Management of vestibular migraine

摘要: Vestibular migraine is considered to be the second most common cause of vertigo and spontaneous episodic vertigo. The duration attacks varies from seconds days, usually lasting minutes hours, they mostly occur independently headaches. Long-lasting individual are treated with generic antivertiginous antiemetic drugs. Specific antimigraine drugs unlikely very effective for rescue. mainstay management vestibular prophylactic medication. To date, there no controlled trials available; body knowledge builds on case series retrospective or observational studies. Most also used prevention choice medication should guided by its side effect profile comorbidities patients. Betablockers such as propanolol metoprolol preferred in patients hypertension but absence asthma. Anticonvulsants include topiramate when obese, valproic acid lamotrigine. Lamotrigine if more frequent than Calcium antagonists verapamil flunarizine. If have anxiety, tricyclic antidepressants amitryptiline nortryptiline SSRIs benzodiazepines clonazepam recommended. Acetazolamide rare genetic disorders related migraine-like ataxia; however, place still established. Nonpharmacological measures diet, sleep, hygiene avoidance triggers recommended migraine. rehabilitation might useful complications loss confidence balance visual dependence.