Diagnosing Vestibular Migraine Vestibular migraine is considered a migraine variant.1 Migraine is a sensory processing disorder in which ‘virtual’ exaggeration of activity of trigeminally innervated structures (passing through a sensitised brainstem) is perceived as noxious, resulting in head pain. Now let’s replace trigeminal with vestibular information2 and ‘vestibular migraine’ results i.e. normal, sub clinical activity
Why Treatment Often Fails Several authorities recently summarised the reasons why headache and migraine treatment often fails. Amongst other things, they suggested that the diagnosis is incomplete or incorrect and that this could occur for various reasons. One of the reasons is ‘misdiagnosis’. I have mentioned this research before but diagnosing headache and migraine is like
Are They Presentations of a Common Disorder? Many patients present with dizziness as their only symptom. Whilst they are grateful they do not have to endure the awful pain of migraine or headache, significant dizziness can be disabling… and of course dizziness is another symptom that many with headache and migraine experience. Many of those patients in
Decreases Migraine Progression Recent evidence suggests that migraine is a progressive condition in which over time, episodes become more frequent, more severe, less responsive to medication, and last longer. Research has shown that by (surgically) treating/removing disorders (which were evident on an MRI scan) in the upper cervical (neck) decreased the long-term worsening of the
