What are the diagnostic criteria for migraine-associated vertigo proposed by Neuhauser and Lempert?

Updated: Jan 18, 2019
  • Author: Aaron G Benson, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Neuhauser and Lempert proposed the following criteria for the diagnosis of definite migraine-associated vertigo [7] :

  • Episodic vestibular symptoms of at least moderate severity - Rotational vertigo, other illusory self or object motion, positional vertigo, head motion intolerance (ie, sensation of imbalance or illusory self or object motion that is provoked by head motion)

  • Migraine according to the International Headache Society (IHS) criteria

  • At least 1 of the following migrainous symptoms during at least 2 vertiginous attacks - Migrainous headache, photophobia, phonophobia, visual or other auras

  • Other causes ruled out by appropriate investigations

Proposed criteria for the diagnosis of probable migraine-associated vertigo include the following:

  • Episodic vestibular symptoms of at least moderate severity - Rotational vertigo, other illusory self or object motion, positional vertigo, head motion intolerance

  • At least 1 of the following - Migraine according to the criteria of the IHS, migrainous symptoms during vertigo, migraine-specific precipitants of vertigo (eg, specific foods, sleep irregularities, hormonal changes), response to antimigraine drugs

  • Other causes ruled out by appropriate investigations


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