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Migraine and Meniere's disease.

Timothy C. Hain, MD Page last modified: September 15, 2018

There is some thought that Meniere's and Migraine are two faces of the same indistinguishable condition. This may be indeed the case in a substantial number of people. About 50% of people with Menieres also meet the criteria for Migraine (Radke et al, 2002). For this reason, it is often a good idea to try the large repertoire of migraine treatments in persons with Meniere's disease.

In our practice at Chicago Dizziness and Hearing, we see roughly one new Meniere's patient/day and have seen more than 500 Meniere's patients in total. Our experience has been that roughly 50% of them also meet criteria for Migraine, and we are in general agreement with the paper by Radke et al (2002, see below).

With respect to the entity called "vestibular migraine", defined by a committee called the "International Headache Society", we are not so sure that all of our Meniere's patients are a fit -- the criteria for "vestibular migraine" are so complex that it is difficult to know if any particular patient has "jumped through all of the hoops" and therefore qualified to be officially designated as "vestibular migraine". The term "migraine associated vertigo" would however still seem to be generally useful.

Literature review:

MD = Meniere's disease, MMD = Menieres +Migraine, VN = Vestibular Neuritis.




Copyright September 15, 2018 , Timothy C. Hain, M.D. All rights reserved. Last saved on September 15, 2018