Vertigo – could it be migraine?

by James on 19 September 2005

Vertigo, the feeling that the world is spinning or that you’re about to fall, often goes hand in hand with headaches.  Neurologist Dr Lee Moon Ken recently wrote this helpful article about vertigo, in which he talks among other things about the connection to headache.

In their book Migraine and Other Headaches, Drs Young and Silberstein write about a girl who experienced extreme problems with vertigo:  …she began seeing double.  This lasted for about a minute.  She began to feel like the room was spinning and then she passed out…

This girl had a basilar type migraine, also known as Bickerstaff Syndrome.  The symptoms can be serious enough, as you can tell.  But vertigo can indicate a more immediate life threatening problem, and isn’t something that should be ignored.

Vertigo by itself could even indicate migraine.  As you should know, migraine attacks do not always involve pain.  It’s worthwhile to know your family history and consider whether you may have migraine if you’re getting vertigo.

You can read a portion of an eMedicine article on migraine and vertigo here.

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{ 10 comments… read them below or add one }

Janice 21 September 2005 at 11:57 am

Thought you might want a first-hand account of migraine-associated vertigo (MAV). I’ve suffered from it for nearly 10 years and have tried many drugs, diets, etc. to prevent it. I have a sense of dysequilibrium nearly all the time. I’m currently on Klonapin, which helps to lessen the sensation, but it does not prevent it from happening. This imbalance is life-changing, though not as debilitating as full-fledged vertigo, which is a spin-till-you-drop/vomit/etc.-type thing…thank God. Anyway, MAV is right up there with other disabling diseases. Just ask my family! They have to live with my illness nearly as much as I do and feel my frustration when yet another migraine preventative doesn’t help. If anyone out there is also suffering, I’d love to hear from you. Maybe we can exchange ideas for treatment or prevention.
Thanks!

Joe 14 August 2009 at 2:26 pm

Not sure if you or anyone else is still checking this posting – but I’ve started suffering from what the Drs. think are Basilar type migraines over the past 3 months. They’re rolling in every two days, with heavy aura, and very little headache. My aura is heavy numbness deep in the head, teeth, and neck. Sides of my body go numb as well, and they often hit late at night or in my sleep. I’ve seen 5 neurologist now, the last 3 say “BTM” even though I haven’t had massive headache. I’ve tried standard abortive migraine meds with litle success, and started trying various prophylactic drugs such as topamax, prednisone, inderal, and verapamil. the last 3 have worked, but put me in a state of constant vertigo/dizzyness, and leave me sitting in a chair most of the day. I’ve been away from work now 9 weeks, and I have 2 kids and a wife to support. Trying to get into the UCSF Headache clinic – still waiting.

Any suggestions/emails most welcome! Thanks.

Becky 17 October 2009 at 8:34 am

Hi Joe,
I too have them often occur at night or wake me up while sleeping and it is a part of it that I don’t understand. I honestly feel like I am not in control of my life. Have you had any success with anything since your post?

Joe 20 October 2009 at 11:15 pm

Hey Becky – yes, I’ve now been taking norvasc (calcium channel blocker) with some success. I’m sleeping through the night, and the migraine has gone down about 70%. It’s still almost daily, but I have faith that things are getting better. Some days almost nothing, and I’m back at work thank god. Caffeine, alcohol, and heavy exercise all seem to make it worse. Good luck.

Linda 21 October 2009 at 10:06 am

I recently experienced an acute migraine with vertigo during which I was not able to change position or move my head. The migraine abated after 2 days but the vertigo persisted for about 6 weeks and then suddenly ended. I saw and ENT doc who suggested that I try a home treatment for vertigo, the Brandt-Daroff exercise. This maneuver made me nauseated when the vertigo was active, but now I am able to perform it with no consequences. This exercise is reported to prevent future attacks and can be used to treat active vertigo. I have incorporated it into my daily routine. Check this site for more information http://www.tchain.com/otoneurology/disorders/bppv/bppv.html .

gaynor 11 December 2009 at 4:22 pm

Ihave been diagnosed with BTM since 3 years now and every day is a struggle. i was taking epilim which puts me to sleep all the time and brufen which helps me with the pain but does nothing for the constant vertigo and nausea. I am currently on inderal which lowers my blood pressure to where i cant function and stemetil for the vertigo and nausea but which sends me to sleep.I end up take these meds at night because the side makes me unable to function in the day.ANYBODY, EVERYBODY, HELP ME IF YOU CAN!!!!!!!

Derek Anderson 11 January 2010 at 4:52 pm

My headaches (temple & across eye brows) have been a problem at times for at least five years + and my last trip to the E.R. proved to
show extreme vertigo of which I am questioning could be from the
Epilepsy I’ve suffered from since 5years old , I’m now 58 , and still have my drivers license !
These headaches are very painful at times before bed at night and sometimes after rising from sleep to quickly . . .

marian 5 February 2010 at 1:13 pm

My son started experiencing BTM at the onset of puberty. He suffers for weeks at a time unable to get up except to stumble to the bathroom. Right now he has been out of school for 1 1/2 weeks. He’s missing a lot of high school. Last year he went through several meds including Topomax and Verapamil. Nothing worked and some have unpleasant side effects. Anyone and everyone, please keep posting what has been tried even if it has failed for you. Maybe it will work for someone else. It’s easy for anyone with this type of intense illness to slide into depression.
Interestingly enough, no one (other than homeopathic) has told us to stop caffeine. I have taken him off that for now. Thanks everyone for input.

Linda 7 February 2010 at 2:32 pm

Marian, My quality of life has greatly improved since incorporating lifestyle changes suggested in these 2 books: Heal Your Headache by David Buchholz, and Managing Your Migraine by Susan Burks. They are my bibles. For me, migraine is not a condition that can be controlled or treated with medication. Trigger avoidance is the key to a more normal life even though it is a constant challenge. Best of luck to your son, keep fighting the battles and win the war!

marian 7 February 2010 at 6:43 pm

Thanks Linda. I have actually heard of Buchholz’ book. I’m beginning to think the management is the key. to be continued…..

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