What Does a Neurologist Do for a Vestibular Migraine?

Medically Reviewed on 6/22/2022
What Does a Neurologist Do for a Vestibular Migraine
Vestibular migraine causes symptoms such as dizziness or vertigo that can be triggered by movement

Neurologists may prescribe nonsteroidal anti-inflammatory drugs or triptans for vestibular migraines to help control or reduce symptoms. Other medications may include:

What is a vestibular migraine?

The vestibular system consists of the organs in the inner ear responsible for balance, helping the body remain stable, walk, and focus the eyes on targets. 

A vestibular migraine is a type of migraine that affects the vestibular system and thus balance, causing symptoms such as dizziness or vertigo that can be triggered by movement. Unlike traditional migraines, headache may not always be a symptom of this type of migraine.

What causes vestibular migraines?

While there are many potential causes, vestibular migraine may be due to inflammation that occurs in the vestibular system or a predisposition to be hypersensitive to motion. It can occur in the following cases:

  • Vestibular symptoms in someone who already has a history of migraines
  • Both migraine and vestibular symptoms start at the same time

Just like traditional migraines, vestibular migraine may stem from sudden vasodilation in the head/neck.face area due to the release of calcitonin gene-related peptide (a pain mediator) from the trigeminal nerve or serotonin (a neurotransmitter) fluctuations.

If vestibular symptoms and headache occur after trauma to the head or neck, the diagnosis should be post-traumatic headache.

What can trigger vestibular migraines?

Common triggers may include:

What are symptoms of vestibular migraine?

Symptoms of vestibular migraine may include:

Symptoms may vary in severity. Some people may experience an aura, which include warning signs that vestibular symptoms are about to occur.

What can help prevent vestibular migraine?

You can take certain preventative measures to reduce the severity or frequency of vestibular migraine symptoms:

  • Eat a healthy diet
  • Get enough sleep every night
  • Reduce stress
  • Exercise regularly
  • Avoid triggers, such as alcohol, missing meals, and loud noises


Who suffers more frequently from migraine headaches? See Answer
Medically Reviewed on 6/22/2022
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