How is migraine-associated vertigo treated?

Updated: Jan 18, 2019
  • Author: Aaron G Benson, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Because most patients equate migraine with headache exclusively, convincing them that symptoms other than headache are due to migraine may be difficult. Dizziness secondary to migraine usually responds to the same treatment used for migraine headaches.

The 3 broad classes of migraine headache treatment include reduction of risk factors, abortive medications, and prophylactic medical therapy. [30, 31, 32, 33] Vestibular rehabilitation therapy may be of benefit in patients with movement-associated disequilibrium.

Migraine and vestibular disease can coexist. Patients who meet the clinical criteria for Ménière disease should be treated appropriately for Ménière disease, even if a history of migraine headache exists.


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