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Vestibular Migraine pp 11–22Cite as

Diagnosis of Vestibular Migraine

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Abstract

Migraine is a common cause of vestibular discomforts. Vestibular symptoms should be considered as equivalents to the commonly known migraine symptoms, such as visual aura, photophobia, phonophobia, nausea, and headaches and are among the cardinal presentations of migraine in many patients. Those vestibular symptoms reflect the impaired perception of a normal or physiological spatial orientation and head motion. The subject’s vestibular system becomes unusually susceptible and over-reactive. To be diagnosed with vestibular migraine, the patient must have both unequivocal vestibular symptoms and a history of migraine. In addition, a temporal correlation between those vestibular symptoms and the migraine history must exist and alternative causes excluded. A few clinical vertiginous conditions have significant overlaps with migraine in their clinical presentations and may also share similarities in their pathologies. Those conditions must be recognized and differentiated from each other. Recent international efforts have resulted in newly proposed criteria for diagnosing vestibular migraine. These criteria can be used as references in the clinical reasoning toward diagnosing this common neurological disorder.

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Author information

Authors and Affiliations

  1. Department of Neurology, University of Toledo College of Medicine and Life Sciences, MS1195, 3000 Arlington Avenue, Toledo, OH, 43614, USA

    Hongyan Li MD, PhD

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  1. Hongyan Li MD, PhD
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Correspondence to Hongyan Li MD, PhD .

Editor information

Editors and Affiliations

  1. Otolaryngology, West Virginia University School of Medicine, Morgantown, West Virginia, USA

    Stephen Wetmore

  2. Northwest Ohio ENT Consultants, Perrysburg, Ohio, USA

    Allan Rubin

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Li, H. (2015). Diagnosis of Vestibular Migraine. In: Wetmore, S., Rubin, A. (eds) Vestibular Migraine. Springer, Cham. https://doi.org/10.1007/978-3-319-14550-1_2

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  • DOI: https://doi.org/10.1007/978-3-319-14550-1_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14549-5

  • Online ISBN: 978-3-319-14550-1

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