![]() ![]() The clinical presentation of vestibular symptoms that often correlate with migraine includes-but is not limited to-dizziness motion intolerance with respect to head, eyes, and/or body spontaneous vertigo attacks (often accompanied by nausea and vomiting) diminished eye focus with photosensitivity sound sensitivity and tinnitus balance loss and ataxia cervicalgia (neck pain) with associated muscle spasms in the upper cervical spine musculature confusion with altered cognition spatial disorientation and anxiety/panic. 2,3 Interestingly enough, some of the analgesic medications for the pain do not resolve the dizziness and medications for the dizziness often do not resolve the painful headache. Finally, diet modifications and certain medications used in migraine management may ameliorate or prevent the vestibular component of the migraine. Hormonal fluctuations, foods, and weather changes (barometric-pressure variations) often exacerbate both conditions. Many of the food and environmental triggers for migraineurs (see box on page 2) are the same as those for patients with non-migrainous vestibular dysfunction. Some interesting parallels exist between migraine and non-migrainous vestibular dysfunction. This may be prior to, during, after, or totally independent of their migraine event. Wackym on his You Tube Channel.Īpproximately 40% of migraine patients have some accompanying vestibular syndrome involving disruption in their balance and/or dizziness at one time or another. Wackym first started seeing this girl she had to be confined to a wheelchair due to her severe symptoms. Ashley Wackym of Portland, Oregon’s Ear & Skull Base Center, showing a patient who has suffered from vestibular migraine. Accompanying symptoms of photophobia (sensitivity to light) or phonosensitivity (intolerance to noise), as well as nausea and/or vomiting, are common, and often leads to the inability to perform daily tasks.įollowing is a video filmed by Dr. Often described as “sick headache,” migraine is typically characterized by unilateral onset of head pain, severe progressive intensity of pain, throbbing or pounding, and interference with the person’s routine activities. ![]() Many self-treat, or are treated inappropriately for sinus or other non-migrainous types of headache. More importantly, migraine strikes people during what are expected to be their most productive years: between ages 20 and 40 for most women, with a slightly higher age range for men.ĭespite better diagnostic capabilities and efforts to improve public awareness and education, it is estimated that approximately 50% of migraineurs go undiagnosed or mismanaged to this day. Migraine is one of the most debilitating chronic disorders in the United States. It is almost as prevalent as hypertension (high blood pressure) and is more common than asthma and diabetes mellitus. ![]()
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