Migraine-related vertigo: Diagnosis and treatment

被引：30
作者：
Eggers S.D.Z. [1 ]
机构：
[1] Department of Neurology, Mayo Clinic, Rochester, MN 55905
来源：
Current Pain and Headache Reports | 2007年 / 11卷 / 3期
关键词：
Migraine; Migraine Headache; Motion Sickness; Familial Hemiplegic Migraine; Positional Nystagmus;
D O I：
10.1007/s11916-007-0193-5
中图分类号：
学科分类号：
摘要：
A comprehensive review of the neurotologjc manifestations of migraine is presented, focusing on the most recent publications regarding the epidemiology, clinical presentation, pathophysiology, diagnosis, and management of migraine-related vertigo (MV). A strong association exists between vertigo and migraine, with MV being the most common cause of spontaneous (nonpositional) episodic vertigo. Symptoms can be quite variable among patients and within individual patients over time, creating a diagnostic challenge. MV generally presents with attacks of spontaneous or positional vertigo lasting seconds to days with associated migrainous symptoms. Operational diagnostic criteria have been proposed but are not included in the most recent International Headache Society classification of migraine. Better elucidation of the neurologic linkages between the central vestibular pathways and migraine-related pathways and the discovery of ion channel defects underlying some causes of familial migraine, ataxia, and vertigo have furthered the understanding of MV pathophysiology. Treatment of MV currently parallels that of migraine headache, as proper studies of optimal MV management are just beginning. Copyright © 2007 by Current Medicine Group LLC.
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页码：217 / 226
页数：9
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