Advances In Vestibular Migraine

Vestibular migraine is now considered a distinct diagnostic entity by both the Barany Society and the International Headache Society. But,the recognition of vestibular migraine as a diagnostic entity required decades, was presaged by several reports indicating that a large proportion of patients with migraine headaches have vestibular symptoms and that a large proportion of patients with undiagnosed episodic vestibular symptoms have migraine headache. The clinical manifestations of vestibular migraine typically include dizziness, vertigo, imbalance, and spatial disorientation.This article will discuss the demographics, epidemiology, pathophysiology, clinical manifestations, laboratory testing, treatment options, and differential diagnosis of vestibular migraine. Future research in the field of vestibular migraine should include both clinical and basic science efforts to better understand the pathophysiology of this condition.And treatment trials for vestibular migraine are desperately needed.