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What Is A Vestibular Migraine?
Vestibular migraine episodes involve vertigo and can last anywhere from a few minutes to several days. They can leave you feeling dizzy and lightheaded, especially when you move your head.
Overview
A vestibular migraine refers to an episode of vertigo in someone who has a history of migraines. People with vertigo feel like they, or objects around them, are moving when they're actually not. "Vestibular" refers to the system in your inner ear that controls your body's balance.
Migraines are often associated with painful headaches, but vestibular migraines are different because the episodes commonly involve no headache at all. Many people who get classic or basilar migraines (with auras) also experience vestibular migraines, but not all people.
Vestibular migraines may last only a few seconds or minutes, but sometimes they persist for days. Rarely do they last longer than 72 hours. In most cases, symptoms last for a few minutes to several hours. In addition to vertigo, you may feel off-balance, dizzy, and light-headed. Moving your head may cause those symptoms to worsen.
A vestibular migraine occurs in about 1 percent of the population. It's the most common cause of spontaneous vertigo episodes. Children may also experience episodes similar to vestibular migraines. In children, it's known as "benign paroxysmal vertigo of childhood." Those children are more likely than others to experience migraines later in life.
The main symptom of a vestibular migraine is an episode of vertigo. Usually it happens spontaneously. You may also experience symptoms including:
Learn more about migraine symptoms »
Doctors aren't certain what causes vestibular migraines, but some believe that the abnormal release of chemicals in the brain plays a role.
Some of the same factors that triggers other kinds of migraines can trigger a vestibular migraine, including:
Certain foods and drinks can also trigger a vestibular migraine:
Women are at a greater risk for getting vestibular migraines. Doctors suspect that vestibular migraines run in families, but studies have not yet proven that link.
Vestibular migraines can be tricky to diagnose because there's not a clear-cut test for it. Instead, your doctor will discuss your symptoms and history and consider factors laid out by guidelines in the International Classification of Headache Disorders:
In order to treat you best, your doctor will want to rule out these other conditions that could be causing the symptoms:
The same drugs used for vertigo can provide relief from vestibular migraine episodes. These drugs help treat dizziness, motion sickness, nausea and vomiting, and other symptoms.
If you frequently experience episodes, your doctor may prescribe the same drugs that help prevent other kinds of migraines. Those drugs include:
Keep reading: A guide to migraine medications »
You can reduce the chance that you will get a migraine by avoiding the foods and drinks that may trigger them. Pay attention to what you've eaten; you may notice a pattern. Keeping a food diary can help you identify something that upsets your body and leads to an episode.
Lifestyle changes can also help:
How to get rid of a migraine: A step-by-step guide »
There is no cure for migraines. A German study from 2012 looked at people with vestibular migraines over a period of almost 10 years. The researchers found that over time, the frequency of vertigo lessened in 56 percent of cases, increased in 29 percent, and was about the same in 16 percent.
People who get vestibular migraines are also more likely to get motion sickness and are at a greater risk for ischemic strokes. Talk to your doctor about treatment and prevention of those conditions, as well as any other concerns you may have.
What Is Vestibular Neuritis? Symptoms, Causes, Diagnosis, Treatment, And Prevention
If you've been diagnosed with vestibular neuritis, the main treatment is supportive care to reduce symptoms, since there is no cure. Your doctor may be able to address the underlying infection with an antiviral drug such as acyclovir (Zovirax) or a corticosteroid like prednisone (Deltasone), both of which can treat herpes simplex and herpes zoster viruses.
Doctors can also treat the immediate symptoms of vestibular neuritis, such as nausea and dizziness, with over-the-counter or prescription medications. Often, inner ear infections don't cause any permanent damage if they're treated in time. Medication OptionsThere are several medications available that can treat the acute symptoms of nausea and dizziness, including:
Dehydration, from vomiting, can be treated with intravenous fluids. Vestibular Physical TherapyIf you've been experiencing symptoms like dizziness for longer than a few weeks, your doctor may recommend that you start a balance rehabilitation program. These exercises can help your brain adjust to any lingering changes in balance.
Some examples of exercises may include:
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