Diagnosis and Treatment of Vestibular Migraine

Paul-Henri Cesar, Lilian E. Massihi, Helen Banh, Heidi Banh

Abstract


Vestibular migraine is a disorder associated with symptoms of vertigo, imbalance or dizziness. The duration of attacks varies from seconds to days but usually lasting minutes to hours. The pathophysiology of Vestibular Migraine is not well understood, however, studies have shown a dysfunctional thalamo-cortical apparatus may play a role in the etiology. Diagnostic tests are usually normal in patients afflicted with vestibular migraine, however, they can be used to rule out other vestibular disorders. A detailed physical exam and history suggesting recurrent vestibular symptoms and a history of migraine may point to the diagnosis. Management of vestibular migraine has shown to be effective using a combination of lifestyle modifications, vestibular rehabilitation and medications. 


Keywords


Vestibular Migraine; Migraine Treatment; Dizziness; Vertigo; Migraine.

Full Text:

PDF

References


. H.K. Neuhauser, A. Radtke, M. von Brevern, M. Feldmann, F.Lezius, T. Ziese and T. Lempert, Migrainous vertigo: prevalence and impact on quality of life, Neurology 67 (2006),1028–1033.

. H.K. Neuhauser, M. Leopold, M. von Brevern, G. Arnold and T. Lempert, The interrelations of migraine, vertigo, and migrainous vertigo, Neurology 56 (2001), 436–441.

. K.Oh, H. Lee, J.C.Jen, S.Corona, K.M.Jacobson and R.W. Baloh, Familial benign recurrent vertigo, Am J Med Genet 100 (2001), 287–291.

. Stovner, LJ., Hagen, K., Jensen, R., Katsavara, Z., Lipton, R., Scher, A., Steiner, T., Zwart, JA.. The Global Burden of Headache: A Documentation of Headache Prevalence and Disability Worldwide. 2007.

. Weisleder, P. & T.D. Fife. 2001. Dizziness and headache: a common association in children and adolescents. J. Child Neurol. 16: 727–730.

. Stolte, B., Holle, D., Naegel, S., Diener, H., & Obermann, M. (2015). Vestibular migraine. Cephalalgia, 35(3), 262-270.

. Lempert T., Neuhauser H. Epidemiology of Vertigo, Migraine and Vestibular Migraine. J Neurol. 2009 Mar;256(3):333-8.

. Hu XH, Markson LE, Lipton RB, Stewart WF, Berger ML. Burden of migraine in the United States: disability and economic costs. Arch Intern Med 1999; 159: 813–8.

. Lempert T, Neuhauser H. Migrainous vertigo. Neurol Clin 2005; 23: 715–30.

. Van Ombergen, A., Van Rompaey, V., Van de Heyning, P., & Wuyts, F. (2015;2014;). Vestibular migraine in an otolaryngology clinic: Prevalence, associated symptoms, and prophylactic medication effectiveness. Otology & Neurotology,36(1), 133-138.

. Furman, J., Marcus D., Balaban C. Vestibular Migraine: clinical aspects and pathophysiology. Lancet Neural 2013; 12:706-715.

. Cass, S.P., Ankerstjerne, J.K.P., Yetiser, S., Furman, J., Balaban, C., Aydogan, B. Migraine-related Vestibulopathy. Ann Otol Rhinol Laryngol. 1997 Mar;106(3):182-9.

. Cutrer, F.M., Baloh, R.W. Migraine-associated dizziness. Headache. 1992 Jun; 32 (6): 300-4.

. Dieterich, M. & T. Brandt. 1999. Episodic vertigo related to migraine (90 cases): vestibular migraine? J. Neurol. 246: 883–892.

. Russo A., Marcelli V, Esposito F, Corvino V, Marcuccio L, Giannone A, Conforti R, Marciano E,Tedeschi G, Tessitore A. Abnormal thalamic function in patients with vestibular migraine. Neurology. 2014 Jun 10;82(23):2120-6.

. Stankewitz A., Schulz E., May A. Neuronal correlates of impaired habituation in response to repeated trigemino-nociceptive but not to olfactory input in migraineurs: an fMRI study. Cephalalgia 2013;33:256–265.

. Suzuki M., Kitano H., Ito R, et al. Cortical and Subcortical vestibular response to caloric stimulation detected by functional magnetic resonance imaging. Brain Res Cogn Brain Res 2001; 12:441-449.

. Lauritzen, M. Pathophysiology of the migraine aura. The spreading depression theory. Brain. 1994 Feb; 117 (Pt 1): 199-210.

. Pietrobon D, Striessnig J. Proposed pathophysiological mechanisms in the generation of migraine headache. Nature Reviews Neuroscience 4, 386-398 (May 2003).

. Bisdorff AR. Management of Vestibular Migraine. Ther Neurol Disord. 2011 May; 4(3):183-191.

. Headache Classification Committee of the International Headache Society. Cephalgia (33)9 629-808. International Headache Society 2013.

. Kayan A., Hood J.D. Neuro-otological manifestations of migraine. Brain 1984; 107:1123–42.

. Furman, J.M., & Balaban, C.D. Vestibular migraine. Annals of the New York Academy of Sciences, 90-96. 2015.

. IN PAPER, FIND SOURCE!

. Lempert, T. et al. 2012. Vestibular migraine: diagnostic criteria. J. Vestib. Res. 22: 167–172.

. Murdin L, Schilder A. Epidemiology of Balance Symptoms and Disorders in the Community: A Systematic Review. Otology & Neurotology. 2015 Mar;36(3):387-92.

. Aragones, J.M., Fortes-Rego, J., Fuste, J., Cardozo, C. Migraine: An alternative in the diagnosis of unclassified vertigo. Headache.1993 Mar;33(3):125-8.

. Lee, H., Sohn, S.I., Jung, D.K., Cho, Y.W., Lim, J.G., Yi, S.D. Migraine and isolated recurrent vertigo of unknown cause. Neurol Res. 2002 Oct;24(7):663-5.

. Savundra, P.A., Carroll, J.D., Davies, R.A., Luxon, L.M. Migraine-associated vertigo. Cephalgia. 1997 Jun;17(4):505-10.

. Furman, J.M., D.A.Marcus & C.D. Balaban. 2003. Migrainous vertigo: development of a pathogenetic model and structured diagnostic interview. Curr. Opin. Neurol. 16: 5–13.

. Ramadan N,. Epidemiology and impact of migraine. Continuum 2003; 9:9-24

. Polensek SH, Tusa RJ. Nystagmus during Attacks of Vestibular Migraine: An Aid in Diagnosis. Audiology and Neurotology. 2010;15:241.

. M. von Brevern, A. Radtke, A. Clarke and T. Lempert. Migrainous vertigo presenting as episodic positional vertigo, Neurology 62 (2004), 469–472.

. Radtke A; Lempert T, Gresty M.A., Brookes G.B., Bronstein A.M., Neuhauser H. Migraine and Meniere’s Disease: Is there a link? Neurology, 2002 Dec. 10;59(11):1700-4.

. Hildreth CJ, Lynm C, Glass RM. Migraine Headache. JAMA. 2009; 301(24):2608

. Neuhauser, H., & Lempert, T. (2009). Vestibular Migraine. Neurologic Clinics, 27, 379-391.

. Bikhazi, P., Jackson, C., & Ruckenstein, M.J. (1997). Efficacy of antimigrainous therapy in the treatment of migraine-associated dizziness. The American Journal of Otology, 18(3), 350-354.

. Espinosa-Sánchez, J.M., & Batuecas-Caletrio, Á. (2014). Vestibular migraine: a practical approach. Actualidad Médica, 99(791), 33-60.

. Cassano, D., Pizza, V., & Busillo, V. (2015). P074. almotriptan in the acute treatment of vestibular migraine: A retrospective study. The Journal of Headache and Pain,16(Suppl 1), A114.

. Rothrock JF. Non-steroidal Anti-inflammatory Drugs (NSAIDs) for Acute Migraine Treatment. Headache. 2010. Vol 50 Issue 10. 1635-1636.

. Bisdorff, A. R. (2011). Management of vestibular migraine. Therapeutic Advances in Neurological Disorders, 4(3), 183–191.

. Fotuhi, M., Glaun, B., Quan, S. Y., & Sofare, T. (2009). Vestibular migraine: A critical review of treatment trials. J Neurol. 2009 May;256(5):711-6.

. Suthisisang C, Poolsup N, Kittikulsuth W, Pudchakan P, Wiwatpanich P. Efficacy of low-dose ibuprofen in acute migraine treatment: systematic review and meta-analysis. Ann Pharmacother. 2007 Nov; 41(11): 1782-91. Epub 2007 Sep 18.


Refbacks

  • There are currently no refbacks.


 

 
  
 

 

  


About IJSBAR | Privacy PolicyTerms & Conditions | Contact Us | DisclaimerFAQs 

IJSBAR is published by (GSSRR).