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Vestibular Migraine

Guest Editor: Joshua M. Cohen, MD, MPH

 
Joshua M. Cohen, MD, MPH, is an Assistant Clinical Professor of Neurology at Columbia University and Headache Fellowship Program Director at the Headache Institute and Adolescent Headache Center in New York. He serves as a frequent reviewer for Headache and Cephalalgia, Secretary of the New York County Medical Society, and a member of the American Academy of Neurology Delegation to the American Medical Association.

 Vestibular Migraine

Joshua M. Cohen, MD, MPH


Researchers and clinicians have long recognized an association between migraine and a variety of vestibular symptoms. First reported by Liveing in 1873, the connection of migraine and vestibular symptoms has been studied by researchers in the fields of neurology, neurootology, otolaryngology, and others to determine to what extent, if any, the two processes are related. Recent studies have shown that dizziness may accompany migraine in more than half of all migraine episodes. For more than 10 years, there has been increasing interest in defining a syndrome marked by both migraine and "dizzy" symptoms, often known as "vestibular migraine."

This virtual issue includes papers published in Headache which examine migraine and dizziness/vertigo. Beginning with the epidemiology and features of migraine and dizziness, progressing through studies evaluating the pathophysiology and underlying genetics of the disorder, examining the results of objective testing in affected patients, and finally evaluating the utility of therapeutics in this population, the issue seeks to provide an overview of the contributions of researchers in this area and stimulate further investigation into this fascinating syndrome.

EPIDEMIOLOGY, FEATURES AND SYMPTOMS

Calhoun et al. "The Point Prevalence of Dizziness or Vertigo in Migraine - and Factors That Influence Presentation." Headache 2011; 51: 1388-1392

Interview with Dr. Calhoun: http://www.headachejournal.org/view/0/podcastsForHealthProf.html#calhoun

Vukovic et al. "Prevalence of Vertigo, Dizziness, and Migrainous Vertigo in Patients With Migraine." Headache 2007; 47: 1427-1435

Kuritzky et al. "Vertigo, Motion Sickness and Migraine." Headache 1981; 21: 227-231

Aragones et al. "Migraine: An Alternative in the Diagnosis of Unclassified Vertigo." Headache 1993; 33: 125-128

Cohen et al. "Migraine and Vestibular Symptoms - Identifying Clinical Features that Predict 'Vestibular Migraine.'" Headache 2011; 51: 1393-1397 

Carvalho et al. "Influence of Migraine and of Migraine Aura on Balance and Mobility – A Controlled Study." Headache 2013; 53: 1116-1122

Heyer et al. "Symptoms Predictive of Postural Tachycardia Syndrome (POTS) in the Adolescent Headache Patient." Headache 2013; 53: 947-953

PATHOPHYSIOLOGY AND GENETICS

Cutrer and Baloh. "Migraine-associated Dizziness." Headache 1992; 32: 300-304

Lee et al. "Phenotypic and Genetic Analysis of a Large Family With Migraine-Associated Vertigo." Headache 2008; 48: 1460-1467

Baloh, Robert W. "Neurotology of Migraine." Headache 1997; 37: 615-621

TESTING AND OBJECTIVE FINDINGS

Teggi et al. "Migrainous Vertigo: Results of Caloric Testing and Stabilometric Findings." Headache 2009; 49: 435-444

Kurtizky et al. "Vestibular Function in Migraine." Headache 1981; 21: 110-112

Marcelli et al. "Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study." Headache 2010; 50: 71-76

Boldingh et al. "Comparison of Interictal Vestibular Function in Vestibular Migraine vs Migraine Without Vertigo." Headache 2013; 53: 1123-1133

THERAPEUTICS

Gode et al. "Clinical Assessment of Topiramate Therapy in Patients With Migrainous Vertigo." Headache 2010; 50: 77-84

Prakash and Shah. "Migrainous Vertigo Responsive to Intravenous Methylprednisolone: Case Reports." Headache 2009; 49: 1235-1239

Edited 1/7/14
 

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