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Updated: Aug 30, 2025

Measuring the Influence of Magnetic Vestibular Stimulation on Nystagmus, Self-Motion Perception, and Cognitive Performance in a 7T MRT
Published on: March 3, 2023
Vestibular Migraine
1Beh Center for Vestibular & Migraine Disorders, 4500 Hillcrest Rd Ste 145, Frisco, TX, 75035, USA. shinbeh@vestibularmd.com.
Vestibular migraine (VM) affects nearly 3% of the population and is often under-diagnosed. Recent advances in diagnostic criteria and treatments, including neuromodulation and CGRP monoclonal antibodies, offer improved management for patients.
Area of Science:
- Neurology
- Ophthalmology
- Otolaryngology
Background:
- Vestibular migraine (VM) is a common yet frequently under-diagnosed neurological disorder.
- It affects approximately 3% of the population, significantly impacting quality of life.
- Persistent vestibular symptoms between attacks are a key feature impacting daily function.
Purpose of the Study:
- To review recent advancements in the understanding and diagnosis of vestibular migraine (VM).
- To explore current treatment strategies and their efficacy in managing VM.
- To discuss the relationship between VM, benign recurrent vertigo, and Meniere's disease.
Main Methods:
- Comprehensive literature review of recent studies on vestibular migraine.
- Analysis of current diagnostic criteria from the International Headache Society and Bárány Society.
- Evaluation of evidence for various treatment modalities, including neuromodulation and CGRP inhibitors.
Main Results:
- Recent studies confirm a wide spectrum of vestibular symptoms and triggers in VM.
- Persistent vestibular symptoms, even without acute attacks, are common and debilitating.
- Migraine-specific treatments, neuromodulation, and CGRP monoclonal antibodies show promise for VM treatment.
Conclusions:
- Updated diagnostic criteria aid in the identification of VM in both adult and pediatric populations.
- Effective management of VM requires addressing both acute attacks and persistent symptoms.
- Further research, particularly randomized controlled trials, is needed to optimize VM treatment strategies.
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