Migraine-Associated Vertigo and VEMPs: Detection of Vestibular Signs in a Common but Unclear Entity


It has been recognized that migraine may cause recurrent vertigo/dizziness [1], which is called migraine-associated vertigo (MAV) [2, 3]. The association between migraine and vertigo has been supported by several epidemiological studies [4, 5], and recently some diagnostic criteria for MAV have been proposed (Table 1) [1, 3, 4]. MAV can be observed in patients with migraine without an aura as well as migraine with an aura [6].


Benign Paroxysmal Positional Vertigo Vestibular Evoke Myogenic Potential Vestibular Migraine Myogenic Potential Canal Paresis 
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  1. 1.
    Neuhauser H, Lempert T (2004) Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 24:83–91PubMedCrossRefGoogle Scholar
  2. 2.
    Iwasaki S, Ushio M, Chihara Y, et al (2007) Migraine-associated vertigo: clinical characteristics of Japanese patients and effect of lomerizine, a calcium channel antagonist. Acta Otolaryngol 559:S45–S49CrossRefGoogle Scholar
  3. 3.
    Brantberg K, Trees N, Baloh RW (2005) Migraine-associated vertigo. Acta Otolaryngol 125:276–279PubMedCrossRefGoogle Scholar
  4. 4.
    Furman JM, Marcus DA, Balaban CD (2003) Migrainous vertigo: development of a pathogenic model and structured diagnostic interview. Curr Opin Neurol 16:5–13PubMedCrossRefGoogle Scholar
  5. 5.
    Neuhauser H, Leopold M, von Brevern M, et al (2001) The interrelations of migraine, vertigo, and migrainous vertigo. Neurology 56:436–441PubMedGoogle Scholar
  6. 6.
    Headache Classification Subcommittee of the International Headache Society (2004) The International Classification of Headache Disorders: 2nd Edition. Cephalalgia 24:S1–S160.Google Scholar
  7. 7.
    Dieterich M, Barndt T (1999) Episodic vertigo related to migraine (90 cases): vestibular migraine? J Neurol 246:883–892PubMedCrossRefGoogle Scholar
  8. 8.
    Cutrer FM, Baloh RW (1992) Migraine-associated dizziness. Headache 32:300–304PubMedCrossRefGoogle Scholar
  9. 9.
    Brandt T (1999) Vertigo. 2nd edn. Springer-Verlag, LondonGoogle Scholar
  10. 10.
    Liao LJ, Young YH (2004) Vestibular evoked myogenic potentials in basilar artery migraine. Laryngoscope 114:1305–1309PubMedCrossRefGoogle Scholar
  11. 11.
    Radtke A, Lempert T, Gresty MA, et al (2002) Migraine and Meniere’s disease: is there a link? Neurology 59:1700–1704PubMedGoogle Scholar
  12. 12.
    Ishiyama G, Ishiyama A, Baloh RW (2003) Drop attacks and vertigo secondary to a non-Meniere otologic cause. Arch Neurol 60:71–75PubMedCrossRefGoogle Scholar
  13. 13.
    Tumarkin A (1936) The otolithic catastrophe: a new syndrome. BMJ 1:175–177CrossRefGoogle Scholar
  14. 14.
    Baloh RW, Jacobson K, Winder T (1990) Drop attacks with Meniere’s syndrome. Ann Neurol 28:384–387PubMedCrossRefGoogle Scholar
  15. 15.
    Ozeki H, Iwasaki S, Murofushi T (2008) Vestibular drop attack secondary to Meniere’s disease results from unstable otolithic function. Acta Otolaryngol 128:887–891PubMedCrossRefGoogle Scholar
  16. 16.
    Rauch SD, Zhou G, Kujawa SG, et al (2004) Vestibular evoked myogenic potentials show altered tuning in patients with Meniere’s disease. Otol Neurotol 25:333–338PubMedCrossRefGoogle Scholar
  17. 17.
    Murofushi T, Ozeki H, Sakata A, et al (2008) Meniere’s disease vs migraine associated vertigo: from a viewpoint of VEMP. In: 25th Barany meeting abstractsGoogle Scholar
  18. 18.
    Basser LS (1964) Benign paroxysmal vertigo of childhood (a variety of vestibular neuronitis). Brain 87:141–152PubMedCrossRefGoogle Scholar
  19. 19.
    Ozeki H, Iwasaki S, Murofushi T (2008) Clinical features of vertigo and dizziness in childhood and adolescence with a special reference to benign recurrent vertigo. Equilibrium Res 67:13–17CrossRefGoogle Scholar
  20. 20.
    Bower CM, Cotton RT (1995) The spectrum of vertigo in children. Arch Otolaryngol Head Neck Surg 121:911–915PubMedGoogle Scholar
  21. 21.
    Chang CH, Young YH (2007) Caloric and vestibular evoked myogenic potential tests in evaluating children with benign paroxysmal vertigo. Int J Pediatr Otorhinolaryngol 71:495–499PubMedCrossRefGoogle Scholar

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