Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (3): 23-26.doi: 10.6040/j.issn.1673-3770.1.2019.003

• Invited Review • Previous Articles     Next Articles

Differential diagnosis of vestibular migraines and several common types of peripheral vertigo

Xiaolu LI()   

  1. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University
  • Received:2019-01-01 Revised:2019-03-22 Online:2019-05-20 Published:2019-08-07
  • Contact: Xiaolu LI E-mail:lixlnj@qq.com

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Abstract:

Vestibular migraines (VMs) are a type of migraine with vestibular symptoms. Cases of VMs reportedly account for 16% of outpatients with vertigo in otolaryngology departments. They are listed as one of the important causes of so-called refractory dizziness and have been one of the research hotspots in balance disorder in recent years. The pathogenesis of VMs is not yet clear, and their clinical manifestations are diverse. Some manifestations are not only similar to those of otogenic vertigo, but even coexist in the same patient. In addition, with the rapid development of clinical vestibular function examination and evaluation methods, it is possible to perform preliminary evaluations of the semicircular canals, otolith organs, and vestibular nerve function. In this paper, the pathogenesis of VMs and differential diagnosis of four types of clinically common otogenic vertigo, including Meniere′s disease, vestibular neuronitis, benign paroxysmal positional vertigo, and vestibular paroxysmia are discussed, so as to provide clues for the accurate treatment of balance disorder.

Key words: Migraine, Vestibule, Vertigo, Diagnosis

CLC Number: 

  • R764.4
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