Finding Balance in Vestibular Migraine Diagnosis and Treatment

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Key Questions
  • What is vestibular migraine?
  • How common is vestibular migraine?
  • What symptoms do patients with vestibular migraine experience?
  • How does vestibular migraine differ from other vestibular disorders?
  • What type of doctor should someone see if they suspect vestibular migraine?
  • What conditions are commonly comorbid with vestibular migraine?
  • What role does estrogen play in vestibular migraine?
  • What treatment options are available to help manage vestibular migraine?
  • What advice would you give to someone with vestibular migraine who is struggling with nausea and movement?
  • What role do neuroplasticity and brain training have in the management of vestibular migraine?
  • What resources are there to help people who are living with vestibular migraine?
Interview Notes
Treatments Mentioned
  • Aerobic exercise
  • Antidepressants
  • Anti-nausea medications
  • Anti-seizure medications
  • Blood pressure medications
  • CGRP inhibitors
  • Cognitive behavioral therapy (CBT)
  • Cool compress
  • Coenzyme Q10 (CoQ10)
  • Dopamine antagonist
  • Essential Oils
  • Feverfew
  • Grounding techniques
  • Magnesium
  • Mindfulness
  • Meditation
  • Remote electrical neuromodulation
  • Strength training
  • Trigeminal nerve stimulation
  • Triptans
  • Vagus (vagal) nerve stimulation
  • Vestibular physical therapists
  • Vitamin B2 (riboflavin)

Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.

Kristen K. Steenerson, MD

Clinical Assistant Professor, Otolaryngology (Head and Neck Surgery); Neurology & Neurological Sciences
Stanford University

Kristen K. Steenerson, MD, is a board-certified neurologist fellowship-trained in vestibular neurology. She graduated cum laude from Claremont McKenna College. She completed medical school at the University of Utah in Salt Lake City, followed by a neurology residency at Mayo Clinic in Arizona, where she served as chief resident. There, she discovered the unmet need of patients with vertigo and vestibular symptoms, motivating her to pursue a fellowship in otoneurology/neuro-otology at Barrow Neurological Institute in Phoenix. She joined Stanford Medicine with positions in both the Otolaryngology — Head & Neck Surgery and the Neurology & Neurological Sciences departments, with the goal of jointly addressing the junction of inner ear and brain disorders. Her specific interests include vestibular migraine, benign paroxysmal positional vertigo, Ménière’s disease, and international neurology.

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