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Vestibular Migraine Patient Assessment Tool and Handicap Inventory (VM-PATHI) Online Calculator

Vestibular migraine can cause more than headaches. It can also cause dizziness, motion sensitivity, balance problems, brain fog, light or sound sensitivity, and trouble with daily activities. The VM-PATHI asks how vestibular migraine symptoms affect your life. Your score does not give a diagnosis, but it can help show how much these symptoms may be affecting you and help guide a conversation with a healthcare provider.

Why use the VM-PATHI?

The Vestibular Migraine Patient Assessment Tool and Handicap Inventory (VM-PATHI) helps clinicians understand how much vestibular migraine symptoms are affecting a patient’s daily life. It was designed specifically for people with vestibular migraine and looks at areas such as headache-related symptoms, motion sensitivity, anxiety, thinking, balance, dizziness, and feeling overwhelmed. The VM-PATHI does not diagnose vestibular migraine, but it can provide useful context when vestibular migraine is suspected or already diagnosed. It can also be used to track patient-reported change over time.

Common Clinical Uses

Clinicians may use the VM-PATHI to:

  • Assess vestibular migraine symptom burden

  • Understand how symptoms affect daily function and quality of life

  • Identify areas such as motion sensitivity, balance, cognition, or emotional impact

  • Support baseline documentation and care planning

  • Guide conversations about vestibular migraine management

  • Measure patient-reported change over time

  • Document symptom progress during treatment

VM-PATHI Online Calculator

This online calculator can help patients and clinicians track symptom burden over time, but it should not be used by itself to diagnose vestibular migraine or choose treatment.

Instructions: Please answer each item based on how much of a problem it has been for you. Choose one answer for each item. Your total score will appear after all 25 items are completed.
VM-PATHI Score
Completed: 0/25
0 out of 100
Complete all 25 questions to view the score.
0 100
Your score will appear after all questions are completed.

Looking for a printable version?

Our design team has made improvements to the visual design of the standard questionnaire and we are providing this free of charge. Download the printable PDF version of the Vestibular Migraine Patient Assessment Tool and Handicap Inventory (VM-PATHI).