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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Dizziness When Diagnosed With Migraine

In 2009 I was diagnosed with A VM after having severe migraines everyday for 1yr I went throuh treatments for this and put and meds but was told would most likely always have migraines....here lately I have started back with migraines accompanied with burning sensations in my left ear and back of my head.Also dizziness faint feelings and etc.could the VM be back or never left
Wed, 7 Dec 2016
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General & Family Physician 's  Response
Hello Dear. There is possibility of vestibular migraine (VM) recurring. Kindly follow up with your doctor.

If you are interested to know, for your general information, i can give you few more details about vestibular migraine (VM).

Well anyway, the criteria for "vestibular migraine" are:

A. At least 5 episodes fulfilling criteria C and D.

B. A current or past history of migraine with or without aura.

C. Vestibular symptoms of moderate or severe intensity, lasting between 5 minutes and 72 hours.

D. At least 50% of episodes are associated with at least one of the following 3 migrainous features:

1. headache with at least two of the following four characteristics:

a). Unilateral location
b). Pulsating quality.
c) Moderate or severe intensity. This is vague.
d) aggravation by routine physical activity. With very rare exceptions, all vestibular disorders are aggravated by head movement. They are generally unaffected by movement of things other than the head. This is a vague criterian.

As criteria 1c and 1d will always be met, this criterian boils down to 50% of episodes with a headache.

2. Photophobia AND phonophobia. We don't see why both are required. There are also many more sensory exaggerations that are left out here too.

3. Visual Aura. This is so rare as to be nearly useless

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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Suggest Treatment For Severe Dizziness When Diagnosed With Migraine

Hello Dear. There is possibility of vestibular migraine (VM) recurring. Kindly follow up with your doctor. If you are interested to know, for your general information, i can give you few more details about vestibular migraine (VM). Well anyway, the criteria for vestibular migraine are: A. At least 5 episodes fulfilling criteria C and D. B. A current or past history of migraine with or without aura. C. Vestibular symptoms of moderate or severe intensity, lasting between 5 minutes and 72 hours. D. At least 50% of episodes are associated with at least one of the following 3 migrainous features: 1. headache with at least two of the following four characteristics: a). Unilateral location b). Pulsating quality. c) Moderate or severe intensity. This is vague. d) aggravation by routine physical activity. With very rare exceptions, all vestibular disorders are aggravated by head movement. They are generally unaffected by movement of things other than the head. This is a vague criterian. As criteria 1c and 1d will always be met, this criterian boils down to 50% of episodes with a headache. 2. Photophobia AND phonophobia. We don t see why both are required. There are also many more sensory exaggerations that are left out here too. 3. Visual Aura. This is so rare as to be nearly useless Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini