Vestibular migraine (VM) is an underrecognized disorder characterized by episodic vertigo, often accompanied by headache. Despite its substantial prevalence and disease burden, its metabolic features remain poorly characterized, and serum biomarkers for diagnosis or activity assessment are lacking....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for current audiology or vestibular clinical practice; candidate biomarkers are experimental and not validated for diagnostic use—this is early-stage translational research.
Reliable biomarkers for vestibular migraine would transform diagnosis from a purely symptom-based process to an objective one, potentially reducing the diagnostic odyssey for patients with episodic dizziness.
- 01Combined metabolomics (chemical profiling of body fluids) and machine learning to identify vestibular migraine biomarkers.
- 02Vestibular migraine is currently diagnosed by clinical criteria alone, with no validated objective test.
- 03Study identified metabolic signatures distinguishing vestibular migraine from controls or other diagnoses.
- 04Machine-learning models improve biomarker pattern recognition but require external validation before clinical use.
- 05Published in Journal of Proteome Research; early-stage translational science.
Metabolomic profiling combined with machine learning can identify metabolic signatures specific to vestibular migraine.
studypartially supportedCandidate biomarkers derived from metabolomics may aid in the diagnosis of vestibular migraine.
studyunclear- PMID
- 42918111
- DOI
- 10.1021/acs.jproteome.6c00143.
- Journal
- Journal of Proteome Research
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with vestibular migraine compared to controls or other vestibular/headache disorder patients
- Intervention
- Metabolomic profiling with machine-learning analysis
- Comparator
- Non-vestibular migraine controls or other vestibular disorder patients
Primary outcomes
Identification of metabolic signatures for vestibular migraine; Performance of candidate biomarker panel for diagnosis