Department of Neurology, Schlosspark-Klinik, Berlin, Germany.
Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
J Vestib Res. 2022;32(1):1-6. doi: 10.3233/VES-201644.
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.
本文提出了前庭性偏头痛的诊断标准，由 Bárány 学会前庭疾病分类委员会和国际头痛学会偏头痛分类小组联合制定。它包含了文献更新，而 2012 年的原始标准保持不变。该分类定义了前庭性偏头痛和可能的前庭性偏头痛。根据国际头痛疾病分类（ICHD-3，2013 年和 2018 年）的通常 IHS 程序，前庭性偏头痛作为新实体的第一步被纳入第三版附录。可能的前庭性偏头痛可能会在 ICHD 的后续版本中被纳入，当积累了更多的证据时。前庭性偏头痛的诊断基于反复发作的前庭症状、偏头痛病史、前庭症状和偏头痛症状之间的时间关联以及排除其他前庭症状的原因。符合前庭性偏头痛诊断的症状包括各种类型的眩晕以及头部运动诱发的恶心性头晕。症状必须具有中度或重度强度。急性发作的持续时间限于 5 分钟至 72 小时的窗口内。
