Abstract

Migraine is a common neurological disorder whose most readily recognized manifestation is headache. However, many patients with migraine also suffer from vestibular abnormalities such as vertigo or movement associated disequilibrium. So far, origin of vertigo in patients with migraine is still obscured. We described the presentation of migrainous infarction with sudden severe objective vertigo, right facial pain, unilateral pulsating headache and sensory loss on the left extremity. MRI showed hyperintensity in the right upper medulla on T2 weighted image. Electronystagmographic findings were consistent with central vestibulopathy including normal caloric response. Extensive work-up for young age stroke were all negative except for typical migraine history. Based on the history and laboratory findings, we concluded that objective vertigo in this case was likely originated from asymmetric damage of central vestibular system. Migraine should be considered in the differential diagnosis of central vertigo, especially in young woman. Korean Jouranl of Headache 1(1):92-96, 2000