Balance and Vestibular Program

Vestibular Migraine

Overview

Vestibular migraine, also known as migrainous vertigo or migraine-associated vertigo, is the most common cause of dizziness and vertigo in children. Migraine headaches, often localized to the frontal or peri-orbital region, may precede, follow or occur simultaneously with dizziness/vertigo.

Many patients with vestibular migraine see flickering or vibrating lights just before a dizziness episode or headache begins. This is referred to as a visual aura. Also, they become very sensitive to bright lights or loud sounds when they are experiencing a dizziness episode or a headache.

How Children's Hospital Boston approaches vestibular migraine

Vestibular migraine is diagnosed by a series of criteria based on a child’s symptoms and a number of other important factors in their medical and family background.

Although there is no specific test for vestibular migraine, many tests may be needed to rule out other causes of dizziness and headache before your child is diagnosed with vestibular migraine. These tests may include a hearing test and vestibular/balance tests, which can be done right here at our Balance Program, as well as imaging tests, such as an MRI.

We can help to identify triggers (e.g. certain food) to avoid the symptoms. We will prescribe medications, if necessary, to treat vestibular migraine.