Vestibular migraine treatment: a comprehensive practical review.
Brain
; 145(11): 3741-3754, 2022 11 21.
Article
in En
| MEDLINE
| ID: mdl-35859353
ABSTRACT
Vestibular migraine is an underdiagnosed but increasingly recognized neurological condition that causes episodic vertigo associated with other features of migraine. It is now thought to be the most common cause of spontaneous (non-positional) episodic vertigo, affecting up to 1% of the population. A meta-analysis of preventative treatments for vestibular migraine was published in 2021, but the authors were unable to establish a preferred treatment strategy due to low quality of evidence and heterogeneity of study design and outcome reporting. Therefore, there remains a clinical need for pragmatic management guidelines specific to vestibular migraine using the available evidence. Here, we provide a practical review utilizing a systematic qualitative assessment of the evidence for abortive and preventative interventions in adults. The overall evidence base for vestibular migraine treatment is of low quality. Nevertheless, we provide practical treatment recommendations based on the available evidence and our experience to help guide clinicians treating patients with vestibular migraine. We also discuss how future clinical trials could be designed to improve the quality of evidence in this condition.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Dizziness
/
Migraine Disorders
Type of study:
Guideline
/
Qualitative_research
/
Systematic_reviews
Limits:
Adult
/
Humans
Language:
En
Journal:
Brain
Year:
2022
Document type:
Article
Affiliation country:
Reino Unido