The diagnosis of Meniere’s disease (MD) and vestibular migraine (VM) is primarily based on clinical criteria and their differentiation is often difficult. Currently, there are no known definitive diagnostic tests that can reliably distinguish the two conditions. Patients with MD and patients with VM are treated differently, therefore improving the diagnosis of these two pathologies should avoid errors in management. A systematic review was conducted according to PRISMA guidelines. Medline-Ovid and Embase databases were used to conduct a thorough search of English-language publications dating from 1948 to March 2016. The primary search objective was to identify all papers explicitly comparing MD and VM in order to clarify and validate the diagnosis of these two diseases. A total of 13 articles out of 831 were reviewed. Among other differences, MD showed later age of onset, more hearing loss, tinnitus, aural fullness, abnormal nystagmus, abnormal caloric testing results, abnormal vestibular evoked myogenic potential and endolymphatic hydrops. VM showed more headaches, photophobia, vomiting and aura. Even though differences were noted between the two diseases, only one study focused on assessing the differences between VM, MD and patients fulfilling both diagnostic criteria (MDVM). This study showed no difference between the three groups. Since the introduction of the new International Headache Society and Barany Society criteria for VM, no studies have focused on comparing these three groups. We strongly encourage authors to focus on comparing MD and VM from MDVM in future studies to help adequately distinguish the diagnosis of both diseases.J Clin Med Res. 2017;9(9):733-744doi: https://doi.org/10.14740/jocmr3126w
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机译：美尼尔氏病（MD）和前庭偏头痛（VM）的诊断主要基于临床标准，通常难以区分。当前，没有已知的能够可靠地区分这两种情况的明确诊断测试。 MD患者和VM患者的治疗方法有所不同，因此改善这两种病理的诊断应避免管理错误。根据PRISMA指南进行了系统的审查。使用Medline-Ovid和Embase数据库对1948年至2016年3月的英语出版物进行了全面搜索。主要搜索目标是确定所有明确比较MD和VM的论文，以阐明和验证这两者的诊断疾病。总共831篇文章中的13篇进行了评论。除其他差异外，MD还显示发病年龄晚，听力下降，耳鸣，耳部充盈，眼球异常，热量测试结果异常，前庭诱发肌源性电位异常和内淋巴积水。 VM显示出更多的头痛，畏光，呕吐和先兆。尽管注意到两种疾病之间存在差异，但只有一项研究专注于评估VM，MD和同时符合两种诊断标准（MDVM）的患者之间的差异。这项研究表明三组之间没有差异。自从引入新的国际头痛协会和Barany协会的VM标准以来，没有研究集中在比较这三个群体。我们强烈鼓励作者在以后的研究中重点比较MDVM和MDVM与MD和VM，以帮助充分区分两种疾病的诊断。JClin Med Res。 2017; 9（9）：733-744doi：https://doi.org/10.14740/jocmr3126w
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