eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Vertigo & Dizziness

Migraine-Associated Vertigo: Follow-up

Author: Aaron G Benson, MD, Clinical Adjunct Professor, Division of Neurotology, Department of Otolaryngology Head and Neck Surgery, University of Michigan; Consulting Staff, Toledo Ear, Nose and Throat, Inc
Coauthor(s): Davin W Chark, MD, Staff Physician, Department of Otolaryngology, University of California Irvine Medical Center; Hamid R Djalilian, MD, Associate Professor of Otolaryngology, Director of Neurotology and Skull Base Surgery, University of California Irvine Medical Center; Wayne K Robbins, DO, FAOCO, Program Director, Department of Otolaryngology-Facial Plastic Surgery, Genesys Regional Medical Center, Michigan State University; Robert A Battista, MD, FACS, Assistant Professor of Otolaryngology, Northwestern University Medical School; Physician, Ear Institute of Chicago, LLC
Contributor Information and Disclosures

Updated: Nov 20, 2008

Follow-up

Further Outpatient Care

Vestibular rehabilitation therapy is recommended when movement-associated dysequilibrium is present. Movement-associated dysequilibrium may be the predominant symptom, or it may be a continuing symptom despite adequate vertigo control with prophylactic medication. In either case, vestibular rehabilitation often is quite beneficial. Vestibular rehabilitation is not indicated for the treatment of spontaneously occurring vertigo.

Patient Education

For excellent patient education resources, visit eMedicine's Brain and Nervous System Center and Headache Center. Also, see eMedicine's patient education articles Migraine Headache, Vertigo, Dizziness, and Understanding Migraine and Cluster Headache Medications.

 


More on Migraine-Associated Vertigo

Overview: Migraine-Associated Vertigo
Differential Diagnoses & Workup: Migraine-Associated Vertigo
Treatment & Medication: Migraine-Associated Vertigo
Follow-up: Migraine-Associated Vertigo
References

References

  1. Kayan A, Hood JD. Neuro-otological manifestations of migraine. Brain. Dec 1984;107 (Pt 4):1123-42. [Medline].

  2. Cutrer FM, Baloh RW. Migraine-associated dizziness. Headache. Jun 1992;32(6):300-4. [Medline].

  3. Lee H, Sininger L, Jen JC, et al. Association of progesterone receptor with migraine-associated vertigo. Neurogenetics. Aug 2007;8(3):195-200. [Medline].

  4. Neuhauser H, Leopold M, von Brevern M, et al. The interrelations of migraine, vertigo, and migrainous vertigo. Neurology. Feb 27 2001;56(4):436-41. [Medline].

  5. Tusa RJ. ICS Medical Report. In: Diagnosis and Management of Neuro-otologic disorders due to migraine. 1999.

  6. Celebisoy N, Gokcay F, Sirin H, et al. Migrainous vertigo: clinical, oculographic and posturographic findings. Cephalalgia. Jan 2008;28(1):72-7. [Medline].

  7. American Academy of Otolaryngology-Head and Neck Foundation. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Menière's disease.American Academy of Otolaryngology-Head and Neck Foundation, Inc. Otolaryngol Head Neck Surg. Sep 1995;113(3):181-5. [Medline].

  8. Bickerstaff ER. Basilar artery migraine. Lancet. 1961;1:15.

  9. Brantberg K, Trees N, Baloh RW. Migraine-associated vertigo. Acta Otolaryngol. Mar 2005;125(3):276-9. [Medline].

  10. Buchholz DW, Reich SG. The menagerie of migraine. Semin Neurol. Mar 1996;16(1):83-93. [Medline].

  11. Cass SP, Furman JM, Ankerstjerne K, et al. Migraine-related vestibulopathy. Ann Otol Rhinol Laryngol. Mar 1997;106(3):182-9. [Medline].

  12. Crevits L, Bosman T. Migraine-related vertigo: towards a distinctive entity. Clin Neurol Neurosurg. Feb 2005;107(2):82-7. [Medline].

  13. Eadie MJ. Some aspects of episodic giddiness. Med J Australia. 1960;2:453.

  14. Harker LA. Migraine-associated vertigo. In: Baloh RW, ed. Disorders of the Vestibular System. Oxford, England: Oxford University Press Inc; 1996:407-417.

  15. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 1988;8 Suppl 7:1-96. [Medline].

  16. Johnson GD. Medical management of migraine-related dizziness and vertigo. Laryngoscope. Jan 1998;108(1 Pt 2):1-28. [Medline].

  17. Kuritzky A, Toglia UJ, Thomas D. Vestibular function in migraine. Headache. May 1981;21(3):110-2. [Medline].

  18. Kuritzky A, Ziegler DK, Hassanein R. Vertigo, motion sickness and migraine. Headache. Sep 1981;21(5):227-31. [Medline].

  19. Lempert T, Neuhauser H. Migrainous vertigo. Neurol Clin. Aug 2005;23(3):715-30, vi. [Medline].

  20. Lipkin AF, Jenkins HA, Coker NJ. Migraine and sudden sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. Mar 1987;113(3):325-6. [Medline].

  21. May A, Ophoff RA, Terwindt GM, et al. Familial hemiplegic migraine locus on 19p13 is involved in the common forms of migraine with and without aura. Hum Genet. Nov 1995;96(5):604-8. [Medline].

  22. Moretti G, Manzoni GC, Caffarra P, et al. "Benign recurrent vertigo" and its connection with migraine. Headache. Nov 1980;20(6):344-6. [Medline].

  23. Olsson JE. Neurotologic findings in basilar migraine. Laryngoscope. Jan 1991;101(1 Pt 2 Suppl 52):1-41. [Medline].

  24. Parker W. Migraine and the vestibular system in adults. Am J Otol. Jan 1991;12(1):25-34. [Medline].

  25. Rassekh CH, Harker LA. The prevalence of migraine in Menière's disease. Laryngoscope. Feb 1992;102(2):135-8. [Medline].

  26. Reploeg MD, Goebel JA. Migraine-associated dizziness: patient characteristics and management options. Otol Neurotol. May 2002;23(3):364-71. [Medline].

  27. Selby G, Lance JW. Observations on 500 cases of migraine and allied vascular disorders. J Neurol Neurosurg Psych. 1960;23:23.

  28. Slater R. Benign recurrent vertigo. J Neurol Neurosurg Psychiatry. Apr 1979;42(4):363-7. [Medline].

  29. Stewart WF, Shechter A, Rasmussen BK. Migraine prevalence. A review of population-based studies. Neurology. Jun 1994;44(6 Suppl 4):S17-23. [Medline].

  30. Viirre ES, Baloh RW. Migraine as a cause of sudden hearing loss. Headache. Jan 1996;36(1):24-8. [Medline].

  31. Wladislavosky-Waserman P, Facer GW, Mokri B, Kurland LT. Meniere's disease: a 30-year epidemiologic and clinical study in Rochester, Mn, 1951-1980. Laryngoscope. Aug 1984;94(8):1098-102. [Medline].

Further Reading

Keywords

migraine-associated vertigo, migraine associated vertigo, migraine, vertigo, migraine vertigo, headaches, dizziness, benign paroxysmal vertigo of childhood, benign recurrent vertigo in adults, basilar artery migraine, basilar migraine, Bickerstaff syndrome, episodic true vertigo, positional vertigo, constant imbalance, movement-associated dysequilibrium, common migraine, migraine without aura, classic migraine, migraine with aura, migraine with prolonged aura, migraine aura without headache, migraine equivalent, acephalic migraine, migrainous infarction, complicated migraine, familial hemiplegic migraine, migraine headaches, migraine headache, migraines

Contributor Information and Disclosures

Author

Aaron G Benson, MD, Clinical Adjunct Professor, Division of Neurotology, Department of Otolaryngology Head and Neck Surgery, University of Michigan; Consulting Staff, Toledo Ear, Nose and Throat, Inc
Aaron G Benson, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Coauthor(s)

Davin W Chark, MD, Staff Physician, Department of Otolaryngology, University of California Irvine Medical Center
Disclosure: Nothing to disclose.

Hamid R Djalilian, MD, Associate Professor of Otolaryngology, Director of Neurotology and Skull Base Surgery, University of California Irvine Medical Center
Hamid R Djalilian, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Neurotology Society, American Society of Gene Therapy, Association for Research in Otolaryngology, Chicago Medical Society, and Illinois State Medical Society
Disclosure: Mind:Set Technologies Ownership interest Other

Wayne K Robbins, DO, FAOCO, Program Director, Department of Otolaryngology-Facial Plastic Surgery, Genesys Regional Medical Center, Michigan State University
Wayne K Robbins, DO, FAOCO is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, and American Osteopathic Association
Disclosure: Nothing to disclose.

Robert A Battista, MD, FACS, Assistant Professor of Otolaryngology, Northwestern University Medical School; Physician, Ear Institute of Chicago, LLC
Robert A Battista, MD, FACS is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Neurotology Society, and Illinois State Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Jack A Shohet, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California Irvine; Otolaryngologist, Shohet Ear Associates Medical Group, Inc
Jack A Shohet, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Neurotology Society, American Tinnitus Association, and California Medical Association
Disclosure: Envoy Medical Consulting fee Consulting

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Erik Kass, MD, Chief, Department of Clinical Otolaryngology, Associates in Otolaryngology of Northern Virginia
Erik Kass, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Association for Cancer Research, American Medical Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

RELATED MEDSCAPE ARTICLES
News
 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.