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Treatment Options for Vestibular Migraine

Naegel, S; Matharu, M; Obermann, M; (2016) Treatment Options for Vestibular Migraine. US Neurology , 12 (1) pp. 39-42. 10.17925/USN.2016.12.01.39. Green open access

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Abstract

Although vestibular migraine is a common cause of vertigo, affecting approximately 1% of the Western world's population, it remains widely under-recognized and is under-diagnosed. Diagnostic criteria for vestibular migraine were recently published in collaboration with the International Headache Society and the Bárány-Society. Trials investigating the treatment of vestibular migraine are sparse but some are now underway. This review focuses on the treatments options available for vestibular migraine, based on the existing evidence base where available. Regarding acute treatments, there are two randomized controlled trials that provide evidence for the use of triptans (zolmitriptan and rizatriptan) for the management of vestibular migraine attacks. For prophylactic treatment, the evidence base is largely non-existent, since the only multicenter randomized placebo-controlled trial testing metoprolol versus placebo is still underway. Consequently, the treatment recommendations for the prophylactic treatment of vestibular migraine are mainly based on expert opinion and the treatments guidelines for migraine with and without aura.

Type: Article
Title: Treatment Options for Vestibular Migraine
Open access status: An open access version is available from UCL Discovery
DOI: 10.17925/USN.2016.12.01.39
Publisher version: http://doi.org/10.17925/USN.2016.12.01.39
Language: English
Additional information: Open Access: This article is published under the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, adaptation, and reproduction provided the original author(s) and source are given appropriate credit.
Keywords: Vestibular migraine, migraine with aura, vertigo, dizziness, migraine
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/1495875
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