The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kunel’skaya N.L.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Zaoeva Z.O.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Baybakova E.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Vasilchenko N.I.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Revazishvili S.D.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Meniere’s disease and vestibular migraine: differential diagnostics and treatment

Authors:

Kunel’skaya N.L., Zaoeva Z.O., Baybakova E.V., Chugunova M.A., Vasilchenko N.I., Revazishvili S.D.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2025;90(1): 57‑63

DOI: 10.17116/otorino20259001157

Views: 664

Downloaded: 7

Buy for 300₽
Contact the author
Table of contents

MENIERE’S DISEASE AND VESTIBULAR MIGRAINE: DIFFERENTIAL DIAGNOSTICS AND TREATMENT
MENIERE’S DISEASE AND VESTIBULAR MIGRAINE: DIFFERENTIAL DIAGNOSTICS AND TREATMENT

To cite this article:

Kunel’skaya NL, Zaoeva ZO, Baybakova EV, Chugunova MA, Vasilchenko NI, Revazishvili SD. Meniere’s disease and vestibular migraine: differential diagnostics and treatment. Russian Bulletin of Otorhinolaryngology. 2025;90(1):57‑63. (In Russ.)
https://doi.org/10.17116/otorino20259001157

Подписка 2025-2 (Russian Bulletin of Otorhinolaryngology)
 
МСФ на ЯМ
Close metadata
Recommended articles:
Bila­teral vestibulopathy and sensorineural hearing loss in necrobiotic xanthogranuloma, multiple myeloma and amiloidosis. Russian Bulletin of Otorhinolaryngology. 2024;(2):82-87
Cochleovestibular mani­festations in coro­navirus infe­ction. Russian Bulletin of Otorhinolaryngology. 2024;(3):18-23
Asse­ssment of the risk of hearing loss in children with cystic fibrosis. Russian Bulletin of Otorhinolaryngology. 2024;(3):29-35
Analysis of headache in children’s patients, its rela­tionship with chro­nic rhinosinusitis at the sana­torium-resort stage of treatment. Russian Bulletin of Otorhinolaryngology. 2024;(4):37-41
Tinnitus features and masking in patients with normal hearing and with high frequency hearing loss. Russian Bulletin of Otorhinolaryngology. 2024;(5):4-9
Features of primary forms of headache in multiple scle­rosis. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(6):70-73
Anxiety diso­rders as como­rbid conditions in neuropsychiatric diseases in children. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(7):56-64
Oxidative stress in the pathogenesis of chro­nic headache. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(10):35-40
Ototoxicity caused by anti-epileptic drugs. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12):14-19
A case of rare here­ditary Siddiqi syndrome with novel neuropsychiatric signs. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12):171-176

The article contains main information concerning Meniere’s disease and vestibular migraine — two the most similar in clinical manifestations cochleovestibulopathies. It also examines the differences between them in the relation of audiological and vestibular manifestations, reflects the auditory and vestibular function according to the results of instrumental examination, in order to facilitate the differential diagnostics between the two disorders. Possible options and tactics for treating Meniere’s disease and vestibular migraine are highlighted.

Keywords:

Meniere’s disease
vestibular migraine
sensorineural hearing loss
vertigo
headache

Authors:

Kunel’skaya N.L.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Zaoeva Z.O.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Baybakova E.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Vasilchenko N.I.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Revazishvili S.D.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Received:

29.06.2024

Accepted:

16.10.2024

List of references:

  1. Tabet P, Saliba I. Meniere’s Disease and Vestibular Migraine: Updates and Review of the Literature. Journal of Clinical Medicine Research. 2017;9(9):733-744.  https://doi.org/10.14740/jocmr3126w
  2. Vuralli D, Yildirim F, Akcali DT, Ilhan MN, Goksu N, Bolay H. Visual and Postural Motion-Evoked Dizziness Symptoms Are Predominant in Vestibular Migraine Patients. Pain Medicine. 2018;19(1):178-183.  https://doi.org/10.1093/pm/pnx182
  3. Hornibrook J. Saccular otoconia as a cause of Ménière’s disease: hypothesis based on two theories. The Journal of Laryngology and Otology. 2018;132(9):771-774.  https://doi.org/10.1017/S0022215118001366
  4. Goebel JA. 2015 Equilibrium Committee Amendment to the 1995 AAO-HNS Guidelines for the Definition of Ménière’s Disease. Otolaryngology — Head and Neck Surgery. 2016;154(3):403-404.  https://doi.org/10.1177/0194599816628524
  5. Kunel’skaya NL, Diab HM, Popadyuk VI, Garov EV, Kuzovkov VE, Zaytseva OV, Machalov AS, Lilenko SV, Levina YuV, Savel’eva EE. Klinicheskie rekomendacii. Bolezn’ Men’era. Nacional’naya medicinskaya associaciya otorinolaringologov. 2024. Accessed July 1,2024. (In Russ.). https://cr.minzdrav.gov.ru/schema/18_2
  6. Neff BA, Staab JP, Eggers SD, Carlson ML, Schmitt WR, Van Abel KM, Worthington DK, Beatty CW, Driscoll CL, Shepard NT. Auditory and vestibular symptoms and chronic subjective dizziness in patients with Ménière’s disease, vestibular migraine, and Ménière’s disease with concomitant vestibular migraine. Otology and Neurotology. 2012;33(7):1235-1244. https://doi.org/10.1097/MAO.0b013e31825d644a
  7. Lee CS, Paparella MM, Margolis RH, Le C. Audiological profiles and Menière’s disease. Ear Nose and Throat Journal. 1995;74(8):527-532.  https://doi.org/10.1177/014556139507400807
  8. Tabet P, Elblidi A, Saliba I. Vestibular Migraine versus Méniere’s Disease: Diagnostic Utility of Electrocochleography. Audiology Research. 2022;13(1):12-22.  https://doi.org/10.3390/audiolres13010002
  9. Yang S, Zhu H, Zhu B, Wang H, Chen Z, Wu Y, Chen B, Shi H, Li Y, Zou J, Yin S. Correlations Between the Degree of Endolymphatic Hydrops and Symptoms and Audiological Test Results in Patients With Menière’s Disease: A Reevaluation. Otology and Neurotology. 2018;39(3):351-356.  https://doi.org/10.1097/MAO.0000000000001675
  10. Sun W, Guo P, Ren T, Wang W. Magnetic resonance imaging of intratympanic gadolinium helps differentiate vestibular migraine from Ménière disease. Laryngoscope. 2017;127(10):2382-2388. https://doi.org/10.1002/lary.26518
  11. Young AS, Lechner C, Bradshaw AP, MacDougall HG, Black DA, Halmagyi GM, Welgampola MS. Capturing acute vertigo: A vestibular event monitor. Neurology. 2019;92(24):e2743-e2753. https://doi.org/10.1212/WNL.0000000000007644
  12. Yilmaz MS, Egilmez OK, Kara A, Guven M, Demir D, Genc Elden S. Comparison of the results of caloric and video head impulse tests in patients with Meniere’s disease and vestibular migraine. Open Access Macedonian Journal of Medical Sciences. 2021;278(6):1829-1834. https://doi.org/10.1007/s00405-020-06272-5
  13. Hannigan IP, Welgampola MS, Watson SRD. Dissociation of caloric and head impulse tests: a marker of Meniere’s disease. Journal of Neurology. 2021;268(2):431-439.  https://doi.org/10.1007/s00415-019-09431-9
  14. Young AS, Nham B, Bradshaw AP, Calic Z, Pogson JM, D’Souza M, Halmagyi GM, Welgampola MS. Clinical, oculographic, and vestibular test characteristics of vestibular migraine. Cephalalgia. 2021;41(10):1039-1052. https://doi.org/10.1177/03331024211006042
  15. Salviz M, Yuce T, Acar H, Taylan I, Yuceant GA, Karatas A. Diagnostic value of vestibular-evoked myogenic potentials in Ménière’s disease and vestibular migraine. Journal of Vestibular Research. 2016;25(5-6):261-266.  https://doi.org/10.3233/VES-160567
  16. Murofushi T, Tsubota M, Suizu R, Yoshimura E. Is Alteration of Tuning Property in Cervical Vestibular-Evoked Myogenic Potential Specific for Ménière’s Disease? Frontiers in Neurology. 2017;8:193.  https://doi.org/10.3389/fneur.2017.00193
  17. Rizk HG, Liu YF, Strange CC, Van Ausdal CH, English RC, McRackan TR, Meyer TA. Predictive Value of Vestibular Evoked Myogenic Potentials in the Diagnosis of Menière’s Disease and Vestibular Migraine. Otology and Neurotology. 2020;41(6):828-835.  https://doi.org/10.1097/MAO.0000000000002636
  18. Maryenko IP. Modern view on the problem of diagnosis and treatment of vestibular migraine. Nevrologiya i nejroxirurgiya. Vostochnaya Evropa. 2022;12(4):429-437. (In Russ.). https://doi.org/10.34883/PI.2022.12.4.036
  19. Greenberg SL, Nedzelski JM. Medical and noninvasive therapy for Meniere’s disease. Otolaryngologic Clinics of North America. 2010;43(5):1081-1090. https://doi.org/10.1016/j.otc.2010.05.005
  20. Phillips JS, Westerberg B. Intratympanic steroids for Ménière’s disease or syndrome. The Cochrane Database of Systematic Reviews. 2011;(7):CD008514. https://doi.org/10.1002/14651858.CD008514.pub2
  21. Palchun VT, Guseva AL, Levina YV. Méniére’s disease: epidemiology, etiology, diagnostics, management. Consilium Medicum. 2016;18(3):107-116. (In Russ.).
  22. Neuhauser H, Leopold M, von Brevern M, Arnold G, Lempert T. The interrelations of migraine, vertigo, and migrainous vertigo. Neurology. 2001;56(4):436-441.  https://doi.org/10.1212/wnl.56.4.436
  23. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.  https://doi.org/10.1177/0333102417738202
  24. Dieterich M, Obermann M, Celebisoy N. Vestibular migraine: the most frequent entity of episodic vertigo. Journal of Neurology. 2016;263(Suppl 1):S82-S89.  https://doi.org/10.1007/s00415-015-7905-2
  25. Shi S, Wang D, Ren T, Wang W. Auditory Manifestations of Vestibular Migraine. Frontiers in Neurology. 2022;13:944001. https://doi.org/10.3389/fneur.2022.944001
  26. Anankin YM. Vestibular migraine: the prevalence and features of clinical manifestations. Izvestiya Rossijskoj voenno-medicinskoj akademii. 2019;38(S1-1):9-12. (In Russ.).
  27. Cho SJ, Kim BK, Kim BS, Kim JM, Kim SK, Moon HS, Song TJ, Cha MJ, Park KY, Sohn JH. Vestibular migraine in multicenter neurology clinics according to the appendix criteria in the third beta edition of the International Classification of Headache Disorders. Cephalalgia. 2016;36(5):454-462.  https://doi.org/10.1177/0333102415597890
  28. Espinosa-Sanchez JM, Lopez-Escamez JA. New insights into pathophysiology of vestibular migraine. Frontiers in Neurology. 2015;6:12.  https://doi.org/10.3389/fneur.2015.00012
  29. Bisdorff AR. Management of vestibular migraine. Therapeutic Advances in Neurological Disorders. 2011;4(3):183-191.  https://doi.org/10.1177/1756285611401647
  30. Akarachkova ES, Vershinina SV, Kotova OV, Ryabokon’ IV. Role of magnesium in headache pathogenesis in children and adolescents. Pediatricheskaya farmakologiya. 2013;10(2):57-62. (In Russ.). https://doi.org/10.15690/pf.v10i2.645
  31. Villar-Martinez MD, Goadsby PJ. Vestibular migraine: an update. Current Opinion in Neurology. 2024;37(3):252-263.  https://doi.org/10.1097/WCO.0000000000001257
  32. Tabeeva GR, Azimova JuJe, Zamergrad MV. Sovremennaja koncepcija vestibuljarnoj migreni (diskussija). 2012. Accessed July 1,2024. (In Russ.). https://www.mediasphera.ru/issues/zhurnal-nevrologii-i-psikhiatrii-im-s-s-korsakova/2017/8/downloads/ru/1199772982017081059
  33. Brantberg K, Trees N, Baloh RW. Migraine-associated vertigo. Acta Otolaryngologica. 2005;125(3):276-279.  https://doi.org/10.1080/00016480510003165
  34. Saberi A, Nemati S, Amlashi TT, Tohidi S, Bakhshi F. Phonophobia and migraine features in patients with definite meniere’s disease: Pentad or triad/tetrad? Acta Otolaryngologica. 2020;140(7):548-552.  https://doi.org/10.1080/00016489.2020.1749299
  35. Teggi R, Colombo B, Albera R, Asprella Libonati G, Balzanelli C, Batuecas Caletrio A, Casani A, Espinoza-Sanchez JM, Gamba P, Lopez-Escamez JA, Lucisano S, Mandalà M, Neri G, Nuti D, Pecci R, Russo A, Martin-Sanz E, Sanz R, Tedeschi G, Torelli P, Vannucchi P, Comi G, Bussi M. Clinical Features, Familial History, and Migraine Precursors in Patients With Definite Vestibular Migraine: The VM-Phenotypes Projects. Headache. 2018;58(4):534-544.  https://doi.org/10.1111/head.13240
  36. Cohen JM, Bigal ME, Newman LC. Migraine and vestibular symptoms—identifying clinical features that predict «vestibular migraine». Headache. 2011;51(9):1393-1397. https://doi.org/10.1111/j.1526-4610.2011.01934.x
  37. Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, Bisdorff A, Versino M, Evers S, Newman-Toker D. Vestibular migraine: diagnostic criteria. Journal of Vestibular Research. 2012;22(4):167-172.  https://doi.org/10.3233/VES-2012-0453
  38. Hwang JH, Tsai SJ, Liu TC, Chen YC, Lai JT. Association of Tinnitus and Other Cochlear Disorders With a History of Migraines. JAMA Otolaryngology — Head and Neck Surgery. 2018;144(8):712-717.  https://doi.org/10.1001/jamaoto.2018.0939
  39. Ma X, Ke YJ, Jing YY, Diao TX, Yu LS. Migraine and Cochlear Symptoms. Current Medical Science. 2021;41(4):649-653.  https://doi.org/10.1007/s11596-021-2410-6
  40. Moshtaghi O, Ghavami Y, Mahboubi H, Sahyouni R, Haidar Y, Ziai K, Lin HW, Djalilian HR. Migraine-Related Aural Fullness: A Potential Clinical Entity. Otolaryngology — Head and Neck Surgery. 2018;158(1):100-102.  https://doi.org/10.1177/0194599817739255
  41. Radtke A, von Brevern M, Neuhauser H, Hottenrott T, Lempert T. Vestibular migraine: long-term follow-up of clinical symptoms and vestibulo-cochlear findings. Neurology. 2012;79(15):1607-1614. https://doi.org/10.1212/WNL.0b013e31826e264f
  42. Yaman H, Polat B, Şerbetçioğlu MB. Can Auditory and Vestibular Findings Differentiate Vestibular Migraine and Meniere’s Disease? Journal of Audiology and Otology. 2023;27(2):104-109.  https://doi.org/10.7874/jao.2022.00465
  43. Xue J, Ma X, Lin Y, Shan H, Yu L. Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss. Audiology and Neuro-Otology. 2020;25(4):209-214.  https://doi.org/10.1159/000506147
  44. Martines F, Dispenza F, Montalbano C, Priola R, Torrente A, La Gumina R, Brighina F, Galletti F, Salvago P. Comparison of Electrocochleography and Video Head Impulse Test findings in Vestibular Migraine and Ménière Disease: A Preliminary Study. The Journal of International Advanced Otology. 2020;16(2):183-189.  https://doi.org/10.5152/iao.2020.8165
  45. Baba A, Takasaki K, Tanaka F, Tsukasaki N, Kumagami H, Takahashi H. Amplitude and area ratios of summating potential/action potential (SP/AP) in Meniere’s disease. Acta Otolaryngologica. 2009;129(1):25-29.  https://doi.org/10.1080/00016480701724888
  46. Al-Momani MO, Ferraro JA, Gajewski BJ, Ator G. Improved sensitivity of electrocochleography in the diagnosis of Meniere’s disease. International Journal of Audiology. 2009;48(11):811-819.  https://doi.org/10.3109/14992020903019338
  47. Shepard NT. Differentiation of Ménière’s disease and migraine-associated dizziness: a review. Journal of the American Academy of Audiology. 2006;17(1):69-80.  https://doi.org/10.3766/jaaa.17.1.7
  48. Roceanu A, Allena M, De Pasqua V, Bisdorff A, Schoenen J. Abnormalities of the vestibulo-collic reflex are similar in migraineurs with and without vertigo. Cephalalgia. 2008;28(9):988-990.  https://doi.org/10.1111/j.1468-2982.2008.01641.x
  49. Gorski LP, Silva AMD, Cusin FS, Cesaroni S, Ganança MM, Caovilla HH. Body balance at static posturography in vestibular migraine. Brazilian Journal of Otorhinolaryngology. 2019;85(2):183-192.  https://doi.org/10.1016/j.bjorl.2017.12.001
  50. Zamergrad MV. Vestibular migraine treatment. Effektivnaya farmakoterapiya. 2021;17(29):32-36. (In Russ.). https://doi.org/10.33978/2307-3586-2021-17-29-32-36
  51. Illarionova EM, Gribova NP. The effect of external trigeminal nerve stimulation on the vestibular component correction in patients with vestibular migraine. RMZh. Medicinskoe obozrenie. 2021;5(10):683-686. (In Russ.). https://doi.org/10.32364/2587-6821-2021-5-10-683-686
  52. Smyth D, Britton Z, Murdin L, Arshad Q, Kaski D. Vestibular migraine treatment: a comprehensive practical review. Brain. 2022;145(11):3741-3754. https://doi.org/10.1093/brain/awac264
  53. Illarionova EM, Gribova NP. Vestibular Rehabilitation in Vestibular Migraine. Vestnik vosstanovitel`noj mediciny`. 2021;20(5):47-52. (In Russ.). https://doi.org/10.38025/2078-1962-2021-20-5-47-52
  54. Li AV, Parkhomenko EV, Barinov AN. Vestibular migraine: diagnostic difficulties and treatment optimization. Zhurnal nevrologii i psixiatrii imeni SS. Korsakova. 2017;117(8):59-66. (In Russ.). https://doi.org/10.17116/jnevro20171178159-66

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.