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Related Experiment Video

Updated: May 1, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Vertiginous headache and its management.

Sujana S Chandrasekhar1

  • 1New York Otology, 1421 Third Avenue, 4th Floor, New York, NY 10028, USA; James J. Peters Veterans Administration Medical Center, Bronx, NY, USA; New York Head & Neck Institute, Northshore-LIJ Medical Center, New York, NY, USA; Mount Sinai School of Medicine, New York, NY, USA.

Otolaryngologic Clinics of North America
|April 1, 2014
PubMed
Summary

Vertiginous headache involves dizziness and headache, often linked to migraine history. Evaluation for Meniere syndrome, migraine, and eye disorders is crucial for effective management and long-term care.

Keywords:
DizzinessHeadacheMeniere syndromeMigraineOcular movement disorderVertigo

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Vertiginous headache presents with concurrent dizziness and headache, which may not be obviously temporally related.
  • Patient-reported dizziness differs from the heavy-headedness associated with rhinogenic headache.
  • A history of typical or atypical migraine is common in patients with vertiginous headache.

Purpose of the Study:

  • To outline the diagnostic considerations for patients experiencing vertiginous headache.
  • To emphasize the importance of evaluating for specific underlying conditions.
  • To guide management strategies and the necessity of long-term follow-up.

Main Methods:

  • Clinical evaluation of patients presenting with combined vertigo and headache symptoms.
  • Differential diagnosis including Meniere syndrome, migraine headaches, and eye movement disorders.
  • Assessment of personal or family history of migraine.

Main Results:

  • The distinct nature of dizziness in vertiginous headache compared to rhinogenic headache.
  • The frequent association with migraine history, suggesting a link to migraine pathophysiology.
  • Identification of key conditions requiring targeted investigation.

Conclusions:

  • Patients with vertiginous headache require comprehensive evaluation for Meniere syndrome, migraine headaches, and eye movement disorders.
  • Management should focus on treating the identified underlying abnormality.
  • Long-term follow-up is essential due to the potential for later development of otologic abnormalities.