Treatment of Vestibular Migraine: A talk with Dr Michael Teixido from the 2022 Migraine World Summit

Key questions answered include:
What is vestibular migraine?
Does vestibular migraine always feature a headache?
What does vestibular migraine feel like?
Is vestibular migraine related to the inner ear?
Is there a relationship between vestibular migraine and inner-ear disorders like Meniere’s disease and BBPV?
How do you distinguish between vestibular migraine and inner-ear disorders?
What are the primary ways to treat vestibular migraine, both acutely and preventively?
What medications are appropriate for treating vestibular migraine?
Do people with vestibular migraine experience symptoms sporadically or are they always present?
What is the relationship between vestibular migraine and anxiety?
Are motion-sickness medications like meclizine effective in treating vestibular migraine symptoms?
Are CGRP medications an effective treatment for vestibular migraine?
Can vestibular migraine be treated the same ways as regular migraine?
What is vestibular therapy? Can it be helpful in managing vestibular migraine?
What type of therapist is most appropriate for treating vestibular migraine?
What is PPPD and how is it related to vestibular migraine?
How does vestibular migraine affect one’s balance?
How can someone with vestibular migraine improve their movement and stability?
If vestibular therapy isn’t effective, does that mean it never will be?
What are some nonmedicinal ways to improve vestibular migraine?
What other specialists might be involved in treating vestibular migraine and its associated symptoms?

[guydulac]

This has provided more information than any specialists I've ever seen, and it reinforcess my own research of my own problems. Fifty years and counting... Multiple doctors and specialists and scans - falling through the net is an understatement. Vestibular Migraine, BPPV, PPPD, cervical vertigo, back and neck injuries, spinal stenosis, visual stress disorder, dyslexia, etc, etc. Thank you very much. Daily migraine or overlapping migraines - auras, smell, taste, tinnitus, slurred speach, pins and needles, weird sensations, recurrent BPPV that seems to follow severe migraine. Nystagmus that has no lag and last beyond a minute. Drunk on.a ship in rough seas... a nightmare!

[mattrobinson]

I was diagnosed with vestibular migraines early this year. I am out of work to find some answers before returning. I had lots of test done including eye exam, hearing test, and mri done. During my time off I was given a medication called betahistine and I also went to the chiropractor which has been a huge help. After my first few appointments at chiropractor I noticed decrease in dizziness and also no tinnitus since. The combination of this treatment has helped a good deal and I am returning to work.

[Chamberbaby]

I'm so thankful to come across this video! I have been suffering with constant dizziness since July. This info i can take to my Neurologist and hope that I can get correct treat for this. I have put so much money into find out what is wrong with me to just be told nothing is physically wrong with me by my ENT doctor. Thank you much

[margaretverdow]

After 30 years of living with vertigo affecting my life - have naturally discovered and avoided many triggers but still struggle, I decided to try to find answers again. An ENT mentioned vestibular migraine which I had never heard of. I have hope for improvement. This is helpful and life changing information. Thank you! Going through testing now and I have hope!

[amac]

I have suffered from migraines since being a child which has developed into VM in the last 2 years. I can go weeks with symptoms. It’s very difficult to get diagnosed without seeing a specialist! It’s a horrible condition which is life changing.

[johnnawhelihan]

I've been to multiple Dr's looking for help with vertigo since 2016. I'm making the trip from FL to see Dr Teixido next month, he happens to practice in my hometown.

[BalkanDeputy]

My ENT advised me after 8 months Vertigo from a Vestibular Migraine to take Venlafaxine ER 37.5 mg capsules. I took one and 2 hours later my vertigo was 80% gone. On WebMd they do advise to watch your blood pressure.. 16 hours later at 2am I woke up with a blinding headache. I checked my blood pressure and it was at 196/121. Off to the Emergency room I went. After they gave me one Clonidine 0.1mg 1 hour later my BP was at 115/74. I think I'll take the vertigo over a Stroke.

[nanhand]

Thank you for sharing this information.
I have had severe migraines all my life, with nausea and vomiting from 8-12 hours and vertigo, sensitivity to light, sound, smell, and taste.
I have found a good doctor recently, and hope to find the cause and get relief from these disabling symptoms/ conditions.

[dinahsoar]

I found this info to be very helpful..I was finally diagnosed with vestibular migraine....40 years after my first migraine headache, which was horrific...I had the classic prgression: 9ish years migraines, ibs diagnosis, then bppv which lasted 2 decades and a diverticulosis diagnosis stuck in there....then in 2010 I developed some ear probs...high pitched right sided tinnitus and low pitch engine rumble in no particular ear, which lasted 5 years, went away following antibiotic for failed dental implant for a failed root canal, and 5 years later it returned along with feeling movement when there was none (feels like the floor vibrates) and felling off balance...note I had chronic ear infections as a child and in my 30's and 40's...was car sick as a child and would get 'sick headaches' when riding in a car on a very curvy road or in the backseat, and bright lights disturbed me too...I've dealt with the engine rumble, vibrations and being off balance going into my 3rd year now..finally got the right ENT and haivng done VNG, cVemp, MRI, and CT to rule out other probs I was diagnosed yesterday with vestibular migraine..have been referred to a neurologist and have my appt in May... Also given info on migraine triggers, which I'm currently reading in the meantime...hoping this hell I've been living in since 2020 will lessen..btw, I habituated to the right high pitched ear ringing long ago. Having had breast cancer in my 40's I was relieved that my head scans were normal. I listened to one of your videos a couple of years ago explaining the progression of VM and that is when I strongly suspected that was my problem...finding a doctor who knew about it was key...my pcp blew it off as tinnitus...if it were not for you Dr. Teixido I might have given up getting help. THANK YOU!!!

[jgoodygoods]

I would like there to be more patient research specific to VM. I have noticed that most VM sufferers are even more sensitive to weather changes, especially barometric/atmospheric pressure changes. I wonder if there is a link with how VM impacts the nerves connected to the inner ear that would make us even more sensitive than “regular migraine” patients to weather changes and therefore create more attacks. One way without doing anything scientific research wise would be to see where the most VM patients are living and what type of weather are in those areas(?) Thanks Dr. Teixido!

[mbb]

The words and symptoms Dc described my vestibular migraine, its just spot on

[cecilemovilla]

Very Informative Video.I am suffering from Vestibular Neuritis.This video helps me understand more about vestibular disorder.Thank you👏👏👏👏👏

[burkies]

Gosh...I wish I had this information 5 years ago 😩 Thank you doctor!!!

[marioncunningham]

Great information...I have every one of those symptoms mentioned..and never got any answers until now....Thank you...

[hilssz]

Thank you so much for this 🙏🏻🙏🏻 you make me feel like someone gets it. Finally. It’s been two years working with the most reputable places like cleveland clinic and they just haven’t done what I read in forums to help me.

[rubyramirez]

I actually have a b2 deficiency so I started taking a 400 mg dose. I am feeling a bit better and I have been drinking it for one week. I have vestibular migranes.

[McCafferyProdz]

This was so very informative and helpful, thank you!

[lisaknottsberryfan]

I was wondering if you know if there is a link with cerebral background slowing. Also I’ve had migraine with aura since 18yr. Now at 63 it’s mostly aura small head discomfort and occasionally vertigo or double vision.

[sonianagah]

I suffer from VS. I loose all balance- I cant walk and sit up for hours. Its very scary. My eye sight I have tunnel vision. My speech goes does droopy and my left hand side of my face tingles and then I loose balance all over my body. It takes me days to sleep it off. I also suffer from Tonic clonic seizures. I cant work either. I used to teach but my VS increased and the school's use to take me home and not renew my contract. This left me unemployable.

[hemantpahuja]

Is there anything which can cause iron deficiency without anaemia but also act as trigger factor for Vestibular migraine? any liver disorder or any blood disorder? No gastro cause could be detected for iron deficiency.