Headache and Sadness: Two Independent Symptoms or Different Spectros of the Same Disease

Abstract

Migraines, dizziness and vertigo are common in the general population, not uncommon, to be interrelated. The interrelation between migraine and vertigo, however, is complex, since they can coexist in the same individual at random, since they are common conditions in the population and, in addition, several syndromes in which vertigo and migraine are present are demonstrated. Vestibular Migraine (MV) is a recently described entity with a broad approach and difficult diagnosis. MV was defined as a nosological entity by IHS only in 2013, in its last consensus of neurological disorders. It is defined by the presence of episodes of headache classified as migraine concomitant to vertiginous symptoms of moderate to severe intensity lasting from 5 minutes to 72 hours. The most accepted diagnostic criteria were proposed by Neuhaser et al. [1], which classify MV as definite or probable. It is well known that it may overlap with other entities, which makes it difficult to diagnose and indicate adequate therapy. Thus, in our study, a literature review was carried out using articles from the last 15 years, which sought to evaluate whether exams such as magnetic resonance imaging of the inner ear, myogenic potential evoked by the vestibule by sound induction (VEMP's) and videonystagmography, may help in Differentiation and also the effectiveness of prophylactic treatment, from the change of the habits of life to the use of drugs indicated for this entity.