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Published on: June 2, 2014
Vestibular migraine: diagnostic criteria
Thomas Lempert1, Jes Olesen, Joseph Furman
1Department of Neurology, Schlosspark-Klinik, Berlin, Germany. Thomas.Lempert@schlosspark-klinik.de
Journal of Vestibular Research : Equilibrium & Orientation
|November 13, 2012
Summary
New diagnostic criteria for vestibular migraine are proposed, including probable vestibular migraine. These criteria require recurrent vestibular symptoms, a migraine history, and symptom association, excluding other causes.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Vestibular migraine diagnosis lacks standardized criteria.
- International Headache Society (IHS) and Bárány Society collaborated to address this gap.
Purpose of the Study:
- To present joint diagnostic criteria for vestibular migraine.
- To establish criteria for probable vestibular migraine.
Main Methods:
- Formulation of diagnostic criteria by expert committees.
- Inclusion in the International Classification of Headache Disorders (ICHD) appendix.
Main Results:
- Criteria established for vestibular migraine and probable vestibular migraine.
- Diagnosis requires recurrent vestibular symptoms, migraine history, temporal association, and exclusion of other disorders.
- Symptoms include vertigo and head motion-induced dizziness with nausea, moderate to severe intensity, lasting 5 minutes to 72 hours.
Conclusions:
- Formal diagnostic criteria for vestibular migraine are now available.
- These criteria will aid in consistent diagnosis and research.
- Probable vestibular migraine awaits further evidence for inclusion in future ICHD versions.
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