Vestibular Migraine in the Otorhinolaryngologist's Out-patient

Authors: Z. Čada 1;  O. Profant 1;  P. Bruthansová 1;  P. Kalitová 1;  J. Kluh 1;  J. Bouček 1;  J. Skřivan 1;  J. Plzák 1;  R. Černý 2;  J. Jeřábek 2;  J. Betka 1
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN v Motole, Praha 1;  Neurologická klinika 2. LF UK a FN v Motole, Praha 2
Published in: Otorinolaryng. a Foniat. /Prague/, 62, 2013, No. 3, pp. 107-110.
Category: Original Papers


Vestibular migraine (VM) is a paroxysmal vertigo, which is characterized by impaired balance with/without headaches and possibly other symptoms accompanying classical migraine according to the IHS (Headache Classification Subcommittee of the International Headache Society, 2004). It is a clinical diagnosis whose terminology and unambiguous criteria are not always clearly defined. This article presents this diagnosis in the form of case report and demonstrates possible therapy from the view of ENT doctors respectively otoneurologists. Although the disease is normally diagnosed and treated abroad, according to our experience, for some Czech ENT physicians and even neurologists diagnose is not very well known, as is also evidenced by the fact that we sometime get in a conflict of opinion with ENT specialists and with neurologists.

migraine, vestibular migraine, balance disorder


1. Baier, B., Winkenwerder, E., Dieterich, M.: Vestibular migraine: Effects of prophylactic therapy with various drugs. A retrospective study. J. Neurol., 256, 2009, s. 436-442.

2. Dieterich, M., Brandt T.: Episodic vertigo related to migraine (90 cases): vestibula migraine? J. Neurol., 246, 1999, s. 883-892.

3. Furman, J. M., Marcus, D. A., Balabán, C. D.: Migrainous vertigo: development of a pathogenetic model and structured diagnostic interview. Curr. Opin. Neurol., 16, 2003, s. 5-13.

4. Halberstadt, A. L., Balabán, C. D.: Organisation of projections from the raphe nuclei to the vestibular nuclei in rats. Neuroscience, 120, 2003, s. 573-594.

5. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd edition. Cephalalgia, 24, 2004, s. 9-160.

6. Jeřábek, J.: Diagnostika a terapie závrativých stavů. Neurol. Prax, 4, 2007, s. 225-230.

7. Kayan, A., Hood, J. D.: Neuro-otological manifestations of migraine. Brain, 107, 1984, s. 1123-1142.

8. Kuritzky, A., Ziegler, D. K., Hassanein, R.: Vertigo, motion sickness and migraine. Headache, 21, 1981, s. 227-231.

9. Lipkin, A. F., Jenkins, H. A., Coker, N. J.: Migraine and sudden sensorineural hearing loss. Arch. Otolaryngol. Head Neck Surg., 113, 1987, s. 325-326.

10. Maione, A.: Migraine-related vertigo: Diagnostic criteria and prophylactic treatment. Laryngoskope, 116, 2006, s. 1782-1786.

11. Marcus, D. A., Whitney, S. L., Furman, J. M.: Treatment of migrainous vertigo. Expert Rev. Neurother, 3, 2003, s. 307-316.

12. Neuhauser, H., Leopold, M., von Brevern, M., Arnold, G., Lempert, T.: The interrelations of migraine, vertigo and migrainous vertigo. Neurology, 56, 2001, s. 436-441.

13. Ophoff, R. A., Terwindt, G. M., Vergouwe, M. N., van Eijk, R., Ordner, P. J., Hofman, S. M. et al.: Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2 + channel gene CACNL1A4. Cell, 87, 1996, s. 543-552.

14. Reploeg, M. D., Goebel, J. A.: Migraine-associated dizziness: Patient characteristics and management options. Otol. Neurotik, 23, 2002, s. 364-371.

15. Schuerger, R. J., Balabán, C. D.: Organisation of the coeruleo-vestibular pathways in rats, rabbits, and monkeys. Brain Res. Rev., 30, 1999, s. 189-217.

16. von Brevern, M., Zeise, D., Neuhauser, H., Clarke, A. H., Lempert, T.: Acute migrainous vertigo: clinical and oculographic findings. Brain., 128, 2005, s. 365-374.

17. Vrabec, P., Lischkeová, B., Skřivan, J., Černý, R., Truc, M.: Rovnovážný systém II, Triton, 2007.

18. Waterston, J.: Chronic migrainous vertigo. J. Clin. Neurosci, 11, 2004, s. 384-388.

Audiology Paediatric ENT ENT (Otorhinolaryngology)
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