Open AccessVestibular migraine: Diagnostic criteria (Update)1
Author(s) -
Thomas Lempert,
Jes Olesen,
Joseph M. Furman,
John Waterston,
Barry Seemungal,
John P. Carey,
Alexandre Bisdorff,
Maurizio Versino,
Stefan Evers,
Amir Kheradmand,
David E. NewmanToker
Publication year - 2022
Publication title -
journal of vestibular research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.118
H-Index - 53
eISSN - 1878-6464
pISSN - 0957-4271
DOI - 10.3233/ves-201644
Subject(s) - migraine , vestibular system , vertigo , international classification of headache disorders , medicine , motion sickness , nausea , audiology , anesthesia , surgery , psychiatry
This paper presents diagnostic criteria for vestibular migraine, jointly formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society and the Migraine Classification Subcommittee of the International Headache Society (IHS). It contains a literature update while the original criteria from 2012 were left unchanged. The classification defines vestibular migraine and probable vestibular migraine. Vestibular migraine was included in the appendix of the third edition of the International Classification of Headache Disorders (ICHD-3, 2013 and 2018) as a first step for new entities, in accordance with the usual IHS procedures. Probable vestibular migraine may be included in a later version of the ICHD, when further evidence has accumulated. The diagnosis of vestibular migraine is based on recurrent vestibular symptoms, a history of migraine, a temporal association between vestibular symptoms and migraine symptoms and exclusion of other causes of vestibular symptoms. Symptoms that qualify for a diagnosis of vestibular migraine include various types of vertigo as well as head motion-induced dizziness with nausea. Symptoms must be of moderate or severe intensity. Duration of acute episodes is limited to a window of between 5 minutes and 72 hours.