Vestibular migraine

What is it?

Vestibular migraine is one of the most common vestibular disorders today, with an incidence of 2-3% in the general population.  It is an episodic disorder of the vestibular system, characterised by the appearance of vestibular symptoms (vertigo, unsteadiness, nausea and/or vomiting). To make a diagnosis, 50% of vestibular episodes must be temporarily associated with a migraine headache (vestibular symptoms may precede, accompany or follow the headache) or with irritation to light and loud sounds (photophonophobia).

Which are the symptoms?

Typical symptoms of a vestibular migraine attack are varied and include: rotational vertigo crisis, subjective vertigo, positional vertigo, vertigo/unsteadiness triggered by visual stimuli of wide field of vision and/or head movement.

  • Rotational vertigo
  • Subjective vertigo
  • Positional vertigo
  • Instability/hypersensitivity to visual stimuli

How is it diagnosed?

Diagnosis is purely anamnestic and requires a clinical history of at least 5 episodes of vertigo in a patient with an established diagnosis of migraine (according to IHS criteria), lasting from 5 minutes to 72 hours, accompanied in at least 50% cases by photophobia and/or headache with migraine signs and/or visual aura.

  • Collection of medical history

How is it treated?

Treatment is mainly aimed at preventing vertigo attacks with drugs (flunarizine, cinnarizine and dimenhydrinate, beta-blockers, calcium channel blockers, antiepileptics, antidepressants). Anti-inflammatory drugs and/or vestibulodepressants may be used (only for a short time and only for one episode of vertigo) in acute crises.

Where do we treat it?

Within the San Donato Group, you can find Vestibular migraine specialists at these departments:

Are you interested in receiving the treatment?

Contact us and we will take care of you.