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NEUROLOGY 2004;62:469-472
© 2004 American Academy of Neurology
Brief Communications

Migrainous vertigo presenting as episodic positional vertigo

Michael von Brevern, MD, Andrea Radtke, MD, Andrew H. Clarke, PhD and Thomas Lempert, MD

From the Neurologische Klinik Charité (Drs. Von Brevern, Radtke, and Lempert), Campus Virchow, and Abteilung für Hals-Nasen-Ohren-Heilkunde (Dr. Clarke), Klinikum Benjamin Franklin, Berlin, Germany.

Address correspondence and reprint requests to Dr. M. von Brevern, Neurologische Klinik Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany; e-mail: michael.von_brevern{at}charite.de

Migraine can cause vestibular symptoms including positional vertigo. Of 362 consecutive patients presenting with positional vertigo, 10 with migrainous vertigo mimicking benign paroxysmal positional vertigo (BPPV) were identified. The following factors help to distinguish migrainous positional vertigo from BPPV: short-duration symptomatic episodes and frequent recurrences, manifestation early in life, migrainous symptoms during episodes with positional vertigo, and atypical positional nystagmus.

Received April 10, 2003. Accepted in final form September 17, 2003.




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M. von Brevern, D. Zeise, H. Neuhauser, A. H. Clarke, and T. Lempert
Acute migrainous vertigo: clinical and oculographic findings
Brain, February 1, 2005; 128(2): 365 - 374.
[Abstract] [Full Text] [PDF]