{"id":401,"date":"2021-01-04T16:51:58","date_gmt":"2021-01-04T23:51:58","guid":{"rendered":"https:\/\/neurotucson.fm1.dev\/ear-hearing\/ear-specific-dizziness\/migraine-associated-vertigo-vestibular-migraine\/"},"modified":"2021-02-02T17:56:11","modified_gmt":"2021-02-03T00:56:11","slug":"migraine-associated-vertigo-vestibular-migraine","status":"publish","type":"page","link":"https:\/\/neurotucson.com\/ear-hearing\/ear-specific-dizziness\/migraine-associated-vertigo-vestibular-migraine\/","title":{"rendered":"Migraine Associated Vertigo (Vestibular Migraine)"},"content":{"rendered":"\n

Migraine is a neurological phenomenon that can manifest a variety of signs and symptoms including headaches, visual changes\/blindness, limb weakness, sensory disturbances (numbness\/tingling), mid-face pain\/pressure\/nasal congestion mimicking sinusitis and dizziness. Specific symptoms are likely based on the region(s) of the brain involved during migraine. Dizziness from migraines can occur independent of headaches and typically include positional vertigo (with negative Dix-Hallpike results for\u00a0Benign Paroxysmal Positional Vertigo<\/a>), chronic imbalance, motion sensitivity or sometimes-prolonged vertigo (recurrent and lasting from several hours to three days). Vertigo is the feeling that you or the world is spinning when you are not actually moving.<\/p>\n\n\n\n

There is no test specific for the diagnosis of vestibular migraine. Therefore, a general medical evaluation by your internist must be performed to rule out cardiovascular, metabolic and medication-related sources prior to being seen by Ear & Hearing personnel at the Center for Neurosciences. Our approach to patients with migraine associated dizziness is to take a careful otologic\/neurotologic medical history, perform inner ear testing to rule out audiologic and vestibular dysfunction, obtain MR brain imaging with Internal Auditory Canal protocol to rule out retrocochlear structural pathologies and prescribe first-line anti-migraine medications (for up to three months) to patients that appear to have this diagnosis. Identifying and eliminating food triggers as well as personal stress management are also vital to treatment success. Should there be a combination of inner ear dysfunction and migraine contributing to an individual patient\u2019s symptoms, both may be managed separately.<\/p>\n\n\n\n

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