Unreal sensation of spinning of our own body or of the objects around us, in the context of an intense headache (migraine).
The cause is an alteration in the calibre of the blood vessels that accompanies migraine attacks, which temporarily reduces cerebral irrigation.
The most frequent manifestation is the association of headache and rotatory sensation; it may be accompanied by nausea, vomit, loss of balance and hearing impairment.
Diagnosis is based on the patient's clinical history and a physical examination, including neurological exploration and an ear examination.
Anti-vertiginous and anti-emetic drugs will be administered to control the symptoms. The latter will disappear completely when the migraine symptoms are treated: relative rest, quiet environment, sedatives, analgesics and/or non-steroidal anti-inflammatory drugs, triptans and/or ergotamine.
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