Clinical and Neurophysiological Features of Vestibular Migraine

Abstract

Vestibular migraine (VM) is one of the most frequent causes of episodic vertigo and balance disorders, representing a major challenge for neurologists and otoneurologists due to its overlapping symptoms with other vestibular pathologies. The present study aimed to evaluate the clinical and neurophysiological features of patients with VM, assess their diagnostic indicators, and establish potential correlations between migraine severity and vestibular dysfunction. The study included 84 patients diagnosed with VM and 20 healthy controls. The diagnostic approach incorporated clinical examination, video-oculography, audiometry, and vestibular-evoked myogenic potentials (VEMPs). The results demonstrated significant abnormalities in vestibular responses, prolonged latency periods, and correlations between headache intensity and vestibular dysfunction. These findings highlight the need for integrated diagnostic and therapeutic strategies in patients with VM to improve their quality of life and reduce socioeconomic burden.