Skip to main content
SpringerLink
Log in

Vertigo as a Migraine Precursor

  • Chapter
  • First Online:
Vestibular Migraine and Related Syndromes

  • 1098 Accesses

Abstract

Childhood periodic syndromes are a set of disorders beginning in a pediatric age, characterized by an episodic pattern with intervals of complete health. They have been included by the International Headache Society as precursors of migraine. In two of these syndromes, namely, benign paroxysmal vertigo of childhood and benign torticollis of infancy, malfunction of the vestibular system may be hypothesized.

Benign paroxysmal vertigo of childhood is characterized by episodes of true vertigo and postural imbalance lasting from a few seconds to several minutes, the age of onset is more frequent between 2 and 4 years, and symptoms disappear around the age of 5 years. Additional symptoms such as pallor, sweating, nausea and vomiting, and phono- and photophobia are commonly reported. Clinical exams in the symptom-free periods are generally normal.

Benign torticollis of infancy is a rare clinical disorder, characterized by recurrent episodes of cervical dystonia, often associated with autonomic signs.

In this chapter, the clinical features and diagnostic criteria of both disorders are overviewed. Moreover, epidemiological and clinical data supporting the hypothesis that both disorders may be a migraine precursor are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Basser LS (1964) Benign paroxysmal vertigo of childhood (a variety of vestibular neuronitis). Brain 87:141–152

    Article  CAS  PubMed  Google Scholar 

  2. Koenigsberger MR, Chutorian AM, Gold AP, Schvey MS (1970) Benign paroxysmal vertigo of childhood. Neurology 20:1108–1113

    Article  Google Scholar 

  3. Headache Classification Committee of the International Headache Society (1988) Classification and diagnostic criteria for headache disorders, cranial neuralgia and facial pain. Cephalalgia 8(Suppl 7):1–96

    Google Scholar 

  4. Headache Classification Committee of the International Headache Society (2004) The international classification of headache disorders, cranial neuralgia and facial pain(2nd edition). Cephalalgia 24(Suppl 1):9–160

    Google Scholar 

  5. Headache Classification Committee of the International Headache Society (2013) The international classification of headache disorders (3rd edition, beta version). Cephalalgia 33(Suppl 9):629–808

    Article  Google Scholar 

  6. Wyllie WG, Schlesinger B (1933) The periodic group of disorders in childhood. Br J Child Dis 30:1–21

    Google Scholar 

  7. Gelfand AA (2013) Migraine and childhood periodic syndromes in children and adolescents. Curr Opin Neurol 26:262–268

    Article  PubMed  Google Scholar 

  8. Koehler B (1980) Benign paroxysmal vertigo of childhood: a migraine equivalent. Eur J Pediatr 134:149–151

    Article  CAS  PubMed  Google Scholar 

  9. Dunn DW, Snyder CH (1976) Benign paroxysmal vertigo of childhood. Am J Dis Child 130:1099–1100

    CAS  PubMed  Google Scholar 

  10. Al-Twaijri WA, Shevell MI (2002) Pediatric migraine equivalents: occurrence and clinical features in practice. Pediatr Neurol 26:365–368

    Article  PubMed  Google Scholar 

  11. Lerique-Koechlin A et al (1961) Une manifestation paroxystique propre aux jeunes enfants: les crises vertigineuses. Revue Neurol (Paris) 105:214–217

    CAS  Google Scholar 

  12. Eeg-Olofsson O, Odkvist L, Lindskog U, Andersson B (1982) Paroxysmal vertigo in childhood. Acta Otolaryngol (Stockh) 93:283–289

    Article  CAS  Google Scholar 

  13. Mira E, Piacentino G, Lanzi G, Balottin U, Fazzi E (1984) Benign paroxysmal vertigo in childhood: a migraine equivalent. ORL 46:97–104

    Article  CAS  PubMed  Google Scholar 

  14. Lanzi G, Balottin U, Fazzi E, Mira E, Piacentino G (1986) Benign paroxysmal vertigo in childhood: a longitudinal study. Headache 26:494–497

    Article  CAS  PubMed  Google Scholar 

  15. Finkelhor BK, Harker LA (1987) Benign paroxysmal vertigo of childhood. Laryngoscope 97:1161–1163

    Article  CAS  PubMed  Google Scholar 

  16. Russel G, Abu-Arafeh I (1999) Paroxysmal vertigo in children – an epidemiological study. Int J Pediatr Otorhinolaryngol 49:105–107

    Article  Google Scholar 

  17. Lindskog U, Odkvist L, Noaksson L, Wallquist J (1999) Benign paroxysmal vertigo in childhood: a long term follow-up. Headache 39:33–37

    Article  CAS  PubMed  Google Scholar 

  18. Drigo P, Carli G, Laverda AM (2001) Benign paroxysmal vertigo of childhood. Brain Dev 23:38–41

    Article  CAS  PubMed  Google Scholar 

  19. Krams B, Echenne B, Leydet J, Rivier F, Roubertie A (2011) Benign paroxysmal vertigo of childhood: long term outcome. Cephalalgia 31:439–443

    Article  PubMed  Google Scholar 

  20. Wiener-Vacher SR (2004) Vertigo in children. Arch Pediatr 11:1542–1545

    Article  CAS  PubMed  Google Scholar 

  21. Calder J (1994) Benign paroxysmal vertigo of childhood: a long term follow-up. Cephalalgia 14:395

    Article  CAS  PubMed  Google Scholar 

  22. Lanzi G, Balottin U, Fazzi E, Tagliasacchi M, Manfrin M, Mira E (1994) Benign paroxysmal vertigo of childhood: a long term follow-up. Cephalalgia 14:458–460

    Article  CAS  PubMed  Google Scholar 

  23. Cuveiller JC, Lépine A (2010) Childhood periodic syndromes. Pediatr Neurol 42:1–11

    Article  Google Scholar 

  24. Abu-Arafeh I, Russel G (1995) Paroxysmal vertigo as a migraine equivalent in children: a population-based study. Cephalalgia 15:22–25

    Article  CAS  PubMed  Google Scholar 

  25. Pacheva IH, Ivanov IS (2013) Migraine variants: occurrence in pediatric neurology practice. Clin Neurol Neurosurg 115:1775–1783

    Article  PubMed  Google Scholar 

  26. Lin YP, Ni YH, Weng WC, Lee WT (2011) Cyclic vomiting syndrome and migraine in children. J Formos Med Assoc 110:382–387

    Article  PubMed  Google Scholar 

  27. Stickler GB (2005) Relationship between cyclic vomiting syndrome and migraine. Clin Pediatr 44:505–508

    Article  Google Scholar 

  28. Li BU, Murray RD, Heitlinger LA, Robbins JL, Hayes JR (1999) Is cyclic vomiting syndrome related to migraine? J Pediatr 134:567–572

    Article  CAS  PubMed  Google Scholar 

  29. Reale L, Guarnera M, Grillo C, Maiolino L, Ruta L, Mazzone L (2011) Psychological assessment in children and adolescents with benign paroxysmal vertigo. Brain Dev 33:125–130

    Article  PubMed  Google Scholar 

  30. Fenichel GM (1967) Migraine as cause of benign paroxysmal vertigo of childhood. J Pediatr 71:114–115

    Article  CAS  PubMed  Google Scholar 

  31. Ralli G, Atturo F, De Filippis C (2009) Idiopathic paroxysmal vertigo in children, a migraine precursor. Int J Pediatr Otorhinolaryngol 73:16–18

    Article  Google Scholar 

  32. Batuecas-Caletrìo A, Martìn Sanchez V, Cordero-Civantes C et al (2013) Is benign paroxysmal vertigo of childhood a migraine precursor ? Eur J Paediatr Neurol 17:397–400

    PubMed  Google Scholar 

  33. Winner P (2013) Migraine-related symptoms in childhood. Curr Pain Headache Rep 17:e319

    Article  Google Scholar 

  34. Tournier-Lasserve E (1999) CACNA1A mutations: hemiplegic migraine, episodic ataxia type 2, and the others. Neurology 53:3–4

    Article  CAS  PubMed  Google Scholar 

  35. Gazquez I, Lopez-Escamez JA (2011) Genetic of recurrent vertigo and vestibular disorders. Curr Genomics 12:443–450

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  36. Giffin NJ, Benton S, Goadsby PJ (2002) Benign paroxysmal torticollis of infancy: four new cases and linkage to CACNA1A mutation. Dev Med Child Neurol 44:490–493

    Article  CAS  PubMed  Google Scholar 

  37. Cuenca-León E, Corominas R, Fernàndez-Castillo N, Volpini V, Del Toro M, Roig M, Macaya A, Cormand B (2008) Genetic analysis of 27 Spanish patients with hemiplegic migraine, basilar-type migraine and childhood periodic syndromes. Cephalalgia 28:1039–1047

    Article  PubMed  Google Scholar 

  38. Wessman M, Terwindt GM, Kaunisto MA, Palotie A, Ophoff RA (2007) Migraine: a complex genetic disorder. Lancet Neurol 6:521–532

    Article  CAS  PubMed  Google Scholar 

  39. Snyder CH (1969) Paroxysmal torticollis in infancy: a possible form of labyrinthitis. Am J Dis Child 117:458–460

    Article  CAS  PubMed  Google Scholar 

  40. Nikolic V, Banic M (1989) Paroxysmal torticollis in the developmental age. Med Pregl 42:99–101

    CAS  PubMed  Google Scholar 

  41. Rosman NP, Douglass LM, Sharif UM, Paolini J (2009) The neurology of benign paroxysmal torticollis in infancy: report of 10 new cases and review of the literature. J Child Neurol 24:155–160

    Article  PubMed  Google Scholar 

  42. Chutorian AM (1974) Benign paroxysmal torticollis, tortipelvis and retrocollis in infancy. Neurology 24:366–367

    Google Scholar 

  43. Cataltepe SU, Barron TF (1993) Benign paroxysmal torticollis presenting as “seizures” in infancy. Clin Pediatr 32:564–565

    Article  CAS  Google Scholar 

  44. Eviatar L (1994) Benign paroxysmal torticollis. Pediatr Neurol 11:72

    Article  CAS  PubMed  Google Scholar 

  45. Kimura S, Nezu A (1998) Electromyographic study in an infant with benign paroxysmal torticollis. Pediatr Neurol 19:236–238

    Article  CAS  PubMed  Google Scholar 

  46. Lewis DW, Gozzo Y, Avner M, Yonker M, Landy SH (2005) Primary headache disorders in children, adolescents, and young adults. In: Winner P, Lewis DW (eds) Young adult and pediatric headache management. B.C. Decker, Hamilton, pp 41–115

    Google Scholar 

  47. John B, Klemm E, Haverkamp F (2000) Evidence for altered basal ganglia and cortical functions in transient idiopathic dystonia. J Child Neurol 15:820–822

    Article  CAS  PubMed  Google Scholar 

  48. Drigo P, Carli G, Laverda AM (2000) Benign paroxysmal torticollis of infancy. Brain Dev 22:169–172

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, IRCCS Policlinico San Matteo Foundation, University of Pavia, Piazza C. Golgi 2, Pavia, 27100, Italy

    Eugenio Mira & Silvia Quaglieri

  2. ENT Division, San Raffaele Scientific Institute, via Olgettina 60, Milan, 20132, Italy

    Roberto Teggi

Authors
  1. Eugenio Mira
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Silvia Quaglieri
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Roberto Teggi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eugenio Mira .

Editor information

Editors and Affiliations

  1. Dept of Neurology, San Raffaele Scientific Institute, Milano, Italy

    Bruno Colombo

  2. Dept of ENT, San Raffaele Scientific Institute, Milano, Italy

    Roberto Teggi

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Mira, E., Quaglieri, S., Teggi, R. (2014). Vertigo as a Migraine Precursor. In: Colombo, B., Teggi, R. (eds) Vestibular Migraine and Related Syndromes. Springer, Cham. https://doi.org/10.1007/978-3-319-07022-3_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-07022-3_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-07021-6

  • Online ISBN: 978-3-319-07022-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation