Vestibular Migraine, an Underdiagnosed Cause of Vertigo: Practical Review of the Literature

Vestibular migraine is the most common cause of central episodic vertigo. It has been postulated that it shares pathophysiological mechanisms with classic migraine. The diagnosis of vestibular migraine is clinical and is based on the criteria established by the Bárány Society and the International Headache Society. A complete history is essential to guide pharmacological and non-pharmacological treatment in the therapeutic approach to patients with vestibular migraine.
This article provides a practical review of the current literature on the diagnostic and therapeutic approach to vestibular migraine, illustrating the available scientific evidence covering epidemiology, pathophysiology, diagnosis and treatment.

Keywords: Vestibular Migraine, Migraine, Vertigo, Dizziness.