ArticleTherapeutic advances in neurological disorders2011
Management of vestibular migraine.
Article in Therapeutic advances in neurological disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 115 citations in OpenAlex.
- The Effectiveness of Vestibular Rehabilitation in Vestibular Migraine: A Systematic Review.Journal of the Association for Research in Otolaryngology : JARO · 2026Pooled it
- Prophylactic Management of Vestibular Migraine: A Systematic Review.Annals of clinical and translational neurology · 2025Pooled it
- Pooled it
- Pharmacological agents for the prevention of vestibular migraine.The Cochrane database of systematic reviews · 2015Pooled it
- Outcome of vestibular rehabilitation in vestibular migraine.Journal of neurology · 2022Trial
- Flunarizine in the prophylaxis of migrainous vertigo: a randomized controlled trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2014Trial
- Idiopathic Parkinson's Disease Unmasked by Valproate-Induced Parkinsonism in a Patient With Vestibular Migraine.Cureus · 2025Article
- Relationship Between Vertigo and Consumption of Psychotropic Drugs: A Prospective Case-Control Study.Journal of clinical medicine · 2025Article
- Videonystamography Findings in Dizziness Patients with Background Anxiety Disorder.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Ménière's disease and vestibular migraine: a narrative review of pathogenetic insights, diagnostic evolution, and clinical management advances.Frontiers in neurology · 2025Review
- Localization of Vestibular Cortex Using Electrical Cortical Stimulation: A Systematic Literature Review.Brain sciences · 2024Review
- Human RAMP1 overexpressing mice are resistant to migraine therapies for motion sensitivity.PloS one · 2024Article
- Proprioceptive Cervicogenic Dizziness Care Trajectories in Patient Subpopulations: A Scoping Review.Journal of clinical medicine · 2023Article
- Will Vestibular Migraine Pathology Lead to Ischemic Changes in Brain Tissue in Later Age?Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study.Journal of clinical medicine · 2022Article
- Evaluation of video head impulse test during vertiginous attack in vestibular migraine.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022Article
- The Pharmacological Treatment of Pediatric Vertigo.Children (Basel, Switzerland) · 2022Review
- Comparison of Clinical Balance and Visual Dependence Tests in Patients With Chronic Dizziness With and Without Persistent Postural-Perceptual Dizziness: A Cross-Sectional Study.Frontiers in neurology · 2022Article
- Care Gaps and Recommendations in Vestibular Migraine: An Expert Panel Summit.Frontiers in neurology · 2021Review
- Vestibular rehabilitation in Europe: a survey of clinical and research practice.Journal of neurology · 2020Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vestibular migraine is considered to be the second most common cause of vertigo and the most common cause of spontaneous episodic vertigo. The duration of attacks varies from seconds to days, usually lasting minutes to hours, and they mostly occur independently of headaches. Long-lasting individual attacks are treated with generic antivertiginous and antiemetic drugs. Specific antimigraine drugs are unlikely to be very effective for rescue. The mainstay of the management of vestibular migraine is prophylactic medication. To date, there are no controlled trials available; the body of knowledge builds on case series and retrospective or observational studies. Most drugs are also used for the prevention of migraine headaches. The choice of medication should be guided by its side effect profile and the comorbidities of patients. Betablockers such as propanolol or metoprolol are preferred in patients with hypertension but in the absence of asthma. Anticonvulsants include topiramate when patients are obese, valproic acid and lamotrigine. Lamotrigine is preferred if vertigo is more frequent than headaches. Calcium antagonists include verapamil and flunarizine. If patients have anxiety, tricyclic antidepressants such as amitryptiline or nortryptiline or SSRIs and benzodiazepines such as clonazepam are recommended. Acetazolamide is effective in rare genetic disorders related to migraine-like episodic ataxia; however, its place in vestibular migraine is still to be established. Nonpharmacological measures such as diet, sleep, hygiene and avoidance of triggers are recommended as they are for migraine. Vestibular rehabilitation might be useful when there are complications such as loss of confidence in balance or visual dependence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.