Although the patho-physiological mechanism is currently considered to be different between Meniere’s disease (MD) and migraine, the clinical overlap of vestibular-cochlear symptoms in patients meeting criteria for migrainous vertigo (MV) and MD remains an important unsolved issue. In the past three years, 53 patients (33 women and 20 men) were diagnosed with definite MD. Among them, two patients’ (one man and one woman) vertigo also fulfilled the diagnostic criteria of definite MV. The first patient, MD developing from MV, which was associated with migraine without aura; and the second patient, MD as auras of basilar-type migraine. Both disease courses contained both definite MD and definite MV, and neither could be excluded. We hope to address whether definite MD with definite MV can be ascribed to “migrainous MD” on account of the diagnostic particularity, which is not attributable to another type of central vertigo. (Rawal Med J 2011;36:322-325).
Key words: Meniere’s disease, migrainous vertigo, migraine without aura, basilar-type migraine, central vertigo.