Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Ambulatório de Cefaleia, São Paulo SP, Brazil.
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Neurologia, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2022 May;80(5 Suppl 1):232-237. doi: 10.1590/0004-282X-ANP-2022-S111.
Vestibular migraine (VM) remains an underdiagnosed condition, often mistaken with brainstem aura. VM is defined by recurrent vestibular symptoms in at least 50% of migraine attacks. Diagnosis is established by clinical criteria based on the International Classification of Headache Disorders (ICHD-3). Estimated prevalence of VM is 1 to 2.7% of the adult population. Vestibular symptoms usually appear after the headache. VM pathophysiology remains poorly understood. Vertigo may occur before, during, after the migraine attack, or even independently, and may last seconds to hours or days. Pathophysiological mechanisms for VM are still poorly understood and are usually extrapolated from migraines. Differential diagnoses include Ménière's disease, benign paroxysmal positional vertigo, brainstem aura, transient ischemic attack, persistent perceptual postural vertigo, and episodic type 2 ataxia. Specific treatment recommendations for vestibular migraine are still scarce.
前庭性偏头痛（VM）仍是一种未被充分诊断的疾病，常被误诊为脑干先兆。VM 的定义是偏头痛发作中至少有 50%出现反复发作的前庭症状。诊断依据是基于国际头痛疾病分类（ICHD-3）的临床标准。VM 的估计患病率为成人人口的 1%至 2.7%。前庭症状通常在头痛后出现。VM 的病理生理学仍知之甚少。眩晕可能在偏头痛发作之前、期间、之后出现，甚至独立出现，持续数秒到数小时或数天。VM 的病理生理机制仍知之甚少，通常是从偏头痛推断而来。鉴别诊断包括梅尼埃病、良性阵发性位置性眩晕、脑干先兆、短暂性脑缺血发作、持续性知觉姿势性眩晕和发作性 2 型共济失调。针对前庭性偏头痛的具体治疗建议仍然很少。
