Differentiating vestibular migraine from Meniere's disease: an analysis of clinical features, videonystagmography, and caloric testing.

ABSTRACT:

Objective

Vestibular migraine (VM) and Meniere's disease (MD) are episodic vertigo disorders with overlapping symptoms, often leading to misdiagnosis. This study aimed to identify a cost-effective diagnostic method to distinguish VM and MD.

Methods

In this retrospective study, 108 VM patients and 65 MD patients were enrolled. Clinical symptoms, interictal videonystagmography (VNG) findings, and caloric test results were analyzed and compared between the two groups.

Results

The VM group had a significantly higher proportion of females (p < 0.001). No significant differences were observed in any features of interictal nystagmus, including spontaneous or positional nystagmus (all p > 0.05). However, the caloric test revealed a significantly higher proportio

SUBMITTER: Zhang X 

PROVIDER: S-EPMC12835259 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature