wtorek, 23 lipca 2013

Migraine associated vertigo – is migraine without pain possible?

                                           

Vertigo is indistinctly recognized as dizziness which is followed by episodes of headaches, vomiting, nausea and migraine. The biggest symptom of vertigo is motion sickness which means constant spinning of the head while everything is stationery.


How vertigo occurs


Facts about Vertigo:
Migraine is more common in women.
It is associated with about 30% cases with migraine
About 80% of the cases show signs of heredity

Diagnosis of migraine associated vertigo


Vertigo occurs with a disturbance in the vestibular system caused by a release of fluid/chemicals mostly in the inner ear. The vestibular system controls the balance of the body.
The diagnosis of vertigo is initiated with the patient’s history of dizziness followed by a number of specialized tests of the vertibular system.

Treatment


Vertigo associated with migraine is treated by devising a plan of action on one of the following grounds:

  • A change in the lifestyle : 
Food items such as cheese, processed meat, nuts, tea or coffee can act as a stimulus. Oral contraceptive may also act as a trigger agent. Strict avoidance of these items should be followed. Exercising and relaxing the body is the second easiest therapy which includes yoga, meditation as well as having a complete sleep.   
  • Postural balance exercises : 
A cyclical exercise is devised to desensitize the vestibular system which causes Vertigo with the slightest visual movement such as moving up and down the escalator.  
  • Medications : 
Certain drugs can be taken to reduce the effect of the migraine such as propranolol, calcium channel blockers and antidepressants like amitriptyline, ibuprofen, isometheptene mucate  and triptans. 

Migraine associated vertigo is a widespread condition which requires a careful diagnosis by an audiologist, neurophysician or an ENT specialist. A strict adherence to the abovementioned therapy plan can easily resolve the problem.

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