additional vestibular disorders. Read More

Headache 2015 Nov-Dec;55(10):1475-6. Epub 2015 Oct 8.

Harvard Beth Israel Deaconess, Department of Medicine, Forestdale, MA, USA.

Pain Physician 2015 Jul-Aug;18(4):E583-95

Postgraduate Training Base of General Hospital of Armed Police Force of Liaoning Medical University, Beijing; Department of Spinal Surgery, General Hospital of Armed Police Force, Beijing 100039, China.

Cervical vertigo is characterized by vertigo from the cervical spine. However, whether cervical vertigo is an independent entity still remains controversial. In this narrative review, we outline the basic science and clinical evidence for cervical vertigo according to the current literature. Read More

Zh Nevrol Psikhiatr Im S S Korsakova 2014 ;114(10):87-9

Objective: To study characteristics of migraine-associated vertigo using a specially-developed complex program of stabilometry.

Material And Methods: We examined 56 patients with vestibular migraine and 56 healthy controls. We used a set of tests informative for verification of the pathology of the vestibular system (examination in the Romberg position with opened and closed eyes, optic/kinetic test, test with turns and inclinations of head, tandem test). Read More

Eur J Paediatr Neurol 2015 Mar 18;19(2):226-32. Epub 2014 Dec 18.

Department of Pediatric Neurology, Hacettepe University Faculty of Medicine, Ankara, Turkey. Electronic address:

Objective: Evaluation and management of vertigo in children vary between institutions and medical specialties. The aim of this study is to describe the characteristics of vertigo in children presenting to a pediatric neurology referral center and to investigate the relationship between vertigo and migraine.

Study Design: Patients <18 years old presenting with vertigo to Hacettepe University Ihsan Dogramaci Children's Hospital Neurology Unit between January 1996-January 2012 were included (n = 100). Read More

Zhonghua Yi Xue Za Zhi 2014 Jun;94(21):1618-22

Email:

Objective: To explore the causes of emergency dizziness stratified to improve the diagnostic efficiency.

Methods: A total of 1 857 cases of dizziness at our emergency department were collected and their etiologies stratified by age and gender.

Results: The top three diagnoses were benign paroxysmal positional vertigo (BPPV, 31. Read More

Springerplus 2014 7;3:231. Epub 2014 May 7.

Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Objective: To assess the efficacy and safety of cinnarizine for the prophylaxis of migraine associated vertigo in the vestibular migraine and migraine with brainstem aura.

Background: Vestibular migraine and migraine with brainstem aura are two principal clinical syndromes that frequently are associated with vertigo. Since cinnarizine is a well-tolerated calcium channel blocker which has acceptable effect on both vertigo and migraine headache, we carried out this study to evaluate the efficacy and safety of this medication in vestibular migraine and also migraine with brainstem aura associated with vertigo. Read More

Int J Pediatr Otorhinolaryngol 2014 May 15;78(5):718-24. Epub 2014 Feb 15.

Otorhinolaryngology Department, Marche Polytechnic University, Ancona, Italy.

Objectives: To systematically review and discuss the main pathologies associated with vertigo and dizziness in children, paying particular attention to recent advances in diagnosis and therapy.

Methods: One appropriate string was run on PubMed to retrieve articles dealing with the topics mentioned above. A cross-check was performed on citations and full-text articles found using the selected inclusion and exclusion criteria. Read More

Exp Ther Med 2014 Feb 15;7(2):488-490. Epub 2013 Nov 15.

Department of Otorhinolaryngology, Keio University, Tokyo 160-8520, Japan.

Patients with Ménière's disease who have relapsed following endolymphatic sac surgery (EDS) or intratympanic gentamicin injection are occasionally treated with intratympanic gentamicin injections or revision surgery. However, there is a potential link between Ménière's disease and anxiety or depression. The use of serotonin selective reuptake inhibitors (SSRIs) is likely be beneficial in the treatment of patients with Ménière's disease. Read More

Blood Coagul Fibrinolysis 2014 Apr;25(3):277-9

aLaboratory of Clinical Chemistry and Hematology bDepartment of Pediatrics, Academic Hospital of Parma, Parma, PR, Italy cDepartment of Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), Westmead Hospital, Westmead, New South Wales, Australia.

We describe the case of a 3-year-old girl, admitted to the pediatric ward for three repeated episodes of severe migraine associated with vertigo, with onset 1 week after complete remission from an episode of chicken pox (i.e., varicella-zoster virus infection). Read More

Semin Neurol 2013 Jul 21;33(3):244-55. Epub 2013 Sep 21.

Section of Neuro-otology, Neurology research institute "Dr, Raúl Carrea" (FLENI), Buenos Aires, Argentina.

Cervical vertigo has long been a controversial entity and its very existence as a medical entity has advocates and opponents. Supporters of cervical vertigo claim that its actual prevalence is underestimated due to the overestimation of other diagnostic categories in clinics. Furthermore, different pathophysiological mechanisms have been attributed to cervical vertigo. Read More

Nihon Jibiinkoka Gakkai Kaiho 2013 Aug;116(8):953-9

Department of Otolaryngology, National Hospital Organization Tokyo Medical Center, Tokyo.

Migraine-associated vertigo (MAV) is proposed as a new clinical entity on the basis of the assumption that the typical migraine and vertigo or dizziness have a common pathophysiology. Some of the patients with recurrent vertigo syndromes with unknown pathology may have MAV. We performed a retrospective study to clarify the clinical characteristics of MAV in the Japanese population. Read More

Nihon Jibiinkoka Gakkai Kaiho 2013 May;116(5):600-5

National Hospital Organization Tokyo Medical Center, Department of Otolaryngology.

The clinical features of Ménière's disease and migraine-associated vertigo are quite similar. Both disorders are characterized by repeated vertigo spells. Several diagnostic criteria are used to diagnose migraine-associated vertigo. Read More

Laryngoscope 2014 Apr 9;124(4):E148. Epub 2013 Jul 9.

Mayo Clinic, Scottsdale, Arizona, U.S.A.

Curr Neurol Neurosci Rep 2013 Apr;13(4):343

Cleveland Clinic Neurological Institute, 9500 Euclid Ave, Desk C21, Cleveland, OH, 44195, USA,

Migraine is a complex disorder with many different manifestations. There has been an increasing interest in the association of migraine and vertigo. Many different terms have been developed to describe this concept, the more popular being vestibular migraine, migrainous vertigo, and migraine-associated vertigo. Read More

Acta Otolaryngol 2013 Feb 13;133(2):154-8. Epub 2012 Nov 13.

Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea.

Conclusion: Vestibular abnormality was found in 84% of patients with Meniere's disease (MD) and 66% of those with migrainous vertigo (MV), even in the interictal period. Although MV does not have proven pathology like endolymphatic hydrops of MD, MV had high vestibular abnormality, suggesting that comorbid vestibular abnormality can be a cause of vertigo and needs to be pursued.

Objectives: MD and MV are common disorders causing recurrent vertigo. Read More

Acta Otolaryngol 2013 Mar 29;133(3):253-6. Epub 2012 Oct 29.

Department of Otorhinolaryngology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.

Conclusions: Patients with migraine-associated vertigo (MAV) may have a higher incidence of photic-driven electroencephalography (EEG) response. The occurrence of photic-driven responses for stimulation at frequencies of 10, 12, and 15 Hz can be considered a positive indicator for MAV. Although photic driving is not specific to migraine, patients with MAV have a higher incidence of photic driving. Read More

Laryngoscope 2012 Sep;122(9):1885-6

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Duke University Medical Center, Durham, North Carolina, USA.

ScientificWorldJournal 2012 3;2012:109624. Epub 2012 Jan 3.

Department of Otolaryngology, Head and Neck Surgery, Carmel Medical Center, Haifa 34362, Israel.

Objectives: To describe the characteristics and outcome of vertigo in a pediatric population.

Patients: All children and adolescents presenting with vertigo to a tertiary otoneurology clinic between the years 2003-2010 were included in the study.

Results: Thirty-seven patients with a mean age of 14 years were evaluated. Read More

Int J Neurosci 2012 Mar 1;122(3):107-13. Epub 2011 Dec 1.

Department of Otorhinolaryngology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo-State, Nigeria.

The clinical diagnosis of migraine-associated vertigo may be difficult because it shares features with some other clinical conditions. This communication presents a systematic review on the epidemiology and theories of pathophysiology of migraine-associated vertigo and its distinguishing features from peripheral vestibular disorders. We searched the Cochrane Library, MEDLINE, and Google scholar for all the studies on migraine-associated vertigo published in English language between 1966 and 2010. Read More

Laryngorhinootologie 2011 Mar 26;90 Suppl 1:S35-43. Epub 2011 Apr 26.

HNO-Klinik im ukb, Berlin, Germany.

Vestibular diagnostics and therapy is the mirror of technological, scientific and socio-economics trends as are other fields of clinical medicine. These trends have led to a substantial diversification of the field of neurotology. The improvements in diagnostics have been characterized by the introduction of new receptor testing tools (e. Read More

Otolaryngol Clin North Am 2011 Apr;44(2):367-75, viii-ix

Department of Neurology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Ward 10-185, Chicago, IL 60611, USA.

This article presents a brief overview of migraine-associated vertigo for the practicing otolaryngologist. Discussion includes the definition of migraine-associated vertigo and its pathophysiology, clinical features, demographics, findings on physical examination, use of otologic and vestibular testing, differential diagnosis, treatment, and prognosis. Read More

Acta Otorhinolaryngol Ital 2010 Aug;30(4):217

ENT Department, "San Raffaele" Hospital, "Vita-Salute" University, Milan, Italy.

Recent reports have focused on a possible association between migraine and Menière's disease; patients suffering from Menière's disease present a higher rate of migraine. In some cases, the clinical features of migraine-associated vertigo may mimic the presentation of Menière's disease. The present report focuses on two cases of females with recurrent episodes of rotational vertigo, fluctuating hearing loss and tinnitus lasting from a few minutes to several hours; both cases also presented migrainous attacks. Read More

GMS Curr Top Otorhinolaryngol Head Neck Surg 2011 26;10:Doc05. Epub 2012 Apr 26.

HNO-Klinik, Unfallkrankenhaus Berlin, Germany.

Vestibular diagnostics and therapy ist the mirror of technological, scientific and socio-economics trends as are other fields of clinical medicine. These trends have led to a substantial diversification of the field of neurotology.The improvements in diagnostics have been characterized by the introduction of new receptor testing tools (e. Read More

Neurologia 2011 Mar 20;26(2):100-4. Epub 2010 Oct 20.

Unidad de Cefaleas, Hospital Universitario Clínico San Carlos, Madrid, Spain.

Introduction: Neurootological symptoms are common in patients with migraine, and have been reported to be associated with diverse conditions.

Patients And Methods: A total of 70 patients with a diagnosis of episodic migraine, with or without aura, attending our Migraine Unit were selected. The specific variables studied were the diagnosis of instability, psycho-physiological dizziness, presyncopal symptoms, benign paroxysmal positional vertigo (BPPV), migraine associated recurrent vertigo (MARV), and Meniere's disease. Read More

Headache 2010 Sep 5;50(8):1362-5. Epub 2010 Aug 5.

Neurotology Unit, Division of Otolaryngology, University of British Columbia, Vancouver, BC, Canada.

"Migraine associated vertigo" is emerging as a popular diagnosis for patients with recurrent vertigo. However, in view of our current understanding of both migraine and vertigo, "migraine associated vertigo," in contrast to basilar artery migraine, is neither clinically nor biologically plausible as a migraine variant. Read More

Med Clin North Am 2010 Sep;94(5):989-1002

Department of Otolaryngology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9035, USA.

The dizzy patient often presents a challenge to the physician. The history is the most important component of the evaluation of the dizzy patient and often allows the cause of the dizziness to be categorized as peripheral or central. Peripheral causes include benign paroxysmal positional vertigo, Meniere's disease, and vestibular neuritis. Read More

J Vestib Res 2010 ;20(1):71-7

Jenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.

Among other problems, patients with vestibular problems suffer imbalance, spatial disorientation, and blurred vision. These problems lead to varying degrees of disability and can be debilitating. Unfortunately, a large number of patients with vestibular complaints cannot be diagnosed with the clinical tests available today. Read More

Semin Neurol 2010 Apr 29;30(2):167-74. Epub 2010 Mar 29.

Department of Neurology, University of California Los Angeles, Los Angeles, California, USA.

Migraine-associated vertigo has become a well-recognized disease entity diagnosed based on a clinical history of recurrent vertigo attacks unexplained by other central or peripheral otologic abnormalities, which occurs in the patient with a history of migraine headaches. There is no international agreement on what spectrum of symptoms should be covered under this diagnosis, or what terminology should be used. The headaches and vestibular symptoms of migraine-associated vertigo may not be temporally associated, which often obscures the association. Read More

Eur Arch Otorhinolaryngol 2010 Jul 28;267(7):1157-62. Epub 2009 Nov 28.

Otolaryngology and Cervicofacial Surgery Clinic, University of Perugia, c/o Clinica Otorinolaringoiatrica Via Enrico Dal Pozzo, 06126 Perugia, Italy.

The aim of the study was to ascertain the validity of a personal protocol used for the diagnostic classification of a group of 20 patients suffering from migraine without aura and with recurrent vertigo and postural disorders. A series of ten factors (anamnestic and constitutional) considered predictive of migrainous vertigo and four types of response to sensory provocation made it possible to identify two types of patients: type A, simultaneous presence of at least 5 (> or =50%) of the 10 factors considered and at least 2 (> or =50%) of the four established responses; type B, presence of fewer than five factors (< or =50%), or of more than five (> or =50%) but fewer than two (< or =50%) of the responses envisaged by the protocol. All patients underwent migraine prophylaxis for 4 months. Read More

Cephalalgia 2009 Dec;29(12):1259-66

Department of Otolaryngology, Tokyo Postal Services Agency Hospital, Tokyo, Japan.

To clarify if migraine-associated vertigo (MAV) and Meniere's disease (MD) share a common pathophysiology, vestibular-evoked myogenic potentials (VEMP) were measured in 11 patients with MAV, 11 with unilateral MD and eight healthy subjects. As acoustic stimuli, tone bursts (TB; 250, 500, 1000 and 2000 Hz) were presented. In healthy subjects, 500-Hz TB evoked the largest amplitude. Read More