Migraine-Associated Vertigo

11 min read

Migraine-associated vertigo (MAV) is a type of vertigo that is associated with migraine headaches. It is a common symptom of migraine, affecting up to 40% of people with migraine. MAV is characterized by a sensation of spinning or swaying, and can last from minutes to days. It is often accompanied by other migraine symptoms, such as nausea, vomiting, and sensitivity to light and sound.

MAV is thought to be caused by changes in the inner ear or brainstem. It is believed that the same changes that cause migraine headaches can also cause vertigo. MAV is more common in people with migraine with aura, a type of migraine that is associated with visual disturbances. It is also more common in people with a history of motion sickness.

Diagnosis of MAV is based on a person's medical history and a physical examination. Tests such as an MRI or CT scan may be used to rule out other causes of vertigo. Treatment of MAV is similar to that of migraine headaches, and may include medications, lifestyle changes, and relaxation techniques. In some cases, vestibular rehabilitation may be recommended.

MAV is a common symptom of migraine, and can have a significant impact on a person's quality of life. It is important to seek medical attention if you experience any symptoms of MAV, as it can be treated effectively with the right treatment plan.

Take the Migraine-Associated Vertigo Assessment

Symptoms

What Causes MAV?

The exact cause of MAV is not known, but it is believed to be related to changes in the brainstem and the inner ear. It is thought that these changes can cause the brain to misinterpret signals from the inner ear, leading to the symptoms of MAV.

What are the Symptoms of MAV?

The most common symptom of MAV is dizziness, which can range from mild to severe. Other symptoms can include lightheadedness, nausea, balance problems, hearing loss, and tinnitus. In some cases, MAV can also cause visual disturbances, such as blurred vision or double vision.

How is MAV Diagnosed?

MAV is typically diagnosed by a doctor based on the patient's symptoms and medical history. The doctor may also order tests, such as an MRI or CT scan, to rule out other causes of vertigo.

How is MAV Treated?

Treatment for MAV typically involves medications to reduce the symptoms of vertigo and migraine headaches. In some cases, physical therapy may also be recommended to help improve balance and reduce dizziness.

Causes

What Causes MAV?

The exact cause of MAV is not known, but it is believed to be related to changes in the brainstem and the inner ear. It is thought that changes in the brainstem can cause changes in the inner ear, leading to vertigo. Other possible causes of MAV include changes in the blood vessels in the brain, inflammation of the inner ear, and changes in the balance system of the brain.

Risk Factors for MAV

Certain factors may increase the risk of developing MAV. These include having a family history of migraine, being female, and having a history of migraine with aura. Other risk factors include smoking, drinking alcohol, and being exposed to certain medications or environmental triggers.

Conclusion

MAV is a common symptom of migraine, affecting up to 40% of people with migraine. The exact cause of MAV is not known, but it is believed to be related to changes in the brainstem and the inner ear. Certain factors may increase the risk of developing MAV, such as having a family history of migraine, being female, and having a history of migraine with aura.

Getting a Diagnosis

Symptoms of Migraine-Associated Vertigo

The most common symptom of migraine-associated vertigo is a feeling of dizziness or spinning. This feeling can be accompanied by nausea, vomiting, and balance problems. Other symptoms may include sensitivity to light and sound, blurred vision, and difficulty concentrating. These symptoms can last for several hours or days.

Diagnostic Tests for Migraine-Associated Vertigo

In order to diagnose migraine-associated vertigo, a doctor will typically perform a physical exam and ask questions about the patient's medical history. The doctor may also order tests such as an MRI or CT scan to rule out other causes of vertigo. Additionally, the doctor may order a vestibular test, which is a test that measures the patient's balance and coordination.

Treatment for Migraine-Associated Vertigo

Treatment for migraine-associated vertigo typically involves medications to reduce the symptoms. These medications may include anti-nausea medications, anti-anxiety medications, and anti-seizure medications. Additionally, lifestyle changes such as avoiding triggers, getting enough sleep, and reducing stress can help reduce the symptoms of migraine-associated vertigo.

Conclusion

Migraine-associated vertigo is a type of vertigo that is caused by a migraine headache. It is important to understand the symptoms and the underlying causes in order to properly diagnose migraine-associated vertigo. Diagnostic tests such as an MRI or CT scan may be ordered to rule out other causes of vertigo. Treatment typically involves medications to reduce the symptoms, as well as lifestyle changes to reduce triggers and stress.

Questions for Your Doctor

Discuss Your Symptoms

When talking to your doctor about migraine-associated vertigo, it is important to discuss your symptoms. Describe the type of dizziness you are experiencing, as well as any other symptoms you may be having. This will help your doctor determine the best course of treatment for you.

Discuss Your Medical History

Your doctor will also need to know your medical history. This includes any past or current medical conditions, as well as any medications you are taking. This information will help your doctor determine if there is an underlying cause for your vertigo.

Discuss Your Lifestyle

Your doctor will also need to know about your lifestyle. This includes any activities you do that may be contributing to your vertigo, such as strenuous exercise or long periods of standing. Your doctor may also want to know about any dietary changes you have made, as well as any stressors in your life.

Discuss Treatment Options

Once your doctor has gathered all the necessary information, they will be able to discuss treatment options with you. This may include medications, lifestyle changes, or physical therapy. Your doctor will be able to explain the benefits and risks of each option and help you decide which one is best for you.

Follow-Up Appointments

Finally, it is important to discuss follow-up appointments with your doctor. This will help ensure that your treatment is working and that your symptoms are improving. Your doctor may also want to monitor your progress over time to make sure that your vertigo is not getting worse.

Treatment

Medications

Medications are the most common treatment for migraine-associated vertigo. These medications can help reduce the intensity and frequency of the vertigo episodes. Common medications used to treat migraine-associated vertigo include anti-nausea medications, anti-seizure medications, and anti-inflammatory medications. Your doctor may also prescribe medications to help prevent future episodes of vertigo.

Vestibular Rehabilitation

Vestibular rehabilitation is a type of physical therapy that can help reduce the symptoms of migraine-associated vertigo. This type of therapy involves exercises that help to retrain the brain to better process signals from the inner ear. These exercises can help reduce the intensity and frequency of vertigo episodes.

Lifestyle Changes

Making lifestyle changes can also help reduce the symptoms of migraine-associated vertigo. Avoiding triggers such as stress, certain foods, and alcohol can help reduce the frequency and intensity of vertigo episodes. Additionally, getting enough sleep and exercising regularly can help reduce the symptoms of migraine-associated vertigo.

Surgery

In some cases, surgery may be recommended to treat migraine-associated vertigo. Surgery can help reduce the intensity and frequency of vertigo episodes by correcting any underlying structural issues in the inner ear. However, surgery is usually only recommended in severe cases of migraine-associated vertigo.

Drugs & Medications

Triptans

Triptans are medications that are used to treat migraine headaches. They work by narrowing the blood vessels in the brain, which helps to reduce the pain associated with migraines. Triptans can also help to reduce the symptoms of migraine-associated vertigo, such as dizziness and nausea. Commonly prescribed triptans include sumatriptan, rizatriptan, and zolmitriptan.

Anti-Nausea Medications

Anti-nausea medications, such as promethazine and meclizine, can help to reduce the nausea and vomiting associated with migraine-associated vertigo. These medications work by blocking the action of certain chemicals in the brain that are responsible for causing nausea and vomiting.

Anti-Inflammatory Medications

Anti-inflammatory medications, such as ibuprofen and naproxen, can help to reduce the inflammation associated with migraine-associated vertigo. These medications work by blocking the action of certain chemicals in the body that are responsible for causing inflammation.

Other Medications

In some cases, medications that are used to treat other types of vertigo may also be prescribed. These medications include vestibular suppressants, such as diazepam, and anticholinergics, such as scopolamine. These medications can help to reduce the symptoms of vertigo, such as dizziness and nausea.

Diet

What is Migraine-Associated Vertigo?

Migraine-associated vertigo is a type of vertigo that is caused by a migraine headache. It is a common symptom of migraine headaches and can be very debilitating. It is characterized by a spinning sensation, dizziness, and nausea. It can last for a few minutes or up to several hours.

Dietary Considerations for Migraine-Associated Vertigo

There are several dietary considerations that can help to reduce the frequency and severity of migraine-associated vertigo. It is important to eat a balanced diet that is rich in fruits, vegetables, and whole grains. Eating a diet that is low in processed foods and high in fiber can also help to reduce the frequency and severity of migraine-associated vertigo.

It is also important to avoid foods that are known triggers for migraine headaches. Common triggers include aged cheeses, processed meats, alcohol, caffeine, and chocolate. It is also important to avoid skipping meals, as this can trigger a migraine headache.

In addition to avoiding trigger foods, it is important to drink plenty of water and stay hydrated. Dehydration can trigger a migraine headache and can worsen the symptoms of migraine-associated vertigo. It is also important to get enough sleep and to manage stress levels, as these can also trigger a migraine headache.

Conclusion

Migraine-associated vertigo is a type of vertigo that is caused by a migraine headache. It is important to understand the role of diet in managing migraine-associated vertigo. Eating a balanced diet that is low in processed foods and high in fiber can help to reduce the frequency and severity of migraine-associated vertigo. It is also important to avoid trigger foods, stay hydrated, get enough sleep, and manage stress levels.

Lifestyle

Get Enough Sleep

Getting enough sleep is essential for managing MAV. Aim for 7-9 hours of sleep each night. If you have trouble sleeping, try to establish a regular sleep schedule and avoid caffeine and alcohol before bedtime.

Reduce Stress

Stress can trigger MAV symptoms, so it’s important to find ways to reduce stress. Exercise, yoga, and meditation can all help to reduce stress levels. Additionally, try to avoid stressful situations and take time for yourself each day.

Eat a Healthy Diet

Eating a healthy diet can help reduce the symptoms of MAV. Avoid processed foods and focus on eating fresh fruits and vegetables, lean proteins, and whole grains. Additionally, try to limit your intake of caffeine and alcohol, as these can trigger MAV symptoms.

Stay Hydrated

Staying hydrated is important for managing MAV. Aim to drink 8-10 glasses of water each day. Additionally, try to avoid sugary drinks and opt for water or unsweetened tea instead.

Avoid Triggers

Certain triggers can cause MAV symptoms to worsen. Common triggers include bright lights, loud noises, and strong smells. Try to avoid these triggers as much as possible and wear sunglasses when you’re outside.

Talk to Your Doctor

If lifestyle changes aren’t enough to manage your MAV symptoms, talk to your doctor. They may be able to recommend medications or other treatments that can help reduce your symptoms.