Central vertigo associated with migraine is the spinning sensation that appears in the context of a strong headache.
The exact cause is unknown, although several triggering factors have been described: stress, some foods, changes of sleeping hours, hormonal changes and smoking.
Nausea, vomits, loss of balance and disturbance of hearing may appear with the headache.
The diagnosis is clinical, through questioning and physical examination with a full neurological examination. Additional tests may be requested to complete the picture: blood tests, auditive evoked potentials, electroencephalogram, CT-scan, lumbar puncture or MRI.
The treatment must be aimed at the triggering factor, as well as relative rest, adequate environment, sedatives, antiemetics, analgesia and / or non steroidal antiinflammatory drugs (NSAIDs), triptans (i.e. 5HT1 agonists) and / or ergotamine.
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