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Migrainous vertigo: development of a pathogenetic model and structured diagnostic interview.
Joseph M Furman1, Dawn A Marcus, Carey D Balaban
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. furman@pitt.edu
Current Opinion in Neurology
|January 25, 2003
Summary
Migraine-related vestibular symptoms are common and linked to shared pathogenetic mechanisms. Standard migraine therapies effectively treat vertigo, but standardized assessment is needed for diagnosis and research.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular System
Background:
- Vestibular symptoms frequently co-occur with migraine.
- Shared pathogenetic mechanisms are suggested by the epidemiological link between migraine and vestibular dysfunction.
- Central sensitization mechanisms are implicated in migraine-related vestibular symptoms.
Purpose of the Study:
- To refine diagnostic criteria for migraine-related vestibular symptoms.
- To develop a pathophysiological model for the migraine-vestibular system interface.
- To highlight the need for standardized assessment tools.
Main Methods:
- Review of recent studies on migraine and vestibular symptoms.
- Analysis of epidemiological links and pathogenetic mechanisms.
- Application of published criteria for diagnosis of migrainous vertigo.
Main Results:
- Shared pathogenetic mechanisms exist between migraine and vestibular symptoms.
- Migraine therapies are effective in treating vertigo associated with migraine.
- Lack of standardized assessment criteria hinders clinical and research practices.
Conclusions:
- Understanding the migraine-vestibular system relationship enhances knowledge of both conditions' pathogenesis.
- Standard migraine therapies show efficacy for vestibular symptoms in migraine patients.
- A standardized assessment tool is crucial for future research on pathological models and treatments.