Abstract
Overview: Vestibular migraine is a very common problem needing attention as it’s a diagnosis frequently missed. This article discusses key diagnostic indicators including ID-migraine, motion sickness, phono/photophobia. Key management options including prophylactic and abortive medications are also discussed. Findings: Using of the 3 item ID-Migraine questionnaire increases sensitivity. There is no RCT evidence that Nutraceuticals usage, restriction of MSG Caffeine Chocolates, artificial sweeteners, processed meats, alcohol and aged cheese are useful in management VM. Although beta blockers are used as prophylaxis, metoprolol may not be effective.The mainstay of abortive management is 5HT receptor agonists. Recommendations: It is necessary to raise the awareness of the diagnostic entity and necessary training and education should be given to care givers. Future research is necessary to identify therapeutic agents and lifestyle changes specifically to be effective in this condition.
Highlights
Vestibular migraine (VM) is a diagnosis with clearly established diagnostic criteria 1
Aretaues of Cappodocia is credited with the first description of vestibular migraine[4]
It was seen that in patients with Migraine, there were vestibular symptoms that cannot be attributed to known vestibular syndromes such as Meniere’s disease 5
Summary
Introduction Vestibular migraine (VM) is a diagnosis with clearly established diagnostic criteria 1. An inappropriately low number of patients are diagnosed with vestibular migraine. Vestibular migraine is a “missed” diagnosis and a “misdiagnosed” and a “mismanaged” diagnostic entity.
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