Vertigo can be a symptom of an aura, an analogue or equivalent of the headache phase itself, or as an associated symptom to the migraine prodromes. Basilar migraine is a migraine headache in which the aura is associated with clinical manifestations similar to those of VBI. The International Headache Society's diagnostic criteria for basilar migraine9 are shown in I§ble...223-5.. These include vertigo, decreased hearing, tinnitus, bilateral long-tract signs, bilateral visual disturbances, dysarthria, diplopia, and decreased level of consciousness. Vertigo as an aura should develop over 5 to 20 min and should subside within 60 min. Vertigo as a symptom of a migraine aura may precede the headache or may occur in the absence of a headache. The headache is typically occipital in location, throbbing in character, and associated with nausea and vomiting.
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