A vestibular migraine can make you feel light-headed and dizzy, and you may struggle to keep your balance. You may have throbbing, painful headaches. Healthcare providers may treat the condition with medication. You may ease symptoms by avoiding certain foods and beverages, getting more rest and exercise, and managing stress.
A vestibular migraine (VM) is a neurological disease that causes vertigo. Vertigo makes you feel dizzy and off balance. Studies show vestibular migraine is the second most common reason why people have vertigo. Other names for a vestibular migraine include migraine-associated vertigo (MAV), migraine-related vestibulopathy and migrainous vertigo.
Researchers haven’t decided if vestibular migraines are a form of migraine or a separate but related condition. But they agree the condition affects people’s quality of life. Healthcare providers may recommend lifestyle changes and medication to treat vestibular migraines.
Vestibular migraines cause dizziness, a common issue, but the migraines themselves aren’t common. One analysis found 2.7% of people in the United States had vestibular migraine symptoms. Other research shows that a significant percentage of people seeking treatment for dizziness and balance issues have vestibular migraines.
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The most noticeable symptoms are vertigo symptoms — having balance issues, dizziness and feeling light-headed. Vertigo symptoms may come and go within minutes or last for days. They can be quite severe, affecting daily life. Other symptoms may include:
Experts are researching the specific cause or causes. But they do know risk factors, including:
Healthcare providers first ask questions about your symptoms, including how long you’ve been dealing with dizziness and balance issues. They do that because conditions like Ménière’s disease and benign paroxysmal positional vertigo (BPPV) also cause dizziness or a spinning sensation. Providers will rule out other potential causes before focusing on vestibular migraine as a diagnosis.
In general, you may receive a vestibular migraine diagnosis if you have:
If your provider suspects you have a vestibular migraine, they may do the following tests:
Healthcare providers may recommend medications, lifestyle changes or vestibular rehabilitation therapy.
Healthcare providers may recommend daily or weekly medications that reduce the chance you’ll have a vestibular migraine. Or they may recommend medication that eases migraine symptoms when you have one.
Medications that may prevent vestibular migraine include:
Medications to reduce symptoms include:
Your provider may recommend that you:
That depends on your situation. Some people may need ongoing treatment to cope with the condition. Other people may benefit by changing their diets, or by getting more exercise and more rest.
Talk to a healthcare provider if you have several dizzy spells or balance issues that affect your daily life, particularly if you have migraines. If you know you have vestibular migraines, contact your provider if you have increasing or more severe bouts of dizziness, more sensitivity to light and sound, and more painful headaches.
Vestibular migraines aren’t common. You may want to ask the following questions:
A note from Cleveland Clinic
If you have migraines, you’re probably familiar with its symptoms: seeing streaks of light just before you’re hit with a painful, throbbing headache. You may have blamed your migraines for bouts of dizziness and feeling like you’ve lost your sense of balance. But regular severe dizzy spells (with or without throbbing headache) may be a sign that you have vestibular migraines.
Fortunately, healthcare providers have treatments that can keep the condition from happening or ease its symptoms. And there are steps you can take, like getting more sleep, avoiding certain foods and drinks, and reducing stress. If you have migraines and frequent dizzy spells, talk to a healthcare provider. They’ll do tests to confirm vestibular migraines. More importantly, they’ll provide information, medication and other treatments that may prevent or ease vestibular migraine attacks.
Last reviewed by a Cleveland Clinic medical professional on 08/29/2023.
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