Early Diagnosis and Management of Acute Vertigo from Vestibular Migraine and Ménière's Disease.

Barry Seemungal, Diego Kaski, Jose Antonio Lopez-Escamez

Journal: Neurologic clinics 2016;33(3):619-28, ix

PMID: 26231275

Full Text on Elsevier Science View on PubMed

Abstract

Vestibular migraine is the most common cause of acute episodic vestibular symptoms after benign paroxysmal positional vertigo. In contrast, Ménière's disease is an uncommon disorder. For both conditions, early and accurate diagnosis (or its exclusion) enables the correct management of patients with acute episodic vestibular symptoms. Long-term management of migraine requires changes in lifestyle to avoid triggers of migraine and/or prophylactic drugs if attacks become too frequent. The long-term management of Ménière's disease also involves lifestyle changes (low salt diet), medications (betahistine, steroids), and ablative therapy applied to the diseased ear (eg, intratympanic gentamicin).

Address: Division of Brain Sciences, Charing Cross Hospital, Imperial College London, London, W6 8RF, UK. Electronic address: [email protected].; Division of Brain Sciences, Charing Cross Hospital, Imperial College London, London, W6 8RF, UK.; Otology and Neurotology Group CTS495, Department of Otolaryngology, Hospital de Poniente, El Ejido, Almería, Spain.

DOI: 10.1016/j.ncl.2015.04.008

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MeSH Terms: Disease Management, Early Diagnosis, Humans, Meniere Disease, Migraine Disorders, Vertigo, Vestibular Diseases