Skip to main content
Top
Published in: Neurological Sciences 5/2021

01-05-2021 | Migraine | Review Article

Vestibular migraine: the chameleon in vestibular disease

Authors: Minping Li, Xue Xu, Weiwei Qi, Yingyin Liang, Yongxin Huang, Haiwei Huang

Published in: Neurological Sciences | Issue 5/2021

Login to get access

Abstract

Vestibular migraine (VM) has been recently receiving increasing attention as an independent disease concept. It is a common cause of dizziness or headache; however, it was not clearly defined until 2018. Its diagnosis mainly relies on clinical history, including vertigo and migraine, as indicated by the appendix of the 3rd edition of the International Classification Diagnostic Criteria for Headache Diseases. There is often an overlap of vertigo and migraine across vestibular diseases; therefore, VM often imitates various vestibular diseases. Additionally, VM lacks specific laboratory biomarkers; therefore, it has high misdiagnosis and missed diagnosis rates. Therefore, numerous clinical patients could have inaccurate diagnoses and improper treatment. Therefore, there is a need for further basic research to further clarify the pathogenesis. Moreover, there is a need for clinical trials focusing on specific laboratory biomarkers, including serological, radiological, and electrophysiological examinations, to develop more detailed and complete diagnostic criteria.
Literature
27.
go back to reference Vass Z, Steyger PS, Hordichok AJ, Trune DR, Jancso G, Nuttall AL (2001) Capsaicin stimulation of the cochlea and electric stimulation of the trigeminal ganglion mediate vascular permeability in cochlear and vertebro-basilar arteries: a potential cause of inner ear dysfunction in headache. Neuroscience 103(1):189–201. https://doi.org/10.1016/S0306-4522(00)00521-2 Vass Z, Steyger PS, Hordichok AJ, Trune DR, Jancso G, Nuttall AL (2001) Capsaicin stimulation of the cochlea and electric stimulation of the trigeminal ganglion mediate vascular permeability in cochlear and vertebro-basilar arteries: a potential cause of inner ear dysfunction in headache. Neuroscience 103(1):189–201. https://​doi.​org/​10.​1016/​S0306-4522(00)00521-2
48.
go back to reference Teggi R, Colombo B, Albera R, Asprella Libonati G, Balzanelli C, Batuecas Caletrio A, Casani A, Espinoza-Sanchez JM, Gamba P, Lopez-Escamez JA, Lucisano S, Mandala M, Neri G, Nuti D, Pecci R, Russo A, Martin-Sanz E, Sanz R, Tedeschi G, Torelli P, Vannucchi P, Comi G, Bussi M (2018) Clinical features, familial history, and migraine precursors in patients with definite vestibular migraine: the VM-phenotypes projects. Headache 58(4):534–544. https://doi.org/10.1111/head.13240CrossRefPubMed Teggi R, Colombo B, Albera R, Asprella Libonati G, Balzanelli C, Batuecas Caletrio A, Casani A, Espinoza-Sanchez JM, Gamba P, Lopez-Escamez JA, Lucisano S, Mandala M, Neri G, Nuti D, Pecci R, Russo A, Martin-Sanz E, Sanz R, Tedeschi G, Torelli P, Vannucchi P, Comi G, Bussi M (2018) Clinical features, familial history, and migraine precursors in patients with definite vestibular migraine: the VM-phenotypes projects. Headache 58(4):534–544. https://​doi.​org/​10.​1111/​head.​13240CrossRefPubMed
75.
go back to reference Tepper SJ (2013) The International Classification of Headache Disorders, 3rd edition (beta version)Headache Classification Committee of the International Headache Society (IHS)Cephalalgia Int J Headache2013339629808[J]. Headache the Journal of Head & Face Pain, 53(8). Tepper SJ (2013) The International Classification of Headache Disorders, 3rd edition (beta version)Headache Classification Committee of the International Headache Society (IHS)Cephalalgia Int J Headache2013339629808[J]. Headache the Journal of Head & Face Pain, 53(8).
93.
go back to reference Mikulec AA, Faraji F, Kinsella LJ (2012) Evaluation of the efficacy of caffeine cessation, nortriptyline, and topiramate therapy in vestibular migraine and complex dizziness of unknown etiology. Am J Otolaryngol 33(1):121–127CrossRefPubMed Mikulec AA, Faraji F, Kinsella LJ (2012) Evaluation of the efficacy of caffeine cessation, nortriptyline, and topiramate therapy in vestibular migraine and complex dizziness of unknown etiology. Am J Otolaryngol 33(1):121–127CrossRefPubMed
96.
go back to reference Bisdorff AR (2004) Treatment of migraine related vertigo with lamotrigine an observational study. Bull Soc Sci Med Grand Duche Luxemb 2:103–108 Bisdorff AR (2004) Treatment of migraine related vertigo with lamotrigine an observational study. Bull Soc Sci Med Grand Duche Luxemb 2:103–108
Metadata
Title
Vestibular migraine: the chameleon in vestibular disease
Authors
Minping Li
Xue Xu
Weiwei Qi
Yingyin Liang
Yongxin Huang
Haiwei Huang
Publication date
01-05-2021
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 5/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05133-1

Other articles of this Issue 5/2021

Neurological Sciences 5/2021 Go to the issue