Migraine-related vertigo: towards a distinctive entity.
Both migraine and vertigo are common complaints. Although they may coincide by chance, there is growing evidence for a clinical entity of recurrent vestibular symptoms related to migraine. This syndrome implies a possible causal relationship although the pathophysiology of migraine-related vertigo has not been fully elucidated. A migrainous aseptic inflammation is thought to create a central sensitivity that spreads from the trigeminal to the vestibular system. Diagnostic criteria for migraine-related vertigo are proposed. Treatment is based on anti-vertiginous drugs for acute interventions and prophylactic measures as are taken for migraine headaches. Multicenter, prospective controlled studies are highly warranted.
Crevits
Luc
L
Department of Neurology, Oto-Neuro-Ophthalmology Unit, Ghent University Hospital, B-9000 Ghent, Belgium. luc.crevits@ugent.be
Bosman
Tommy
T
D006801:Humans; D008575:Meniere Disease / Q000150:complications / Q000503:physiopathology; D008881:Migraine Disorders / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D009041:Motion Sickness / Q000150:complications / Q000503:physiopathology; D014717:Vertigo / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy