Vestibular Migraine: Clinical Challenges and Opportunities for Multidisciplinarity

Table 1

Vestibular migraine, MD, and BPPV: distinctive features.

	VM	MD	BPPV
Age	Always (peak 4th decade)	3rd–5th decade	5th decade
Sex	F 3 : 1	F/M 1 : 1 or 1 : 2 M	F 2 : 1
Family history	++	+	+
Vertigo	Polysymptomatic, monosymptomatic, or positional	Monosymptomatic	Positional
Attacks duration	Minutes to days	20 minutes to 12 hours	Seconds, but recurrent positional paroxysms for days or weeks
Phono/photophobia	++	+	−
Headache	++	+	+−
Aura	+	−	−
Hearing loss	+	+++	−
Progressive hearing loss	−+	+++	−