II. Epidemiology
III. Risk Factors
IV. Diagnosis: Definitive Criteria
- Current or previous history of Migraine Headaches (ICHD-II Criteria)
- Vestibular symptom episodes at least 5 times
- Vestibular symptoms of a least moderate severity lasting at least 1 minute
- Episodes persists for no more than 72 hours
- More than 50% of the attacks are accompanied by Migraine-type symptoms
- Migraine Headache
- Photophobia
- Phonophobia
- Visual aura
V. Management
- See Vertigo Management
- Manage Migraine Headaches
- Avoid Migraine Headache Triggers
- Avoid Tyramine-Vasoactive Amines
- Avoid excessive stress
- Get adequate rest
- Magnesium Supplementation may be effective
- Consider Migraine Prophylaxis (e.g. Nortriptyline, Propranolol, Topiramate)
- Goal to reduce Vestibular Migraines by 50%
- See Migraine Headache Prophylaxis
VI. References
- Staab (2012) Mayo POIM Conference, Rochester
- Muncie (2017) Am Fam Physician 95(3): 154-62 [PubMed]
