By Bruno Colombo, Roberto Teggi
This ebook presents a multidisciplinary method of vestibular migraine and comparable syndromes within which dizziness is the main foremost function. ranging from the neurological viewpoint, the pathophysiology, type, neurophysiology and remedy of migraine are mentioned. Readers will methods to realize and correctly deal with vestibular migraine, that is usually undiagnosed or misdiagnosed as Ménière’s syndrome (a kind of vertigo characterised by means of vertigo spells and listening to loss that provides comorbidity with migraine) or benign paroxysmal positional vertigo (in which sufferers event short episodes of vertigo, lasting from seconds to one minute, after they movement their heads in a undeniable way). The defined diagnostic and healing thoughts comprise the latest, state-of-the-art techniques. additional elements of migraine which are thought of comprise hyperexcitability within the mind and the triad of migraine, dizziness and nervousness. furthermore, the imaging of migraine, and of vestibular migraine specifically, is mentioned and scientific files are reported.
Vestibular Migraine and similar Syndromes is in keeping with the sensible and scientific reviews of an authoritative team of famous neurologists, ENT experts and neuro-otologists. It presents neurologists with a whole assessment of correct scientific positive aspects, otolaryngologists with transparent descriptions of medical elements and the pathophysiology of migraine and radiologists with counsel at the position of imaging techniques.
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Additional resources for Vestibular Migraine and Related Syndromes
J Med Syst 35:437–443 23. Anagnostou E, Spengos K, Naoumis D, Paraskevas GP, Vassilopoulou S et al (2009) Lack of visual evoked potential habituation in the syndrome of HaNDL. J Neurol 256:1374–1376 24. Chen WT, Wang SJ, Fuh JL, Ko YC, Lee YC et al (2012) Visual cortex excitability and plasticity associated with remission from chronic to episodic migraine. Cephalalgia 32:537–543 25. Coppola G, Curra A, Sava SL, Alibardi A, Parisi V et al (2010) Changes in visual-evoked potential habituation induced by hyperventilation in migraine.
With one study each, carbamazepine and levetiracetam were superior to placebo . The placebo-controlled study on carbamazepine is rather old, and although the recent US guidelines rate this drug as possibly effective (level C) , it is very seldom used in clinical practice and generally considered as non-effective in migraine. Levetiracetam was superior to placebo in one trial in reducing headache frequency, although this drug (1,000 mg/day) showed a significantly lower – although little – efficacy than topiramate 100 mg/day in the same cross-over trial in a 28-day treatment.
Depression occurs in a minority of treated patients. Flunarizine is rated as a level A drug in the European guidelines . It is not included in the US guidelines . 3 Propranolol It is the most used beta-blocker. It is considered as a level A drug both in the European guidelines  and in the US guidelines  and registered for migraine prevention in most countries. It is not indicated in the presence of asthma, Raynaud’s disease or peripheral vasculopathy, type I diabetes mellitus, severe alterations of atrioventricular conduction, or congestive heart failure.