Vestibular Migraine: Clinical Aspects and Pathophysiology

Pavan Suresh Krishnan; John Patrick Carey

doi:10.1016/j.otc.2022.02.003

Vestibular Migraine: Clinical Aspects and Pathophysiology

Otolaryngol Clin North Am. 2022 Jun;55(3):531-547. doi: 10.1016/j.otc.2022.02.003. Epub 2022 Apr 25.

Authors

Pavan Suresh Krishnan¹, John Patrick Carey²

Affiliations

¹ Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA; Virginia Commonwealth University School of Medicine, 1201 East Marshall Street, Richmond, VA 23298, USA. Electronic address: https://twitter.com/pkrishhh.
² Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address: jcarey@jhmi.edu.

PMID: 35477842
DOI: 10.1016/j.otc.2022.02.003

Abstract

VM is a common yet debilitating migraine variant that has taken many monikers in the past. As a relatively new diagnostic entity, public and provider awareness of this disorder can be improved. Symptoms include vertigo episodes in addition to photophobia, phonophobia, nausea, and headache. Diagnosis is primarily based on clinical history as pathognomonic signs via testing are not reliable. Standardized treatment algorithms have yet to be created and current recommendations have been adopted from migraine guidelines.

Keywords: Dizziness; Headache; Imbalance; Migraine; Vertigo; Vestibular; Vestibular migraine.

Publication types

Review

MeSH terms

Algorithms
Headache
Humans
Hyperacusis
Migraine Disorders* / diagnosis
Migraine Disorders* / therapy
Vertigo* / diagnosis
Vertigo* / etiology
Vertigo* / therapy