A vestibular migraine is a nervous system problem that causes repeated dizziness (or vertigo) in people who have a history of migraine symptoms.
Vestibular migraines don’t always cause headaches. The main symptom is a paroxysmic dizziness. Vestibular refers to the inner ear, which controls hearing and balance.
The symptoms are:
Dizziness and balance problems may occur without the presence of a migraine.Other times, the vertigo symptoms happen before, during, or after the headache.
Studies of the general population, as well as those performed in specialist clinics, report an association between migraine and vertigo beyond its accidental occurrence. Women are mostly affected, that is 25% of women aged 35 years and about 35% of migraine sufferers have vestibular symptoms at some point.
Assessment and Management
Migraines and its variants must be treated with a combination of medicine and rehabilitation techniques so that the outcome for patients is complete and long lasting. Patients with migraine-related recurrent dizziness are examined in collaboration with the otolaryngologist and neurologist.
After an initial, detailed history report a series of examinations is performed to determine a plan of care and optimal treatment.
Most effective in treating these patients is a combination of medication, vestibular rehabilitation and lifestyle modifications.
Acupuncture has been proven to contribute to the treatment of migraine, by reducing the intensity and frequency of the symptoms.
Acupuncture is considered to be particularly effective (by 80%) in relieving tension headaches that precede the migraine crisis. The duration of acupuncture treatment varies depending on the severity of the condition and the individual.
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