Vestibular migraine

Commonly diagnosed

Vestibular migraine is a form of migraine in which dizziness is a prominent symptom, with or without headache. Symptoms can range from a light-headed feeling to severe spinning vertigo.

Key points

Vestibular migraine is a type of migraine where dizziness is a key feature of the attack.
Dizziness may range from a light-headed or floating sensation to severe spinning vertigo.
Symptoms typically last between 5 minutes and 72 hours.
Not everyone with vestibular migraine experiences headache — dizziness may be the only symptom.
A doctor makes the diagnosis based on symptom history and appropriate examination.
Treatment focuses on preventing attacks and reducing symptoms during attacks.

Symptoms

Episodes of dizziness lasting 5 minutes to 72 hours.
Spinning vertigo, light-headedness, or a sensation of movement.
Often combined with migraine headache, though dizziness may be the only symptom.
Sensitivity to light and sound during an attack.
Nausea or vomiting in some cases.

Causes

Vestibular migraine, like other forms of migraine, is caused by an increased sensitivity of the nervous system.
The exact cause is not fully understood, but genetic predisposition plays a role.
Various triggers may provoke attacks, such as stress, sleep deprivation, hormonal changes, or certain foods.

Treatments

Treatment focuses on preventing attacks and alleviating symptoms.
Identifying and avoiding triggers can be helpful.
A doctor or specialist can discuss treatment options, including lifestyle advice and medication.