Vestibular migraine (VM) management for an ENT surgeon - an update on diagnostic criteria and current management strategies

Overview: Vestibular migraine is a very common problem needing attention as it’s diagnosis frequently missed. This article discusses key diagnostic indicators including ID-migraine, motion sickness, phono/photophobia. Key management options prophylactic and abortive medications are also discussed. Findings: Using of the 3 item ID-Migraine questionnaire increases sensitivity. There no RCT evidence that Nutraceuticals usage, restriction MSG Caffeine Chocolates, artificial sweeteners, processed meats, alcohol aged cheese useful in VM. Although beta blockers used prophylaxis, metoprolol may not be effective.The mainstay 5HT receptor agonists. Recommendations: It necessary to raise awareness entity training education should given care givers. Future research identify therapeutic agents lifestyle changes specifically effective this condition.