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
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

Understanding Vestibular Migraine

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