This book provides a multidisciplinary approach to vestibular migraine and related syndromes in which dizziness is the most predominant feature. Starting from the neurological point of view, the pathophysiology, classification, neurophysiology and therapy of migraine are discussed. Readers will learn how to recognize and properly treat vestibular migraine, which is often undiagnosed or misdiagnosed as Ménière’s syndrome (a form of vertigo characterized by vertigo spells and hearing loss that presents comorbidity with migraine) or benign paroxysmal positional vertigo (in which patients experience brief episodes of vertigo, lasting from seconds to 1 minute, when they move their heads in a certain way). The described diagnostic and therapeutic strategies include the newest, state of the art approaches. Further aspects of migraine that are considered include hyperexcitability in the brain and the triad of migraine, dizziness and anxiety. In addition, the imaging of migraine, and of vestibular migraine in particular, is discussed and clinical records are reported.
Vestibular Migraine and Related Syndromes is based on the practical and clinical experiences of an authoritative group of well-known neurologists, ENT specialists and neuro-otologists. It provides neurologists with a complete overview of relevant clinical features, otolaryngologists with clear descriptions of clinical aspects and the pathophysiology of migraine and radiologists with guidance on the role of imaging techniques.
Foreword.- Migraine: Pathophysiology and Classification.- Neurophysiology of Migraine.- Therapy of Migraine.- Migraine: the Hypersensitive Brain.- Epidemiology of Vestibular Migraine and Related Syndromes.- Vestibular migraine: Classification and Clinical Features.- Vestibular Migraine: Vestibular Testing and Pathophysiology.- Visual Vertigo and Motion Sickness.- Therapy of Vestibular Migraine.- Vertigo as a Migraine Precursor.- Menière’s Syndrome and Migraine.- Benign Paroxysmal Positional Vertigo and Migraine.- Dizziness Anxiety and Migraine.- Dizziness and Cognitive Processes.- Imaging of Migraine and Vestibular Migraine.
Dr. Bruno Colombo has been Coordinator of the Headache and Migraine Centers
at San Raffaele Hospital in Milan since 2008, having previously worked as a
neurologist at San Raffaele Hospital and as a clinical assistant and research
worker at the National Hospital for Neurology and Neurosurgery and St. Bartholomew’s
College of Medicine, London, UK. He is Temporary Professor of Neurology at San
Raffaele Hospital in Milan; furthermore, he has played a major role in the field
of headache and migraine, being co-founder of ANIRCEF (the Italian Neurological
Association for Research on Migraines) and of another Italian foundation, The
Italian Headache Foundation (FICEF). He is author of many journal articles and
has an H-index of 16.
Dr. Roberto Teggi has worked as a consultant for vestibular disorders in the ENT Department at San Raffaele Hospital since 2001 and teaches as an Assistant Professor in the School of Medicine and in the Residency School in Neurology and ENT. His major research interests in the last 10 years have been vestibular and other inner ear disorders. Dr. Teggi has been involved in the coordination or scientific organization of various meetings relating to the management of central and peripheral vertigo, dizziness and neuropathology and neuro-otology. He is the author of more than 20 journal articles on these subjects, as well as various book chapters.