Understanding Vestibular Migraine

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Key Questions
  • What is vestibular migraine?
  • To what extent can the symptoms of vestibular migraine cause disability?
  • Are vestibular symptoms more likely to happen at a certain stage of an attack?
  • Is headache always a feature of vestibular migraine?
  • What is the difference between vestibular migraine, and migraine with dizziness or vertigo as part of the attack?
  • Are there any triggers specific to vestibular migraine attacks?
  • What is the difference between vestibular migraine and other conditions that cause vestibular symptoms, like Meniere’s disease, BBPV, or PPPD?
  • What is the relationship of tinnitus to vestibular migraine?
  • Why is the diagnosis of vestibular migraine so complicated?
  • How much does having an accurate diagnosis of vestibular migraine matter?
  • Can vestibular migraine symptoms get worse over time if untreated?
  • How can people who suspect they have vestibular migraine find help?
  • How can vestibular migraine be treated?
  • Are there any exercises specific to treating vestibular migraine?
  • Are there any options in neuroplasticity training for vestibular migraine?
  • Is there any evidence that meditation can be helpful for vestibular migraine?
  • What does the future hold for those living with vestibular migraine?
Interview Notes
shin_beh MD

Shin Beh, MD

Founding Director, Vestibular and Neuro-Visual Disorders Clinic
UT Southwestern

Shin C. Beh, M.D., is an assistant professor in the department of neurology at UT Southwestern Medical Center. Dr. Beh is the founding director of UT Southwestern’s Vestibular Neurology and Neuro-Visual Disorders Clinic, and serves on the faculty of the Multiple Sclerosis and Neuroimmunology Clinic. Dr. Beh’s research interests include vestibular migraine and various other neuro-otologic disorders. He has published a number of scholarly articles and book chapters, and presented nearly 40 abstracts and lectures related to his specialty. Dr. Beh serves as a reviewer for journals that include JAMA Neurology; Journal of Neurology, Neurosurgery & Psychiatry; Therapeutic Advances in Neurological Disorders; The Neurologist; and Neurodegenerative Disease Management. He is a member of the American Academy of Neurology, the North American Neuro-Ophthalmology Society, and the American Headache Society.

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