The headache and vertigo clinic provides services and treatments to patients suffering from vestibular migraine. This neural system disorder produces recurring dizziness (or vertigo) in migraine sufferers.
Migraine headaches are a prevalent neurological condition. Common migraines are typified by a moderate to severe throbbing or pounding headache. Vestibular migraines differ from common migraines in that they may or may not involve headaches in combination with other vestibular symptoms such as imbalance, vertigo, nausea and vomiting.
Vestibular migraine has not been fully understood but has been assumed to result from overlapping pathways that modulate pain and vestibular inputs into the brain. There can be various triggers for migraine headaches that can cause a vestibular migraine. Visit our Headache and Vertigo Clinic in Yeshwanthpur for the best treatment.
Vestibular migraine symptoms
Vestibular migraines can display the combinations of the following symptoms:
Migraine headache symptoms, like:
Nausea and vomiting
Severe, throbbing headache, usually on one side of the head
Sensitivity to smells, light, and noise
Vestibular symptoms like:
Unsteadiness and loss of balance
Vertigo (dizziness), usually lasting minutes to hours, but sometimes days
Sensitivity to motion
It should be noted that subjective hearing symptoms like fullness, ringing, and pressure in one or both ears are common, but a prominent hearing loss should raise suspicion for an inner ear disorder such as Méniére’s disease.
In the case of vestibular migraine, the individual may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times. These symptoms can occur with or without an actual headache.
What can cause a vestibular migrane?
Vestibular migraines, like other migraine syndromes, tend to be generational. Even though science has not clarified the complex mechanisms of migraine completely, it is known that women tend to suffer more from the condition than men. Symptoms are also noted to worsen around menstruation.
In addition to all of that, people who are vulnerable to vestibular migraines might also experience episodes after migraine triggers, including MSG, altered sleep patterns, menstrual cycle and food such as ripened or aged cheese, chocolate, and red wine. Book an appointment to know more about the symptoms and treatments.
Diagnosis of vestibular migraine
Since most people who suffer from vestibular migraine do not have headaches and vestibular symptoms occurring simultaneously, the onset of dizziness by itself can make it challenging to reach a diagnosis. Other diagnostic considerations that are similar to vestibular migraine include:
Benign paroxysmal positional vertigo (BPPV)
Transient ischemic attack (TIA) or “mini-stroke”
It is common for Méniére’s disease, vestibular migraine, and BPPV to exist in combination, making diagnosis and treatment a lot more challenging.
Treatment for vestibular migraine
The treatment for vestibular migraine is similar to that for other headaches caused by migraines. Meclizine or other abortive medications that are used to suppress the vestibular system should be used to the minimum, only occasionally as required, during an episode, for instance.
The following are some of the medications that a doctor might recommend:
Calcium channel blockers
Serotonin or serotonin/norepinephrine reuptake inhibitors (SSRIs or SNRIs)
Individuals that suffer from vestibular migraines might b able to reduce the intensity and number of episodes by maintaining a regular meal and sleep schedule, avoiding triggers, managing stress, and exercising regularly.