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Vestibular Migraine in Children and Adolescents

  • Childhood and Adolescent Headache (S Evers, Section Editor)
  • Published:
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Abstract

Purpose of review

The goal of this review is to provide an actualized overview on vestibular migraine in childhood and adolescence, with focus on the epidemiology and clinical presentation as well as its treatment.

Recent findings

Vertigo spells in childhood can evolve into other periodic syndromes and/or migraine types and persist even into adulthood.

Summary

Vestibular migraine (VM) and benign paroxysmal vertigo are the most common causes of vertigo in children and adolescents. The diagnostic criteria for VM are dizziness and vertigo, headache, phonophobia and photophobia, and visual aura. The prevention of attacks is the treatment for children and adolescents with VM, as is recommended for migraine with or without aura. Thus, non-pharmacological measures are the first-line option; when these measures fail or daily activities are notably affected, drugs are administrated. Psychological assessment and cognitive behavioral therapy are also important therapeutic measures in this patient group. There is still insufficient research on VM in children and adolescents; future studies on clinical presentation, evolvement, and specific treatment are necessary.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgments

We would like to thank Judy Benson for copyediting the manuscript.

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Authors and Affiliations

  1. Department of Paediatric Neurology and Developmental Medicine, Dr. von Hauner Children’s Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80337, Munich, Germany

    Thyra Langhagen, Mirjam N. Landgraf & Florian Heinen

  2. German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany

    Thyra Langhagen, Mirjam N. Landgraf, Doreen Huppert, Florian Heinen & Klaus Jahn

  3. Schön Klinik Bad Aibling, Kolbermoorer Str. 72, 83043, Bad Aibling, Germany

    Klaus Jahn

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  1. Thyra Langhagen
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Correspondence to Thyra Langhagen.

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This project was supported by funds from the German Federal Ministry of Education and Research (BMBF) under the Grant code IFB 01EO1401.

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Thyra Langhagen, Mirjam N. Landgraf, Doreen Huppert, Florian Heinen, and Klaus Jahn declare that they have no conflict of interest.

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This article is part of the Topical Collection on Childhood and Adolescent Headache

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Langhagen, T., Landgraf, M.N., Huppert, D. et al. Vestibular Migraine in Children and Adolescents. Curr Pain Headache Rep 20, 67 (2016). https://doi.org/10.1007/s11916-016-0600-x

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