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Related Experiment Video

Updated: Jul 4, 2025

Estimating Vestibular Perceptual Thresholds Using a Six-Degree-Of-Freedom Motion Platform

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Vestibular migraine and persistent postural perceptual dizziness.

Scott D Z Eggers¹, Jeffrey P Staab²

¹Department of Neurology, Mayo Clinic, Rochester, MN, United States.

Handbook of Clinical Neurology

|February 2, 2024

Summary

Vestibular migraine and persistent postural-perceptual dizziness (PPPD) are common causes of dizziness. Understanding their overlap and distinct features is crucial for accurate diagnosis and management.

Keywords:

Comorbidity Diagnosis Dizziness Headache Humans Migraine disorders Treatment outcome Vertigo Vestibular diseases

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Published on: March 3, 2023

Area of Science:

Neurology
Otolaryngology
Primary Care Medicine

Background:

Dizziness is a prevalent symptom across various medical specialties.
Vestibular migraine is a leading cause of episodic vertigo, linked to migraine.
Persistent postural-perceptual dizziness (PPPD) is a chronic condition often triggered by vestibular disorders, including vestibular migraine.

Approach:

This review synthesizes current knowledge on vestibular migraine and PPPD.
It examines diagnostic criteria, pathophysiology, and clinical presentations.
The chapter addresses differential diagnosis, especially where symptoms overlap.

Key Points:

Vestibular migraine and PPPD share overlapping symptoms, posing diagnostic challenges.
Diagnosis relies on symptom-based criteria due to a lack of biomarkers.
Vestibular migraine is a significant trigger for the development of PPPD.

Conclusions:

Accurate differentiation between vestibular migraine and PPPD is essential for effective treatment.
Management strategies are discussed for isolated and comorbid presentations.
Further research is needed to elucidate the pathophysiology and identify biomarkers for both conditions.