- Invited speaker presentation
- Open Access
The Journal of Headache and Pain volume 16, Article number: A48 (2015)
Vestibular migraine (VM) has been increasingly recognized as a frequent cause of episodic vertigo, affecting up to 1% of the general population, with female preponderance.
Recently, both the Bárány Society and the Migraine Classification Subcommittee of the International Headache Society have proposed original diagnostic criteria for VM, which have been included in the recent edition of the International Classification of Headache Disorders (ICHD-3 beta version). VM diagnosis implies that vestibular symptoms are present during a migraine attack, with or without headache, in the absence of objectively demonstrated interictal vestibulopathy.
In the last decades, several studies have attempted to identify the electrophysiologic markers that could allow a distinction between VM and other vestibular disorders. Nevertheless, despite a growing body of literature, there is still an ongoing debate regarding whether VM origin is principally central or peripheral. However, during the past few years, the extensive application of advanced MRI techniques has contributed to significantly improving the understanding of VM pathophysiology. Functional and structural abnormalities have been detected in brain areas involved in multisensory vestibular control and central vestibular processing in patients with VM[2–4]. However, functional and structural alterations identified in patients experiencing VM also resemble those previously described for migraine. In conclusion, VM probably represents the pathophysiological paradigm of migraine and vestibular pathways connection.
Similarly to migraine pharmacological preventive therapy, VM treatment includes different prophylactic medications such as calcium channel blockers, beta-blockers, antiepileptic drugs and antidepressants, reporting consistent reduction of vertigo spells and or migraine attacks in a high rate of patients.
Neuhauser HK, Radtke A, von Brevern M, Feldmann M, Lezius F, Ziese T, Lempert T: Migrainous vertigo: prevalence and impact on quality of life. Neurology. 2006, 67: 1028-1033. 10.1212/01.wnl.0000237539.09942.06.
Shin JH, Kim YK, Kim HJ, Kim JS: Altered brain metabolism in vestibular migraine: comparison of interictal and ictal findings. Cephalalgia. 2014, 34 (1): 58-67. 10.1177/0333102413498940.
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, 82 (23): 2120-2126. 10.1212/WNL.0000000000000496.
Obermann M, Wurthmann S, Steinberg BS, Theysohn N, Diener HC, Naegel S: Central vestibular system modulation in vestibular migraine. Cephalalgia. 2014, 34 (13): 1053-61. 10.1177/0333102414527650.
Rights and permissions
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
About this article
Cite this article
Russo, A., Tessitore, A. & Tedeschi, G. Vestibular migraine. J Headache Pain 16 (Suppl 1), A48 (2015). https://doi.org/10.1186/1129-2377-16-S1-A48
- Migraine Attack
- International Headache Society
- Vestibular Disorder
- Vestibular Migraine