Managing the Unique Challenges of Vertigo & Vestibular Migraine
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Key Questions
- What are the symptoms of vestibular migraine?
- Can someone who typically experiences one type of migraine develop vestibular migraine later in life?
- What treatments are available for vestibular migraine?
- What are the treatment options for vertigo and dizziness?
- What are the challenges in developing specific treatments for vestibular migraine?
- What is the Epley maneuver, and how does it help with dizziness?
- Can physical therapy or dietary changes help manage vestibular migraine symptoms?
- What comorbidities are commonly associated with vestibular migraine?
- Are there supplements that may help support someone with vestibular migraine?
- How are perimenopause and menopause related to vestibular migraine?
Interview Notes
- Dr. Beh
- The Beh Center
- Vestibular Disorders Association (VEDA)
- American Migraine Foundation
- Association of Migraine Disorders
- Headache Impact Test (HIT-6)
- Dizziness Handicap Inventory (DHI)
- Vertigo symptom scale – short form
- Book: Victory Over Vestibular Migraine
- Article: Dix-Hallpike Maneuver
- Article: “Home Epley Maneuver”
- Study: “Non-invasive vagus nerve stimulation for acute treatment of high-frequency and chronic migraine: An open-label study”
- Study: “Prevention of migraine by supraorbital transcutaneous neurostimulation using the Cefaly® device (PREMICE): A multi-centre, randomized, sham-controlled trial”
- Study: “Cinnarizine as an alternative recommendation for migraine prophylaxis: A narrative review”
- Migraine Disability Assessment Test (MIDAS)
- Study: “Psychometric properties of the vertigo symptom scale — Short form”
- Study: “Detailed insight into magnetic resonance assessment of Ménière’s disease – description of methodology and imaging findings in a case series”
- X: @thedizzydoc
Treatments Mentioned
- Amitriptyline (Elavil)
- Antiepileptic medications
- Antihypertensive medications
- Benzodiazepines
- Cefaly
- CGRP inhibitors
- Cinnarizine
- Clonazepam (Klonopin)
- Coenzyme Q10 (CoQ10)
- Desipramine (Norpramin)
- Dietary changes
- Diazepam (Valium)
- Epley maneuver
- Folic acid/folate
- gammaCore
- Hormonal contraceptives
- Hormone replacement therapy (HRT)
- Lorazepam (Ativan)
- Magnesium
- Neuromodulation devices
- Nortriptyline (Pamelor)
- OnabotulinumtoxinA (Botox)
- Riboflavin (vitamin B2)
- Selective serotonin and norepinephrine reuptake inhibitor (SNRIs)
- Selective serotonin reuptake inhibitors (SSRIs)
- Vestibular therapy
- Vitamin B6
- Vitamin B12
- Vitamin C
- Vitamin D
- Vitamin E
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.

Shin C. Beh, MD
Founder & Director
Beh Center for Vestibular & Migraine Disorders
Shin C. Beh, MD, is the founding director of the Beh Center for Vestibular & Migraine Disorders, a clinic specializing in the treatment of otoneurological disorders and migraine. He was an assistant professor of neurology and established the Vestibular & Neuro-Visual Disorders Clinic at UT Southwestern Medical Center in Dallas before he founded the Beh Center for Vestibular & Migraine Disorders in Irving, Texas.
Dr. Beh is the author of Victory Over Vestibular Migraine, The Migraine Manual: Understand & Heal Your Migraine Brain, and Disembark: Overcoming Mal de Debarquement Syndrome; he is also the co-author of The Mediterranean Migraine Diet. Dr. Beh’s research interests include vestibular migraine and various other neuro-otologic disorders including persistent postural-perceptual dizziness (PPPD) and mal de débarquement syndrome (MdDS). He has published many scholarly articles and book chapters, and presented nearly 40 abstracts and lectures related to his specialty.
Interviews from Shin Beh, MD

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Over the past 50 years, our mission at the National Headache Foundation has been to further awareness of headache and migraine as legitimate neurobiological diseases. Much has changed during this time. With aid from advanced technology and clinical innovation, there are more treatment options than ever before. However, we understand that these diseases are still largely misunderstood and that finding the right treatment options for you requires insight.
Lundbeck is a global pharmaceutical company focused exclusively on transformative treatments in neuroscience for people with high unmet need. Every day, we strive for improved treatment and abetter life for people living with brain disease. We are committed to supporting the migraine community and helping to eliminate barriers that prevent people from being their best.

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