Related Experiment Video
Updated: Aug 7, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
18.6K
Vestibular migraine with Wallenberg syndrome: a case report
Ying Xin1,2, Junyi Fu3,4, Longchang Xie3,4
1Department of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510260, Guangdong, China. 943516709@qq.com.
BMC Neurology
|May 27, 2020
Summary
Vestibular migraine may increase the risk of cerebral ischemia. Concurrent treatment for migraines and ischemic stroke is suggested for patients with vestibular migraine and Wallenberg syndrome.
Area of Science:
- Neurology
- Neuroscience
- Internal Medicine
Background:
- Vestibular migraine, a form of acute vestibular syndrome, presents with both migraine and vertigo.
- While migraines are known to cause brain lesions, the link between vestibular migraine and cerebral infarction is under-researched, particularly concerning Wallenberg syndrome.
Observation:
- A 35-year-old female presented with a two-year history of severe vertigo and headaches, alongside a decade of infrequent migraines.
- Diffusion-weighted imaging revealed a subacute infarction in the right lateral medulla.
- Clinical presentation and MRI findings supported a diagnosis of vestibular migraine with Wallenberg syndrome.
Findings:
- The patient received standard treatment for vestibular migraine with Wallenberg syndrome and concurrent migraine therapy.
- A 3-month follow-up showed a significant reduction in vertigo attacks and migraine frequency/intensity.
Implications:
- Vestibular migraine is identified as a potential risk factor for cerebral ischemia.
- This case highlights the importance of simultaneous treatment for both ischemic stroke and migraines in patients diagnosed with vestibular migraine and Wallenberg syndrome.
Related Concept Videos
01:29The Vestibular System
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
01:15Equilibrium and Balance
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
01:22Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...