Vestibular Migraine

Abstract Vertigo and migraine have a number of associations. Vertigo is a relatively common, although generally mild, aura symptom in patients with migraine with aura. There are some migraine disorders with very prominent vertigo, such as basilar-type migraine and benign positional vertigo of childhood. Many patients with migraine suffer from motion sickness, including the visually induced variety. The diagnosis of vestibular migraine (previously termed migrainous vertigo) in the absence of the accompanying headache is challenging but crucial if these patients are to receive effective treatment. Criteria for diagnosing vestibular migraine are summarized in this chapter, and the overall differential diagnosis of vertigo is presented. Management of vestibular migraine is also reviewed.