Treatment with an antidepressant or anticonvulsant does not mean you have depression or seizures they are intended to stabilize the central nervous system and raise the threshold at which attacks are triggered. Preventative mediations can include a beta-blocker (e.g., propranolol), calcium channel blocker (e.g., verapamil), antidepressant (e.g., nortriptyline, venlafaxine), and/or an anticonvulsant (e.g., topiramate). Medications may be prescribed to prevent episodes if avoiding triggers does not help control symptoms. Stress relief and improving sleep hygiene may reduce the frequency and severity of attacks. One method to identify triggers is to keep a daily symptom journal with details such as waking time and bedtime, foods eaten, stress levels, and additional symptoms experienced. High amounts of certain fruits such as figs, red plums, bananas, citrus fruit, raisins, passion fruit.Alcohols such as heavier red wines, port wines, sherry wines, scotch, gin, and bourbon.Pickled and fermented foods (buttermilk, yogurt, sour cream).Food prepared with soy sauce, vinegar, or yeast extract.Once your symptoms are controlled, you can slowly add back your desired foods while closely monitoring your symptoms. Instead, start to moderate and gradually decrease them to help recognize your common triggers. The goal is not necessarily to abruptly stop these foods if you really enjoy them. Your doctor may provide you with a more extensive or modified list of foods to avoid. Your doctor may recommend a diet with low levels of tyramine, an amino acid, monosodium glutamine (MSG), preservatives, caffeine, and alcohol. Complex or visually “busy” stimuli (ceiling or floor patterns, crowded environments, entertainment screens)Ĭertain foods can also trigger a vestibular migraine.Motion triggers such as unexpected movement (e.g., inside a moving vehicle).Hormonal changes (such as those experienced during menopause or puberty, menstruation, or hormone therapy).Vestibular migraine is also commonly linked with depression and anxiety. Like common or classic migraines, vestibular migraine often runs in families, and women are more frequently affected than men. Because the symptoms overlap and frequently coincide with inner ear disorders (such as benign paroxysmal positional vertigo and Ménière’s disease), patients often visit several different specialists before establishing a clear diagnosis and starting appropriate treatment. Vestibular migraines may be treated by an ENT (ear, nose, and throat) specialist, or otolaryngologist, and/or a neurologist. A “common” migraine headache does not usually involve auras. Migraines can be described as a recurring type of headache that may occur with auras, which are sensory disturbances such as visual changes, difficulty speaking, and tingling in the arms and legs. Difficulty with concentration or memory issues.Visual auras, sensitivity to light, blurring, seeing flashing spots or lights.Motion sickness or sensitivity or complicated visual patterns.Headache (many patients report headaches after their dizziness has subsided).Hearing changes or tinnitus (ringing or buzzing sound in your ear).Vestibular migraine is one of the most common causes of vertigo, or the sensation of spinning or moving when you are still. Vestibular migraine, also referred to as “migraine associated vertigo,” is when a patient also experiences dizziness and imbalance.
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