Care Gaps and Recommendations in Vestibular Migraine: An Expert Panel Summit.
Publication/Presentation Date
1-1-2021
Abstract
Vestibular migraine (VM) is an increasingly recognized pathology yet remains as an underdiagnosed cause of vestibular disorders. While current diagnostic criteria are codified in the 2012 Barany Society document and included in the third edition of the international classification of headache disorders, the pathophysiology of this disorder is still elusive. The Association for Migraine Disorders hosted a multidisciplinary, international expert workshop in October 2020 and identified seven current care gaps that the scientific community needs to resolve, including a better understanding of the range of symptoms and phenotypes of VM, the lack of a diagnostic marker, a better understanding of pathophysiologic mechanisms, as well as the lack of clear recommendations for interventions (nonpharmacologic and pharmacologic) and finally, the need for specific outcome measures that will guide clinicians as well as research into the efficacy of interventions. The expert group issued several recommendations to address those areas including establishing a global VM registry, creating an improved diagnostic algorithm using available vestibular tests as well as others that are in development, conducting appropriate trials of high quality to validate current clinically available treatment and fostering collaborative efforts to elucidate the pathophysiologic mechanisms underlying VM, specifically the role of the trigemino-vascular pathways.
Volume
12
First Page
812678
Last Page
812678
ISSN
1664-2295
Published In/Presented At
Mallampalli, M. P., Rizk, H. G., Kheradmand, A., Beh, S. C., Abouzari, M., Bassett, A. M., Buskirk, J., Ceriani, C. E. J., Crowson, M. G., Djalilian, H., Goebel, J. A., Kuhn, J. J., Luebke, A. E., Mandalà, M., Nowaczewska, M., Spare, N., Teggi, R., Versino, M., Yuan, H., Zaleski-King, A., … Godley, F. (2022). Care Gaps and Recommendations in Vestibular Migraine: An Expert Panel Summit. Frontiers in neurology, 12, 812678. https://doi.org/10.3389/fneur.2021.812678
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35046886
Department(s)
Administration and Leadership
Document Type
Article