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Vestibular migraine: Diagnostic criteria

Article type: Research Article

Authors: Lempert, Thomasa; * | Olesen, Jesb | Furman, Josephc | Waterston, Johnd | Seemungal, Barrye | Carey, Johnf | Bisdorff, Alexanderg | Versino, Maurizioh | Evers, Stefani | Newman-Toker, Davidj

Affiliations: [a] Department of Neurology, Schlosspark-Klinik, Berlin, Germany | [b] Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark | [c] Departments of Otolaryngology and Neurology, University of Pittsburgh, Pittsburgh, PA, USA | [d] Department of Neurology and Monash University Department of Medicine, Alfred Hospital, Melbourne, Australia | [e] Department of Clinical Neuroscience, Charing Cross Hospital, London, UK | [f] Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA | [g] Department of Neurology, Centre Hospitalier Emile Mayrisch, Esch-sur-Alzette, Luxembourg | [h] Department of Neurological Sciences University of Pavia, HSC and BCC National Neurological Institute IRCCS C. Mondino Foundation, Pavia, Lombardy, Italy | [i] Department of Neurology, University of Münster, Münster, Germany | [j] Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

Correspondence: [*] Corresponding author: Thomas Lempert, Department of Neurology, Schlosspark-Klinik, Berlin, Germany. E-mail: Thomas. [email protected]

Keywords: Migraine, vertigo, dizziness, vestibular, diagnostic criteria, Bárány Society, International Headache Society

DOI: 10.3233/VES-2012-0453

Journal: Journal of Vestibular Research, vol. 22, no. 4, pp. 167-172, 2012

Received 20 June 2012
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Accepted 29 July 2012
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Published: 1 November 2012
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Abstract

This paper presents diagnostic criteria for vestibular migraine, jointly formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society and the Migraine Classification Subcommittee of the International Headache Society (IHS). The classification includes vestibular migraine and probable vestibular migraine. Vestibular migraine will appear in an appendix of the third edition of the International Classification of Headache Disorders (ICHD) as a first step for new entities, in accordance with the usual IHS procedures. Probable vestibular migraine may be included in a later version of the ICHD, when further evidence has been accumulated. The diagnosis of vestibular migraine is based on recurrent vestibular symptoms, a history of migraine, a temporal association between vestibular symptoms and migraine symptoms and exclusion of other causes of vestibular symptoms. Symptoms that qualify for a diagnosis of vestibular migraine include various types of vertigo as well as head motion-induced dizziness with nausea. Symptoms must be of moderate or severe intensity. Duration of acute episodes is limited to a window of between 5 minutes and 72 hours.

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