Vestibular Migraine: from Differential Diagnosis and Pathophysiology to Treatment Options
Background: The occurrence of migraine and vertigo is common in the general population. Migraine vertigo is challenging and has several common symptoms with inner ear pathologies like Endolymphatic Hydropse. This paper presents a review of recent findings about symptoms, test results, pathophysio...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2018-03-01
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| Series: | Journal of Rehabilitation Sciences and Research |
| Subjects: | |
| Online Access: | http://jrsr.sums.ac.ir/index.php/jrsr/article/view/242/128 |
| Summary: | Background: The occurrence of migraine and vertigo is common in the general
population. Migraine vertigo is challenging and has several common symptoms
with inner ear pathologies like Endolymphatic Hydropse. This paper presents
a review of recent findings about symptoms, test results, pathophysiology and
differential diagnosis.
Methods: The present study is a review of 35 papers in the field of vestibular
migraine. They were selected by searching the keywords vertigo, dizziness,
migraine, treatment and rehabilitation in Pubmed, ScienceDirect, Scopus and
Google Scholar search engines. Only human studies were included.
Results: Recent findings have proposed several common pathophysiologies
between vestibular system and migraine including spreading depression in the
basilar artery, vasospasm in the internal auditory artery, involvement of the
connection with locus coeruleus, dorsal raphe nucleus, disorder of multisensory
integration and channelopathy.
Conclusion: For the differential diagnosis of vestibular migraine, it appears
that comprehensive case history as well as clinical testing and patient followup,
are the best combination. In addition, it has been proven that vestibular
rehabilitation is beneficial to patients with vestibular migraine. |
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| ISSN: | 2345-6159 2345-6159 |