Positional Vestibular Migraine: A Distinct Clinical Entity
09-11, 09:00–09:30 (Europe/Istanbul), Equilibirium 3

Description, Outcome Objectives and Background:

Positional Vestibular Migraine (PVM) is an under-recognized variant of vestibular migraine in which symptoms are provoked primarily by head position changes, often mimicking benign paroxysmal positional vertigo (BPPV). Clinicians may misattribute these episodes to canalolithiasis, leading to ineffective repositioning maneuvers and delayed migraine treatment.This lecture will present diagnostic criteria, video illustrations, and recent insights into pathophysiology and neuroimaging in PVM. It will also discuss differential diagnosis from central and peripheral causes of positional vertigo, emphasizing when to suspect PVM in challenging cases.

Outcome Objective

  • To define clinical features distinguishing PVM from typical BPPV

  • To illustrate diagnostic challenges and potential overlaps


To raise awareness of Positional Vestibular Migraine as a unique subtype, enhance diagnostic accuracy, and promote evidence-based management strategies in clinical practice.

To raise awareness of Positional Vestibular Migraine as a unique subtype, enhance diagnostic accuracy, and promote evidence-based management strategies in clinical practice.

Speaker Speaker
Moderator-Speaker Moderator-Speaker

Dr. Vishal Pawar is a distinguished neurologist with over 12 years of experience in diagnosing and managing a wide spectrum of neurological disorders, with a special interest in vestibular medicine and headache disorders. He currently practices at Unicare Medical Center in Dubai and is the founder of a dedicated Vertigo Clinic, where he has successfully treated over 4,000 patients with vestibular disorders since 2019. His expertise spans advanced vestibular diagnostics including videonystagmography, video head impulse testing, and posturography, along with comprehensive vestibular rehabilitation strategies.

Dr. Pawar holds dual Diplomate of National Board (DNB) qualifications in Internal Medicine and Neurology. He further honed his expertise through specialized training in vestibular medicine from the American Institute of Balance (USA) and Yenepoya University (India), and earned the European Board of Neurology Fellowship. He also holds the Specialty Certificate in Neurology from the Royal College of Physicians (UK).

As a clinician-researcher, Dr. Pawar has authored 38 publications in reputed journals, including work on anterior canal BPPV, vestibular migraine, and vascular brainstem compression syndromes. He actively contributed to the INTERACT2 trial, one of the most influential studies on acute intracerebral hemorrhage. His research and clinical work earned him accolades such as the Best Medical Researcher Award (2022), Aster Clinical and Academic Excellence Award (2023), and several recognitions for academic contributions.

Dr. Pawar is deeply committed to education and has delivered over 120 keynote lectures internationally, participated in numerous panel discussions, and conducted instructional courses in central vestibular disorders. He has presented his work at prestigious forums including the Barany Society Meeting, EROC, Dubai Otology, and World Congress of Neurology.

He is affiliated with the Dubai Health Authority, American Academy of Neurology, International Headache Society, and Indian Academy of Neurology. Beyond clinical work, Dr. Pawar is a practitioner of yoga and meditation and an enthusiast of cricket and tennis. His approach integrates holistic care with scientific rigor, reflecting his vision to establish a state-of-the-art vestibular care center in Dubai while contributing meaningfully to global neurotological research and education.

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D.E. physiotherapist, D.O. osteopath.Formed in 1987 by Alain Semont.Vestibular therapist since then.Consultant at the University Institute of Face and Neck in Nice.Co-organiser of the Assises face cou since the beginning.Several presentations at French and international congresses

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