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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(05): 416-422
DOI: 10.1590/0004-282X20160037
REVIEW

Vestibular migraine: diagnosis challenges and need for targeted treatment

Migrânea vestibular: desafios diagnósticos e a necessidade de tratamentos específicos
Felipe Barbosa
Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, Ambulatório de Migrânea Vestibular, São Paulo SP, Brasil.
,
Thaís Rodrigues Villa
Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, Ambulatório de Migrânea Vestibular, São Paulo SP, Brasil.
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ABSTRACT

Approximately 1% of the general population suffers from vestibular migraine. Despite the recently published diagnostic criteria, it is still underdiagnosed condition. The exact neural mechanisms of vestibular migraine are still unclear, but the variability of symptoms and clinical findings both during and between attacks suggests an important interaction between trigeminal and vestibular systems. Vestibular migraine often begins several years after typical migraine and has a variable clinical presentation. In vestibular migraine patients, the neurological and neurotological examination is mostly normal and the diagnosis will be based in the patient clinical history. Treatment trials that specialize on vestibular migraine are scarce and therapeutic recommendations are based on migraine guidelines. Controlled studies on the efficacy of pharmacologic interventions in the treatment of vestibular migraine should be performed.

RESUMO

Cerca de 1% da população apresentam o diagnóstico de migrânea vestibular. Apesar dos critérios diagnósticos terem sido publicados recentemente, ainda é uma condição subdiagnosticada. Os mecanismos neurais exatos da migrânea vestibular ainda não estão claros, mas a variabilidade dos sintomas e achados clínicos durante e entre os ataques sugere uma interação importante entre os sistemas trigeminal e vestibular. A migrânea vestibular geralmente começa alguns anos após a migrânea típica e tem apresentação clínica variável. Em pacientes com migrânea vestibular, o exame neurológico e otoneurológico são geralmente normais e o diagnóstico é baseado na história clínica do paciente. Estudos sobre tratamento da migrânea vestibular são escassos e recomendações terapêuticas são baseadas em diretrizes do tratamento da migrânea. Estudos controlados sobre a eficácia das intervenções farmacológicas para o tratamento da migrânea vestibular devem ser realizados.

migraine - vestibular migraine - dizziness - vertigo
migrânea - migrânea vestibular - tontura - vertigem


Publication History

Received: 29 January 2015

Accepted: 13 January 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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