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Year : 2020  |  Volume : 37  |  Issue : 2  |  Page : 41-49

Vestibular migraine: Considered from both the vestibular and the migraine point of view

1 Department of Neurology, Faculty of Medicine, Dokuz Eylul University; Department of Neurosciences, Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey
2 Department of Neurosciences, Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey
3 Department of Neurology, Faculty of Medicine, Mersin University, Mersin, Turkey

Correspondence Address:
Gulden Akdal
Department of Neurology and Neuroscience, Faculty of Medicine, Dokuz Eylül University, Izmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/NSN.NSN_72_20

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A temporal overlap between vestibular symptoms, such as vertigo and head movement intolerance, and migraine symptoms, such as headache, photophobia, and phonophobia, is a requisite diagnostic criterion for the diagnosis of vestibular migraine (VM). Diagnostic criteria for VM have been proposed by an International Vestibular Research Group (the Bárány Society) and a headache research group (International Headache Society); however, in practice, it is still acceptable to divide patients suspected of VM into “definite VM” and “probable VM” groups. Here, a neuro-otologist and a headache specialist consider VM from their own points of view using four real cases, two from a dizzy clinic and two from a headache clinic, with expert opinions and arguments according to the current literature. The management is summarized on the basis of mechanism and comorbidity and the importance of prophylactic medication.

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