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Vestibular Migraine
Aka: Vestibular Migraine
- Epidemiology
- Incidence: 1-2%
- Very common diagnosis in neurotology (tertiary centers)
- Common cause of episodic Vertigo in children
- More common in women (by 3 fold over men)
- Ages affected most commonly: 20 to 50 years old
- Risk Factors
- Family History
- 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
- 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
- References
- Staab (2012) Mayo POIM Conference, Rochester
- Muncie (2017) Am Fam Physician 95(3): 154-62 [PubMed]