Vestibular migraine is characterized by the occurrence of dizziness which can last from five minutes to a maximum of three days
Summary
Vestibular migraine, which affects about 1% of the population, can cause dizziness with or without headaches, making diagnosis difficult and requesting a multimodal treatment with medicines, vestibular rehabilitation and lifestyle changes.
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Migraine is a neurological condition that affects about 30 million Brazilians, according to the Brazilian headache company. Although it is often associated with intense headache, not all the manifestations of this disease include this symptom.
“A remarkable example is the vestibular migraine, in which patients can experience episodes of dizziness and dizziness without concomitant presence of headaches. Many of these patients believe they suffer from labyrinthitis, with a vertigo of magician, and this can delay the diagnosis and treatment of dressing grove”, explains Tiago de Paula, a neurologist specialized in the patulaist medicine brush. (EPM/UNIFESP), member of the International Headache Society (IHS) and the Brazilian Society of Headache (SBC).
Studies indicate that about 50% of people with migraine have dizziness associated with convulsions. In addition, it is estimated that vestibular migraine affects 1% of the population, being more widespread among women.
“Vestibular migraine is characterized by the occurrence of dizziness that can last from five minutes to three days, often accompanied by typical migraine symptoms, such as sensitivity to light.
“The origin of these symptoms is related to an hypersensitivity of the brain to environmental stimuli, such as movements, lights and sounds. During a crisis, changes in blood circulation can affect the vestibular system, responsible for balance, which translates into sensations of dizziness or instability.
The demanding diagnosis of the vestibular migraine requires specialized medical assistance, above all because the symptoms can be confused with other conditions, such as ménière’s disease or labyrinthitis. “However, unlike labyrinthitis, which is an inner ear infection and usually has extraordinary auditory symptoms, vestibular migraine is not caused by a labyrinth disease and tends not to change hearing tests,” he comments.
Since many people have questions about this type of migraine, the doctor explains some peculiarities:
• Without a uniform model: “Vestibular migraine does not follow a uniform model for all individuals. Most people, however, experience an improvement in symptoms over time when they correctly follow the treatment and maintain changes in lifestyle”.
• Hormonal changes: “hormonal changes in general can influence the frequency and severity of convulsions. In women, it is common that symptoms worsened near menstruation, for example or in the perimenopausal period.”
• Physical activity: “If the patient is in the midst of a vestibular migraine crisis, intense physical activity can worsen the symptoms. Therefore, it is important to correctly medicate the patient so that he can return to the activities”.
• Correct diagnosis: “Vestibular migraine can be confused with other paintings, such as Ménière’s disease, therefore it is important to conduct a wide investigation and discard the possibilities. The diagnosis, however, can only be done by a specialist doctor, who will consider, mainly the patient’s clinical history.”
• Anxiety and depression: “Stress situations or mood disorders, such as anxiety and depression, can trigger vestibular migrainely convulsions and make it difficult to control the disease. This relationship, however, is complex, presents itself in various ways and should be taken into consideration in the patient’s evaluation.”
The prophylactic treatment of the vestibular hemicrania involves the use of medicines that aim to reduce the frequency and intensity of the convulsions, according to the doctor. “Beta -bloccanti, such as propranolol and blockers of the calcium channel, such as flunarizin, are often used in the management of diseases, as well as anticonvulsant, such as mice and valproic acid. When drugs are effective, therapeutic pepper) such as calcium options), such as the genius of the calculation), like therapeutic options) as CGRP) as CGRP) CGRP), as CGRP, as CGRP), as CGRP, as CGRP), as CGRP, as CGRPA GALCANEZUMAB, have been effective in reducing both the pain of the migraine and the vestibular symptoms.
“In addition to medicines, vestibular rehabilitation is a precious complementary therapeutic approach that focuses on the improvement of balance and the reduction of the symptoms of dizziness. The combination of vestibular rehabilitation with the treatment of prophylactic drugs has shown higher results in the overall control of the symptoms of the vestibular migraine, providing a significant improvement in the quality of life of patients”, says.
“The management of the vestibular migraine is multimodal, which involves both the use of prophylactic drugs such as botulinum toxin and anti-cgrps, and complementary therapies such as dressing room rehabilitation, to ensure control of effective symptoms and improve patients’ lives. To prevent new crises,” concludes the expert.
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Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
