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Updated: Jan 18, 2026

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Vestibular Migraine.

Thomas Lempert1, Michael von Brevern2

  • 1Department of Neurology, Schlosspark-Klinik, Heubnerweg 2, Berlin 14059, Germany.

Neurologic Clinics
|September 30, 2019
PubMed
Summary
This summary is machine-generated.

Vestibular migraine is recurrent vertigo linked to migraine, often without headache during attacks. Diagnosis relies on identifying other migraine features, with treatment focusing on migraine management.

Keywords:
DizzinessMigraineVertigoVestibularVestibular migraine

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Area of Science:

  • Neurology
  • Otolaryngology
  • Neuroscience

Background:

  • Vestibular migraine is defined as recurrent vertigo episodes caused by migraine.
  • These episodes can range from seconds to days and are associated with migraine symptoms.
  • Headache may be absent during acute vestibular migraine attacks, necessitating detailed patient history.

Purpose of the Study:

  • To elucidate the diagnostic challenges and treatment strategies for vestibular migraine.
  • To emphasize the importance of thorough history taking in identifying migraine features when headache is absent.
  • To review the current evidence base for vestibular migraine treatment.

Main Methods:

  • Clinical case review and analysis of diagnostic criteria for vestibular migraine.
  • Emphasis on detailed patient history to identify associated migraine symptoms.
  • Review of current treatment approaches targeting the underlying migraine condition.

Main Results:

  • Vestibular testing is primarily used to exclude other vestibular disorders.
  • Accurate diagnosis requires careful identification of migraine features beyond headache.
  • Effective management involves patient education, lifestyle adjustments, and pharmacological interventions.

Conclusions:

  • Vestibular migraine diagnosis hinges on recognizing migraine features during vertigo episodes.
  • Treatment strategies are based on managing the underlying migraine disorder.
  • Further research is needed to establish evidence-based treatment guidelines for vestibular migraine.