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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.
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.
Keywords:
ComorbidityDiagnosisDizzinessHeadacheHumansMigraine disordersTreatment outcomeVertigoVestibular diseasesMore Related Videos
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