Treatment of migrainous vertigo

Migraine and balance disorders are becoming increasingly recognized as comorbid conditions. Diagnostic criteria have recently been developed to facilitate the identification of patients for whom balance complaints are likely to be symptoms of migraine. The significant impact that associated balance complaints add to migraine requires evaluation for specific treatment of balance disorder symptoms in migraineurs. Treatment of migraine-related balance symptoms includes both migraine medications and nonpharmacologic therapy. Vestibular rehabilitation is an effective nonpharmacologic therapy for migraine-related vertigo and is optimally effective in severely affected patients when combined with migraine-preventive medications.