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Migraine and dizziness

Bisdorff, Alexandre

doi: 10.1097/WCO.0000000000000061
NEURO-OPHTHALMOLOGY AND NEUROOTOLOGY: Edited by Adolfo M. Bronstein and Gordon T. Plant

Purpose of review Awareness of the importance of migraine in patients with symptoms of vestibular dysfunction is increasing. This article gives an overview of the multiple facets of the link between migraine and vestibular dysfunction.

Recent findings The vestibular and the headache community have published a consensual definition of vestibular migraine, which is an important step to promote research on the topic and the awareness of clinicians. Vestibular migraine is considered the most common cause of spontaneous recurrent vertigo. So far, the evidence for vestibular migraine has been mainly epidemiological, but the recent follow-up of a cohort over 9 years could show the robustness of the diagnosis over time.

Additionally, migraine and vestibular dysfunction have multiple potential interactions and links through a range of comorbidities such as Menière's disease, benign paroxysmal positional vertigo, anxiety and motion sickness, which go beyond the diagnostic entity of vestibular migraine.

Summary The further refinement and wider acceptance of the diagnostic entity of vestibular migraine is an important development as it is one the most common vestibular disorders. But the relationship between migraine and vestibular dysfunction is complex and has many aspects beyond vestibular migraine.

Department of Neurology, Centre Hospitalier Emile Mayrisch, Luxembourg

Correspondence to Alexandre Bisdorff, Department of Neurology, Centre Hospitalier Emile Mayrisch, 4005 Esch-sur-Alzette, Luxembourg. Tel: +352 57111; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins