Abstracts: Lempert T (1993)
Lempert T, Menzhausen L, Tiel-Wilck K (1993) [Migraine: differential diagnosis in
episodic vertigo]. [German. Nervenarzt 64:121-126
Vestibular symptoms can be the predominant feature of migraine both in children and
adults. Attacks of spontaneous or positional vertigo lasting from minutes to days may
occur with or without concomitant headache. In the literature three syndromes of
vestibular migraine have evolved: basilar artery migraine, benign recurrent vertigo and
benign recurrent vertigo of childhood. In clinical practice, however, variants seem to be
more frequent than the pure syndromes. Diagnosis is based on the individual constellation
of typical precipitants and symptoms of migraine and the efficacy of pharmacological
migraine prophylaxis. Nine cases are presented.
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