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What is a dizzy migraine called?

Published in Vestibular Migraine 3 mins read

A dizzy migraine is formally known as a vestibular migraine (VM).

What is a dizzy migraine called?

A dizzy migraine is medically referred to as a vestibular migraine (VM). This neurological condition is a specific type of migraine that primarily manifests with symptoms related to the body's balance system, leading to feelings of dizziness and unsteadiness.

Understanding Vestibular Migraine (VM)

A vestibular migraine is a neurological disease that directly causes vertigo. Vertigo is a sensation that makes you feel dizzy and off balance, often described as a spinning, rocking, or tilting sensation. Unlike traditional migraines where headache is the predominant symptom, with VM, the primary complaint is often the vestibular (balance) symptoms.

The prevalence of vestibular migraine highlights its significance in the medical community. Studies show that vestibular migraine is the second most common reason why people experience vertigo, underscoring its impact on daily life and balance.

Key Characteristics of Vestibular Migraine

  • Neurological Disorder: VM is a complex neurological condition that affects the brain's balance centers, rather than just being a severe headache.
  • Vertigo as a Primary Symptom: The defining feature of VM is the presence of vertigo, which can manifest as a feeling of spinning, swaying, or disequilibrium, even when stationary.
  • Connection to Migraine: While vertigo is central, VM is still a type of migraine. This means it can occur with or without the characteristic migraine headache. Some individuals may experience dizziness exclusively, while others have both dizziness and a headache.
  • Sensory Sensitivities: Similar to other migraine types, individuals with VM may experience heightened sensitivity to light (photophobia), sound (phonophobia), or even strong smells during an episode.

How Vestibular Migraine Differs

It's important to distinguish vestibular migraine from other types of migraines or causes of dizziness. The table below highlights some key differences:

Feature Vestibular Migraine (VM) Typical Migraine Other Dizziness Causes (e.g., BPPV)
Primary Symptom Vertigo, Dizziness, Imbalance Head pain (often throbbing) Dizziness, Spinning, Lightheadedness
Neurological Impact Affects balance system Often affects sensory processing Affects inner ear crystals (BPPV)
Headache Presence May or may not include headache Central symptom Generally no associated headache
Triggers Stress, certain foods, sleep changes Similar to VM Head movements, specific positions

Recognizing VM Symptoms

The dizziness associated with vestibular migraine can present in various ways, and understanding these can aid in recognition:

  1. Rotational Vertigo: Feeling as though you or your surroundings are spinning. This can be intense and disorienting.
  2. Imbalance and Unsteadiness: A persistent feeling of being off-balance, as if walking on a boat, or difficulty maintaining stable posture.
  3. Motion Sickness: Increased sensitivity to motion, leading to nausea or vomiting when riding in a car, train, or even just turning the head quickly.
  4. Visual Induced Dizziness: Dizziness or disorientation triggered by complex visual patterns, moving objects, or busy environments like supermarkets.
  5. Aural Symptoms: Some individuals might also experience ear pressure, ringing in the ears (tinnitus), or muffled hearing, though these are less common than in conditions like Meniere's disease.

Recognizing these specific patterns of dizziness, especially when they occur in conjunction with other migraine-like features (even without a headache), is key to identifying a vestibular migraine.