Do we need to reconsider the classification of vestibular migraine?

Background Approximately 3.9% children with migraine have olfactory hallucination which was defined as a perception of a smell without the substantial existence of any physical odor. Case We described the first two cases of children with vestibular migraine, presenting visual aura and olfactory hallucination. We reported two children with vertigo, visual aura, and olfactory hallucination before the headache who were responsive to topiramate. Conclusion The clinical description of olfactory hallucination presented some characteristics of migraine aura. Olfactory hallucinations could be inserted as a migraine aura in International Classification of Headache Disorders.

Download Full-text

Migraine and vertigo

Oxford Textbook of Headache Syndromes ◽

10.1093/med/9780198724322.003.0013 ◽

2020 ◽

pp. 128-137

Author(s):

Yoon-Hee Cha

Keyword(s):

Migraine Headache ◽

Clinical Characteristics ◽

Vestibular Migraine ◽

Headache Disorders ◽

Temporal Profile ◽

Growing Body ◽

Vestibular Symptoms ◽

The Common ◽

Treatment Responses

The phenomena of migraine headache and vertigo share many epidemiological, anatomical, and clinical characteristics. The historically parallel development of the neuroscience of each field has formally intersected in the development of consensus criteria for vestibular migraine and the inclusion of vestibular migraine in the International Classification of Headache Disorders. Differences exist in the temporal profile of head pain and vertigo as manifestations of migraine, which can obscure the association. However, the growing body of evidence on the common demographic, neurochemical signature, and treatment responses of pain and vestibular symptoms indicate that they exist as symptoms of a common syndrome, one which can only be fully understood by recognizing the significance of each kind of manifestation.

Download Full-text

Vestibular migraine of childhood and recurrent vertigo of childhood: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the bárány society and the international headache society

Journal of Vestibular Research ◽

10.3233/ves-200003 ◽

2020 ◽

pp. 1-9

Author(s):

Raymond van de Berg ◽

Josine Widdershoven ◽

Alexandre Bisdorff ◽

Stefan Evers ◽

Sylvette Wiener-Vacher ◽

...

Keyword(s):

Diagnostic Criteria ◽

Past History ◽

International Headache Society ◽

Vestibular Migraine ◽

Future Research ◽

Vestibular Disorders ◽

Consensus Document ◽

Severe Intensity ◽

Vestibular Symptoms

This paper describes the diagnostic criteria for “Vestibular Migraine of Childhood”, “probable Vestibular Migraine of Childhood” and “Recurrent Vertigo of Childhood” as put forth by the Committee for the Classification of Vestibular Disorders of the Bárány Society (ICVD) and the Migraine Classification subgroup of the International Headache Society. Migraine plays an important role in some subgroups of children with recurrent vertigo. In this classification paper a spectrum of three disorders is described in which the migraine component varies from definite to possibly absent. These three disorders are: Vestibular Migraine of Childhood, probable Vestibular Migraine of Childhood and Recurrent Vertigo of Childhood. The criteria for Vestibular Migraine of Childhood (VMC) include (A) at least five episodes with vestibular symptoms of moderate or severe intensity, lasting between five minutes and 72 hours, (B) a current or past history of migraine with or without aura, and (C) at least half of episodes are associated with at least one migraine feature. Probable Vestibular Migraine of Childhood (probable VMC) is considered when at least three episodes with vestibular symptoms of moderate or severe intensity, lasting between five minutes and 72 hours, are accompanied by at least criterion B or C from the VMC criteria. Recurrent Vertigo of Childhood (RVC) is diagnosed in case of at least three episodes with vestibular symptoms of moderate or severe intensity, lasting between 1 minute and 72 hours, and none of the criteria B and C for VMC are applicable. For all disorders, the age of the individual needs to be below 18 years old. It is recommended that future research should particularly focus on RVC, in order to investigate and identify possible subtypes and its links or its absence thereof with migraine.

Download Full-text

International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues

Cephalalgia ◽

10.1177/0333102415587704 ◽

2015 ◽

Vol 36 (3) ◽

pp. 240-248 ◽

Cited By ~ 21

Author(s):

Yixin Zhang ◽

Qingtao Kong ◽

Jinjin Chen ◽

Lunxi Li ◽

Dayan Wang ◽

...

Keyword(s):

Clinical Characteristics ◽

Cerebral Arteries ◽

Field Testing ◽

International Classification ◽

Vestibular Migraine ◽

Headache Disorders ◽

Headache Clinic ◽

Definition Of ◽

Beta Version

Objectives This study explored the clinical characteristics of vestibular migraine in Chinese subjects and performed a field test of the criteria of the International Classification of Headache Disorders 3rd edition beta version. Methods Consecutive patients with vestibular migraine were surveyed and registered in a headache clinic during the study period. The diagnosis of vestibular migraine was made according to International Classification of Headache Disorders 3rd edition beta version. Assessments included standardized neuro-otology bedside examination, pure-tone audiogram, bithermal caloric testing, neurological imaging, cervical X-ray or magnetic resonance imaging, Doppler ultrasound of cerebral arteries and laboratory tests. Results A total of 67 patients (62 female/five male, 47.8 ± 10.3 years old) were enrolled in this study. The mean ages of migraine and vertigo onset were 32.2 ± 11.5 and 37.9 ± 10.1 years, respectively. The most common migraine subtype was migraine without aura (79%), followed by migraine with aura (12%) and chronic migraine (9%). The duration of vertigo attacks varied from seconds to days and 25% of patients had attacks that lasted less than 5 minutes. Among the patients with short-lasting attacks, 75% of these patients had ≥5 attacks per day within 72 hours. Auditory symptoms were reported in 36% of the patients. Migraine prophylactic treatments were effective in 77% of the patients. Conclusions Our study showed that the clinical features of vestibular migraine in China were similar to those of Western studies. The definition of vertigo episodes and migraine subtypes of vestibular migraine in International Classification of Headache Disorders 3rd edition beta version might be modified further. More than five vertigo attacks per day within 72 hours might be helpful as far as identifying vestibular migraine patients with short-lasting attacks.

Download Full-text

Vestibular migraine in multicenter neurology clinics according to the appendix criteria in the third beta edition of the International Classification of Headache Disorders

Cephalalgia ◽

10.1177/0333102415597890 ◽

2015 ◽

Vol 36 (5) ◽

pp. 454-462 ◽

Cited By ~ 34

Author(s):

Soo-Jin Cho ◽

Byung-Kun Kim ◽

Byung-Su Kim ◽

Jae-Moon Kim ◽

Soo-Kyoung Kim ◽

...

Keyword(s):

Headache Disorder ◽

International Classification ◽

Vestibular Migraine ◽

Headache Disorders ◽

The Third ◽

Common Term ◽

Vestibular Symptoms ◽

The Common ◽

Probable Migraine

Background Vestibular migraine (VM), the common term for recurrent vestibular symptoms with migraine features, has been recognized in the appendix criteria of the third beta edition of the International Classification of Headache Disorders (ICHD-3β). We applied the criteria for VM in a prospective, multicenter headache registry study. Methods Nine neurologists enrolled consecutive patients visiting outpatient clinics for headache. The presenting headache disorder and additional VM diagnoses were classified according to the ICHD-3β. The rates of patients diagnosed with VM and probable VM using consensus criteria were assessed. Results A total of 1414 patients were enrolled. Of 631 migraineurs, 65 were classified with VM (10.3%) and 16 with probable VM (2.5%). Accompanying migraine subtypes in VM were migraine without aura (66.2%), chronic migraine (29.2%), and migraine with aura (4.6%). Probable migraine (75%) was common in those with probable VM. The most common vestibular symptom was head motion-induced dizziness with nausea in VM and spontaneous vertigo in probable VM. The clinical characteristics of VM did not differ from those of migraine without VM. Conclusion We diagnosed VM in 10.3% of first-visit migraineurs in neurology clinics using the ICHD-3β. Applying the diagnosis of probable VM can increase the identification of VM.

Download Full-text

Vestibular Migraine: Clinical Challenges and Opportunities for Multidisciplinarity

Behavioural Neurology ◽

10.1155/2016/6179805 ◽

2016 ◽

Vol 2016 ◽

pp. 1-11 ◽

Cited By ~ 2

Author(s):

Isabel Luzeiro ◽

Leonel Luís ◽

Freire Gonçalves ◽

Isabel Pavão Martins

Keyword(s):

Multidisciplinary Approach ◽

Clinical Presentation ◽

Imaging Techniques ◽

Vestibular Migraine ◽

Therapeutic Approaches ◽

Actual Knowledge ◽

New Concepts ◽

Challenges And Opportunities ◽

Vestibular Symptoms

Migraine and vertigo are two very prevalent conditions in general population. The coexistence of both in the same subject is a significant clinical challenge, since it is not always possible to understand whether they are causally related or associated by chance, requiring different diagnostic and therapeutic approaches. In this review we analyze and summarize the actual knowledge about vestibular migraine (VM), focusing on the new concepts proposed by the International Classification of Headache Disorders 3-beta and by the Bárány Society and also addressing the former concepts, which are still present in clinical practice. We conclude that clinical studies using a multidisciplinary approach are crucial in this field, since different specialists observe the same pathology with different eyes. Clinical presentation of VM is variable in what concerns vestibular symptoms temporal relation with migraine headache, as well as in their accompanying manifestations. Biomarkers, either genomics or functional, and molecular imaging techniques will be helpful to clarify many aspects of the complexity of this entity, helping to define to what extent can VM be considered a separate and independent clinical entity.

Download Full-text

Vestibular migrain in clinical practice

ORL ro ◽

10.26416/orl.30.1.2016.653 ◽

2016 ◽

Vol 1 (1) ◽

pp. 52-52

Author(s):

A. Roceanu ◽

O. Băjenaru

Keyword(s):

Clinical Practice ◽

Clinical Characteristics ◽

International Headache Society ◽

Vestibular Migraine ◽

Migrainous Headache

Vestibular migraine is one of frequently met etiologies of central vertigo; clinical characteristics are association of vertigo signs and migrainous headache. Criteria for classification of the vestibular migraine were established together by Bárány Society and International Headache Society (IHS).

Download Full-text

Accompanying Symptoms in Vestibular Migraine

Headache Medicine ◽

10.48208/headachemed.2019.14 ◽

2019 ◽

pp. 51-55

Author(s):

Aline Turbino Neves Martins da Costa ◽

Daniel Guedes Tomedi ◽

Camila Naegeli Caverni ◽

Larissa Mendonça Agessi ◽

Rosemeire Rocha Fukue ◽

...

Keyword(s):

Motion Sickness ◽

Migraine With Aura ◽

Age Of Onset ◽

Vestibular Migraine ◽

Tertiary Center ◽

Associated Symptoms ◽

The Mean ◽

Accompanying Symptoms ◽

A Prospective Study

Objective: The aim of this study was to classify the patients with vestibular migraine into the subgroups with and without aura, and to evaluate the occurrence of the accompanying symptoms of migraine in each subgroup. Methods: A prospective study performed at a tertiary center of vestibular migraine, with patients fulfilling definitive diagnostic criteria for vestibular migraine through International Classification of Headache Disorders ICHD-3 β. Patients were stratified in the subtypes with and without aura, and the accompanying symptoms were verified in each subgroup. Results: A total of 143 patients were included, 124 women and 19 men (86% and 13%, respectively). The mean age of onset of migraine in the patients ranged from 4 to 71 years (SD: 16.0) with a mean of 23 years, and an average headache frequency of 17 days per month (SD: 19.6), with a visual analog scale mean of 7.45 (SD: 1.88). Of the 143 patients evaluated, 101 (70%) had ICHD-3 β criteria for the diagnosis of migraine with aura. In patients with the migraine subgroup with aura, we found a higher relative risk for nausea 2,78 (CI: 0.15-1.0; p 0.04), vomiting, 2.65 (CI: 1.26-5.55; p 0.009), phonophobia 3,546 (1,647-7,637, p0,001), osmophobia 3,016 (1,219-7,462, p 0,014), kinesiophobia, 2,391 (1,128-5,071, p, 021), tinnitus 2,275 (1,062-4,873, 032), aural fullness 3,934 (1,519 - 10,192, p0,003), motion sickness associated with dizziness 3,924 (1,415 - 10,881, p0,006). Conclusion: In our center, migraine with aura was the most frequent subtype of migraine in patients with vestibular migraine. During the head attacks, some associated symptoms were more likely to occur in the aura subgroup, among them: nausea, vomiting, phonophobia, osmophobia, kinesiophobia, tinnitus, aural fullness and motion sickness accompanied by dizziness. In our sample, vestibular migraine associated with migraine with aura showed a higher risk of associated symptoms, suggesting that this subgroup is more severe, and with a more disabling disease.

Download Full-text

Care Gaps and Recommendations in Vestibular Migraine: An Expert Panel Summit

Frontiers in Neurology ◽

10.3389/fneur.2021.812678 ◽

2022 ◽

Vol 12 ◽

Author(s):

Monica P. Mallampalli ◽

Habib G. Rizk ◽

Amir Kheradmand ◽

Shin C. Beh ◽

Mehdi Abouzari ◽

...

Keyword(s):

Diagnostic Algorithm ◽

Vestibular Migraine ◽

Community Needs ◽

Vestibular Tests ◽

Care Gaps ◽

Specific Outcome ◽

Collaborative Efforts ◽

Pathophysiologic Mechanisms

Vestibular migraine (VM) is an increasingly recognized pathology yet remains as an underdiagnosed cause of vestibular disorders. While current diagnostic criteria are codified in the 2012 Barany Society document and included in the third edition of the international classification of headache disorders, the pathophysiology of this disorder is still elusive. The Association for Migraine Disorders hosted a multidisciplinary, international expert workshop in October 2020 and identified seven current care gaps that the scientific community needs to resolve, including a better understanding of the range of symptoms and phenotypes of VM, the lack of a diagnostic marker, a better understanding of pathophysiologic mechanisms, as well as the lack of clear recommendations for interventions (nonpharmacologic and pharmacologic) and finally, the need for specific outcome measures that will guide clinicians as well as research into the efficacy of interventions. The expert group issued several recommendations to address those areas including establishing a global VM registry, creating an improved diagnostic algorithm using available vestibular tests as well as others that are in development, conducting appropriate trials of high quality to validate current clinically available treatment and fostering collaborative efforts to elucidate the pathophysiologic mechanisms underlying VM, specifically the role of the trigemino-vascular pathways.

Download Full-text

Note on the spectral classification of carbon stars in the photographic infrared region

Symposium - International Astronomical Union ◽

10.1017/s0074180900053080 ◽

1966 ◽

Vol 24 ◽

pp. 21-23

Author(s):

Y. Fujita

Keyword(s):

Infrared Region ◽

Spectral Classification ◽

Carbon Stars

We have investigated the spectrograms (dispersion: 8Å/mm) in the photographic infrared region fromλ7500 toλ9000 of some carbon stars obtained by the coudé spectrograph of the 74-inch reflector attached to the Okayama Astrophysical Observatory. The names of the stars investigated are listed in Table 1.

Download Full-text