Vestibular Migraine-A Diagnostic Dilemma (A Case Report with Review of Literature)

Abstract

Migraine is one of the common forms of primary headache. Each patient with migraine on this planet is a variant. The term Vestibular Migraine (VM) is used for patients with a past or current history of migraine, presenting with dizziness as the predominant symptom with or without headache. Prosper Meniere, the French physician who first described the vertiginous syndrome that now goes after his name, was a victim of severe migraine himself .The relationship between these two illnesses was suspected, and written about for many years, under various names such as Migraine -Anxiety Related Dizziness (MARD), Migraine-induced Vertigo or Migrainous Vertigo. But it was only in the year 2001 that the International Headache Society and Barany Society reached a consensus on the diagnostic criteria of Vestibular Migraine. Diagnosing vestibular migraine is a challenging task, as Migraine can be present in association with Meniere’s disease [6], BPPV, Epilepsy and often Audio-vestibular investigations and imaging are needed to exclude other peripheral and central vestibular disorders [7].