Vestibular migraine: Diagnostic criteria

TLDR

The paper establishes diagnostic criteria for vestibular migraine, jointly developed by the Bárány Society and the International Headache Society. The criteria define vestibular migraine and probable vestibular migraine, requiring recurrent vestibular symptoms, a migraine history, temporal overlap with migraine features, exclusion of other causes, moderate‑to‑severe intensity, and episodes lasting 5 minutes to 72 hours.

Abstract

This paper presents diagnostic criteria for vestibular migraine, jointly formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society and the Migraine Classification Subcommittee of the International Headache Society (IHS). The classification includes vestibular migraine and probable vestibular migraine. Vestibular migraine will appear in an appendix of the third edition of the International Classification of Headache Disorders (ICHD) as a first step for new entities, in accordance with the usual IHS procedures. Probable vestibular migraine may be included in a later version of the ICHD, when further evidence has been accumulated. The diagnosis of vestibular migraine is based on recurrent vestibular symptoms, a history of migraine, a temporal association between vestibular symptoms and migraine symptoms and exclusion of other causes of vestibular symptoms. Symptoms that qualify for a diagnosis of vestibular migraine include various types of vertigo as well as head motion-induced dizziness with nausea. Symptoms must be of moderate or severe intensity. Duration of acute episodes is limited to a window of between 5 minutes and 72 hours.