Neurológia pre prax 6/2020

Vestibular migraine

Vestibular migraine is a clinical entity used to describe paroxysmal vestibular disorders associated with migraine. It is a common cause of episodic vertigo, but the diagnosis is not well known in clinical practice. It occurs in all age categories, predominant in women. It is a heterogeneous disease and there is no definitive test to confirm its diagnosis. Ménière´s disease, benign paroxysmal positional vertigo (BPPV) or vascular diseases in the posterior fossa should be excluded within differential diagnosis. Antiemetics and analgesics are administered as acute symptomatic therapy. Depending on the severity, frequency and duration of clinical symptoms, prophylactic therapy is also used. The approach is always individual, according to the patient's comorbidities.

Keywords: vestibular migraine, migraine, BPPV, Ménière´s disease, ischemic stroke