migraine

Incidents of Vestibular Dysfunction in Children The vestibular system enables balance abilities and stabilization of visual images when an individual is moving his/her head. When the function of the vestibular system is disrupted, adult patients

Introduction Jusqu'à récemment, la plupart des professionnels de la santé supposaient que les problèmes de la fonction vestibulaire affectaient principalement les adultes, et que seul un petit nombre d'enfants était concerné. Cependant, il existe de

Before my life with Vestibular Migraine I was on the go always, I was a busy corporate Accountant, studying my Master in Business Management, a Dancer and Dance Teacher. I liked being busy and would

前庭偏头痛-“头晕偏头痛”   约40%的偏头痛患者伴有一些前庭综合征。   摘要：在美国，偏头痛是最令人衰弱的慢性疾病之一。大约40%的偏头痛患者伴有前庭综合征，包括平衡障碍和/或头晕。大部分偏头痛患者通常没有伴随的疼痛，主要症状是眩晕。偏头痛及其变异型必须在临床环境中通过医学管理、全面的检测和康复技术相结合来诊疗，这些诊疗方法可以为患者带来最彻底和持久的益处。    在美国，偏头痛是最令人衰弱的慢性疾病之一。它的发病率几乎与高血压一样普遍，比哮  喘和糖尿病更常见。更重要的是，偏头痛的高发年龄：20至40岁之间的女性，女性略多于男性。    尽管有更好的诊断能力，并努力提高公众意识和教育，但据估计，至今仍有约50%的偏头  痛患者未得到诊断或治疗不当。许多人对鼻窦或其他非偏头痛类型的头痛进行自我治疗或  治疗时都不恰当。1    偏头痛通常被描述为“病态头痛”，其典型特征是单侧发作、严重的进行性疼痛、疼痛呈搏动性或跳动性，干扰患者日常活动。常常伴随的畏光(对光敏感)或声音敏感(对噪音不  耐受)以及恶心和/或呕吐症状，并常导致无法执行日常任务。    偏头痛和前庭功能障碍    大约40%的偏头痛患者伴有一些前庭综合征，包括平衡障碍和/或头晕。这可能发生在偏  头痛发生之前、期间、之后或完全独立于偏头痛事件。偏头痛和非偏头痛性前庭功能障碍  之间存在一些有趣的相似之处。偏头痛患者的许多食物和环境诱因(见第2页方框)与非偏  头痛性前庭功能障碍患者的诱因相同。激素波动、食物和天气变化(气压变化)通常会加剧  这两种疾病。最后，调整饮食和偏头痛治疗中的某些药物可能会改善或预防偏头痛的前庭  部分。有趣的是，一些治疗疼痛的镇痛药物不能缓解头晕，而治疗头晕的药物通常也  不能缓解头痛。   通常与偏头痛相关的前庭症状的临床表现包括但可以不限于头晕。头部、眼睛和/或身体的运动不耐受；自发性眩晕发作(常伴有恶心和呕吐)；眼焦点减弱伴光敏；声音敏感和耳鸣；平衡丧失和共济失调；颈痛(颈痛)伴上颈椎肌肉组织的肌肉痉挛；伴有认知改变的混淆；空间定向障碍；焦虑/恐慌。4    虽然偏头痛常与成人的良性复发性眩晕或儿童的发作性眩晕相关，一些偏头痛患者即使在偏头痛事件停止后会继发良性阵发性位置性眩晕(BPPV)。这被认为是由与偏头痛事件相关的血管事件以及神经活动的改变共同引起的。目前认为，这些变化更常影响椭圆囊和/或前庭上神经和前庭上动脉，而不是球囊和前庭下神经和前庭后动脉。    这可能解释了为什么在没有真正BPPV的偏头痛患者中（即偏头痛患者出现类似BPPV的位置性眩晕时），前庭诱发肌源性电位(VEMP)检测的结果通常在正常范围内。   在明显无前庭下神经炎的偏头痛病例中也有类似的正常结果，导致我们相信，炎症实际上是偏头痛导致的，并且是椭圆囊BPPV的产生原因，外周血管和/或颅神经分支产生的局部炎症更容易累及椭圆囊而不是球囊。   然而，VEMP在偏头痛与梅尼埃综合征或BPPV的鉴别上有一定优势。通常在偏头痛事件发生后，VEMP强度指标通常表现高反应，在梅尼埃加重时，受累耳强度指标反应是低反应性的，而在BPPV时，受累耳潜伏期反应通常延长。 

There are a lot of people who may think a chiropractor will automatically “snap the neck” of every patient they see, including patients suffering from dizziness. Spinal manipulation, whether performed by a chiropractor, medical doctor,

“Vestibular disorder” is an umbrella term used to encompass many different conditions that affect the inner ear and those parts of the central nervous system involved in maintaining balance.

Vestibular disorders can result from or be worsened by injuries, genetic or environmental conditions, or occur for unknown reasons. There are more than twenty-five known vestibular disorders. Each is unique, but many share common diagnostic traits, which can make it difficult for healthcare professionals to easily differentiate them.

The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV), labyrinthitis or vestibular neuritis, Ménière’s disease, and secondary endolymphatic hydrops. Vestibular disorders also include superior semicircular canal dehiscence, acoustic neuroma, perilymph fistula, ototoxicity, enlarged vestibular aqueduct, migraine-associated vertigo, and Mal de Sébarquement. Other problems related to vestibular dysfunction include complications from aging, autoimmune disorders, and allergies.

DES CHANGEMENTS DANS VOTRE ALIMENTATION PEUVENT RÉDUIRE LES ÉTOURDISSEMENTS De nombreuses personnes atteintes de la maladie de Ménière (également appelée hydrops endolymphatique idiopathique primaire), d'hydrops endolymphatique secondaire ou de vertiges associés à des migraines trouvent

Thanks to our Caregiving Heros Celebrating Vestibular Care Partners November is caregiver awareness month, an opportunity to focus on and celebrate all those who support vestibular patients. To recognize those individuals who provide caregiving support

By Drs. Michael Teixido and John Carey. Updated June 2022 by Pavan Krishnan, pre-doctorate research fellow at Johns Hopkins Introduction Migraine is a common clinical problem characterized by episodic attacks of head pain and associated

Some common questions about the effects of travel on people with vestibular dysfunction include:

“Will travel increase symptoms?”
“Should I avoid travel?”
“What is the best form of travel?”
“What can I do to minimize discomfort while traveling?”

Travel conditions that may be problematic for a person with a vestibular disorder include those that involve exposure to rapid altitude or pressure changes, certain motion patterns, or disturbing lighting. Travel decisions that accommodate a person’s vestibular disorder will depend on the type of vestibular disorder, the method of transportation (e.g., train, boat, airplane, automobile), and the conditions and planned activities at the destination.

Cause Infection or inflammation of the cochleovestibular nerve. Summary Vestibular Neuritis (or neuronitis) is a vestibular condition that is commonly caused by the inflammation of the vestibular branch of the 8th cranial nerve, which is

The use of medication in treating vestibular disorders depends on whether the vestibular system dysfunction is in an initial or acute phase (lasting up to 5 days) or chronic phase (ongoing).

During the acute phase, and when other illnesses have been ruled out, medications that may be prescribed include vestibular suppressants to reduce motion sickness or anti-emetics to reduce nausea. Vestibular suppressants include three general drug classes: anticholinergics, antihistamines, and benzodiazepines. Examples of vestibular suppressants are meclizine and dimenhydinate (antihistamine-anticholinergics) and lorazepam and diazepam (benzodiazepines).

Other medications that may be prescribed are steroids (e.g., prednisone), antiviral drugs (e.g., acyclovir), or antibiotics (e.g., amoxicillin) if a middle ear infection is present. If nausea has been severe enough to cause excessive dehydration, intravenous fluids may be given.

During the chronic phase, symptoms must be actively experienced without interference in order for the brain to adjust, a process called vestibular compensation. Any medication that makes the brain sleepy, including all vestibular suppressants, can slow down or stop the process of compensation. Therefore, they are often not appropriate for long-term use. Physicians generally find that most patients who fail to compensate are either strictly avoiding certain movements, using vestibular suppressants daily, or both.