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Research in Vestibular Science > Volume 11(2); 2012 > Article
Research in Vestibular Science 2012;11(2): 45-50.
편두통성 현훈의 진단과 감별진단
정성해
충남대학교 의과대학 신경과학교실
Diagnosis and Differential Diagnosis of Migrainous Vertigo
Seong Hae Jeong
Department of Neurology, Chungnam National University Medical School, Daejeon, Korea. mseaj@hanmail.net
ABSTRACT
Migrainous vertigo is one of common recurrent vestibular disorders. Because the diagnostic criteria have not been yet settled internationally, we have a difficulty in both diagnosis and research in migraineurs with vertigo. Literature about the diagnostic criteria of migrainous vertigo and its differential diagnosis were reviewed. Until now, the criteria proposed by Neuhauser et al. is regarded as most adequate in diagnosis of migrainous vertigo. Differential diagnosis of migrainous vertigo should be guided by distinction of vestibular symptoms and nonvestibular dizziness and consider the common causes of recurrent vertigo. Just like migraine itself, migrainous vertigo is diagnosed on the basis of history and exclusion of other vestibular disorders mimicking migrainous vertigo. Therefore, delicate history taking is the most important in diagnosis and management of patients with migrainous vertigo.
Keywords: Migraine; Vertigo; Diagnosis
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