Vestibular Migraine- A very common but rarely diagnosed cause of vertigo

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Published 2019-02-23
Vestibular migraine is the most common central cause of vertigo, but it often goes undiagnosed. Real patient interview demonstrates how to diagnose this disorder.

All Comments (21)
  • @PeterJohns
    Just a reminder that I won't give medical advice to individuals about their particular medical problem.
  • @user-qj5ux5wc7t
    I am a patient that was recently diagnosed with vestibular migraines. I’m trying to learn more about how I can stop the effects from lasting so long. Mine last for four days. I’m working with a doctor to test different meds that desire to shorten, the duration and intensity. My EMS background lead me to you video so I could educate myself. During your video, you talked about the fact that nystagmus is very uncommon during a vestibular. I have uncommon nystagmus with my vestibular migraines. During my first vestibular migraine, I was hospitalized, because I had a syncopal episode and was so dizzy I was unable to function. I also had nystagmus that the medical professionals told me was “weird, nothing they had ever seen.” I saw many specialists and I was told “I don’t know what it is.” Thank goodness for another vertigo enthusiast. She told me I have the vestibular migraines that caused PPPD and binocular vision disorder. I am in EMS and I understand the need for case studies. I wouldn’t mind sharing my tests and reports if it will help your clinical journey.
  • @tonyf315
    Most excellent! I plan to use this video for my physical therapy vestibular rehab special interest group. I have seen many patients that fit these criteria and I think the video really boils the differential dx down to a few easy to remember neat and tidy essentials. Please keep these video gems coming! Tony Friese, PT Wausau, WI
  • @joycekraus6420
    I am so grateful for this video. Thank you!!! I could just cry, being able to relate to your patient and having an explanation for the misery of Vestibular Migraine is such a relief!!!! Thanks!!!!!!
  • @danacooper9122
    I was just diagnosed with this today! I was referred to a Neurologist. I've never been diagnosed w migraines, but I get borrowing in the back of my head! Thank you for this easy to understand
  • @milkjamjuice
    Thanks for the video on this. I’ve having vertigo and motion sickness episodes for about 22 years, and my doctor is finally taking me seriously about it. I’m currently undergoing tests to see if I have VM. Interestingly enough, my mother is an exact textbook case as you described and is also now just getting testing for VM done. When she was younger, she used to have debilitating migraines, which left me to take care of her as a kid, but that was long before a lot of this new info has come out. Anyway, great video, thanks!
  • Thank you for posting this video. It is informative, well done and should really help with my diagnosis.
  • @sunving
    Thank you Doctor Peter Johns !
  • @santry79
    Thanks for taking the time to make this video Peter, very informative.
  • @manishaent6872
    Thank you so much for your amazing work and sharing it with us.
  • @appogiatura
    Excellent video. Thanks from another emergency doc!
  • Thank you so much for this video. hits all points. ENT in the Philippines, saw a lady in the ER who had almost the same symptoms. First time to encounter a vestibular migraine patient - initially thought it was BPPV. Thank you again for all your educational videos, Dr Johns!
  • It is nice to hear clarity on this subject. As a chronic migraine patient who gets Hemiplegic migraines, migraines with auras, occipital neuralgia, vestibular migraines and ocular migraines, I think the nausea and movement sensitivity of the vestibular kind are the most horrific. Ill never forget crawling to the sink to vomit bile, because there was no way to ground my self to walk, was hands down the scariest. And they happen at the worst times, when you are home alone. I earned that day the value of tucking my phone in my shirt to crawl to sink. Oh. I wouldn't wish them on anybody.
  • @drahmadent
    Very nice videos Dr. Peter, keep on, they are very informative and they simplify these complicated diagnosis to the point. I spread your channel to all me ENT friend and they liked it.
  • @namir1782
    thank you sir and thanks to your patient , i will remember you when i diagnose a case of vestibular migraine. best explanation outthere very well put together THNAKS