Skip to main content

Advertisement

Log in

Acute vestibular migraine: a ghost diagnosis in patients with acute vertigo

  • Letter to the Editors
  • Published:
Journal of Neurology Aims and scope Submit manuscript

A Correction to this article was published on 27 October 2023

This article has been updated

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Data availability

The authors confirm that the data supporting the findings of this study are available within the article. Derived data supporting the findings of this study are available from the corresponding authors [DK/NK] on request.

Change history

References

  1. Yardley L, Owen N, Nazareth I, Luxon L (1998) Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 48(429):1131–1135

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Cutfield NJ, Seemungal BM, Millington H, Bronstein AM (2011) Diagnosis of acute vertigo in the emergency department. Emerg Med J 28(6):538–539. https://doi.org/10.1136/emj.2010.105874. (Epub 2011 Mar 12)

    Article  PubMed  Google Scholar 

  3. Dumitrascu OM, Torbati S, Tighiouart M, Newman-Toker DE, Song SS (2017) Pitfalls and rewards for implementing ocular motor testing in acute vestibular syndrome: a pilot project. Neurologist 22(2):44–47

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kattah JC, Talkad AV, Wang DZ et al (2009) H.I.N.T.S to diagnose stroke in the acute vestibular syndrome—three-step bedside oculomotor exam more sensitive than early MRI DWI. Stroke 40(11):3504–3510. https://doi.org/10.1161/STROKEAHA.109.551234. (Epub 2009 Sep 17)

    Article  PubMed  PubMed Central  Google Scholar 

  5. Nakatsuka M, Molloy EE (2022) The HINTS examination and STANDING algorithm in acute vestibular syndrome: a systematic review and meta-analysis involving frontline point-of-care emergency physicians. PLoS ONE 17:e0266252

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Seemungal B, Kaski D, Lopez-Escamez JA (2015) Early diagnosis and management of acute vertigo from vestibular migraine and Ménière’s disease. Neurol Clin 33(3):619–628. https://doi.org/10.1016/j.ncl.2015.04.008. (Epub 2015 Jun 12)

    Article  PubMed  Google Scholar 

  7. Chen JY, Guo ZQ, Wang J, Liu D, Tian E, Guo JQ, Kong WJ, Zhang SL (2023) Vestibular migraine or Meniere’s disease: a diagnostic dilemma. J Neurol 270(4):1955–1968. https://doi.org/10.1007/s00415-022-11532-x

    Article  PubMed  Google Scholar 

  8. Bulut HT, Yildirim A, Ekmekci B, Eskut N, Gunbey HP (2014) False-negative diffusion-weighted imaging in acute stroke and its frequency in anterior and posterior circulation ischemia. J Comput Assist Tomogr 38(5):627–633. https://doi.org/10.1097/RCT.0000000000000095

    Article  PubMed  Google Scholar 

  9. Von Brevern M, Zeise D, Neuhauser H, Clarke AH, Lempert T (2005) Acute migrainous vertigo: clinical and oculographic findings. Brain 128(Pt 2):365–374. https://doi.org/10.1093/brain/awh351. (Epub 2004 Dec 15)

    Article  Google Scholar 

  10. Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, Bisdorff A, Versino M, Evers S, Kheradmand A, Newman-Toker D (2022) Vestibular migraine: diagnostic criteria1. J Vestib Res 32(1):1–6. https://doi.org/10.3233/VES-201644

    Article  PubMed  PubMed Central  Google Scholar 

  11. Lempert T, von Brevern M (2019) Vestibular migraine. Neurol Clin 37(4):695–706. https://doi.org/10.1016/j.ncl.2019.06.003. (Epub 2019 Aug 20)

    Article  PubMed  Google Scholar 

  12. Smyth D, Britton Z, Murdin L, Arshad Q, Kaski D (2022) Vestibular migraine treatment: a comprehensive practical review. Brain 145(11):3741–3754. https://doi.org/10.1093/brain/awac264

    Article  PubMed  PubMed Central  Google Scholar 

  13. von Brevern M, Lempert T (2020) Vestibular migraine: treatment and prognosis. Semin Neurol 40(1):83–86. https://doi.org/10.1055/s-0039-3402067. (Epub 2019 Dec 30)

    Article  Google Scholar 

  14. Popkirov S, Staab JP, Stone J (2018) Persistent postural-perceptual dizziness (PPPD): a common, characteristic and treatable cause of chronic dizziness. Pract Neurol 18(1):5–13. https://doi.org/10.1136/practneurol-2017-001809. (Epub 2017 Dec 5)

    Article  PubMed  Google Scholar 

  15. Shen Y, Qi X (2022) Update on diagnosis and differential diagnosis of vestibular migraine. Neurol Sci 43(3):1659–1666. https://doi.org/10.1007/s10072-022-05872-9. (Epub 2022 Jan 11)

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We are grateful to our patients. We would like to thank our Emergency Department and Same Day Emergency Care colleagues at the University College London Hospitals. DK received grant from the Meniere’s Society, and NK received grant from the National Institute for Health Research (HEE/NIHR ICA Programme Clinical Lectureship NIHR302201).

Funding

DK declares grant from the Meniere’s Society, and NK declares grant from the National Institute for Health Research (HEE/NIHR ICA Programme Clinical Lectureship NIHR302201).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Diego Kaski.

Ethics declarations

Conflicts of interest

WB, SH, MB, AAM, AC and RS declare no competing interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Health Research Authority (REC 21/NW/0015).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rocha, M.F., Sacks, B., Al-Lamki, A. et al. Acute vestibular migraine: a ghost diagnosis in patients with acute vertigo. J Neurol 270, 6155–6158 (2023). https://doi.org/10.1007/s00415-023-11930-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-023-11930-9

Navigation