Evidence map›Paper›PMID 40725521›Full record

ReviewJournal of clinical medicine2025

Insights into Vestibular Migraine: Diagnostic Challenges, Differential Spectrum and Therapeutic Horizons.

Marlon Cantillo-Martínez, Joan Lorente-Piera, Raquel Manrique-Huarte, Margarita Sánchez-Del-Río, Nicolás Pérez-Fernández, Carlos Chico-Vila, David Moreno-Ajona, Pablo Irimia

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Hearing-Functioning Problems Across High-Burden Adult Health Conditions in Africa.International journal of environmental research and public health · 2026
    Pooled it
  2. Systemic immune-inflammation index and prognostic nutritional index in vestibular migraine and Meniere's disease: a retrospective comparison with healthy controls.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marlon Cantillo-MartínezDepartment of Neurology, Hospital Occidente de Kennedy, Bogota 111611, Colombia.ORCID 0000-0003-2985-3026
Joan Lorente-PieraDepartment of Otorhinolaryngology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.
Raquel Manrique-HuarteDepartment of Otorhinolaryngology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.
Margarita Sánchez-Del-RíoDepartment of Neurology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.
Nicolás Pérez-FernándezDepartment of Otorhinolaryngology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-1192-5901
Carlos Chico-VilaSchool of Medicine, University of Navarra, 31009 Pamplona, Spain.
David Moreno-AjonaHeadache Group, NIHR King's Clinical Research Facility & SLaM Biomedical Research Centre, King's College London, London SE5 9RS, UK.
Pablo IrimiaDepartment of Neurology, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-7238-0036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vestibular migraine (VM) commonly causes recurrent vertigo, but diagnosing and managing it can be difficult due to symptom overlap with other vestibular and headache disorders. This review provides a comprehensive update on VM, beginning with the diagnostic criteria established by the International Headache Society and the Bárány Society, who have increased awareness of this condition. While the pathophysiology is not yet completely understood, there is evidence of a complex interaction between the nociceptive and vestibular systems. Treatment approaches are primarily empirical and lack robust, high-quality evidence. Often, antihistamines and benzodiazepines are used for quick symptom relief, while the efficacy of triptans is still uncertain. Preventive measures include lifestyle changes, vestibular rehabilitation, oral migraine prophylactics, Botulinum toxin type A, and, more recently, CGRP-targeted therapies. Due to diagnostic uncertainties and the absence of standardised treatment protocols, further research-particularly randomised controlled trials-is crucial for establishing evidence-based guidelines.

Indexed as

dizzinessmigrainepathophysiologyvertigovestibular migraine

Identifiers

PMID40725521
PMCPMC12294935

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.