Vestibular migraines are diagnosed and treated as follows:

Diagnosis
- Specialist Involvement: Typically diagnosed by a neurologist.
- Diagnostic Criteria:
- At least five episodes of vestibular symptoms (moderate to severe) lasting from five minutes to 72 hours.
- A history of migraine with or without aura.
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Vestibular migraines are diagnosed and treated as follows:

Diagnosis:
- Specialist Involvement: Typically diagnosed by a neurologist.
- Diagnostic Criteria:
- At least five episodes of vestibular symptoms (moderate to severe) lasting from five minutes to 72 hours.
- A history of migraine with or without aura.
- Symptoms not better explained by another diagnosis.
- One or more migraine features with at least half of the vestibular episodes:
- Headache with specific characteristics (one-sided, pulsating, moderate/severe pain, worsens with activity).
- Photophobia (light sensitivity) or phonophobia (sound sensitivity).
- Visual aura (temporary vision disturbances).

Treatment:
- Medications:
- Triptans: Such as Imitrex (sumatriptan) and Maxalt (rizatriptan) to block pain pathways.
- Reyvow (lasmiditan): Approved for treating migraine with or without aura.
- Preventative Treatments:
- Beta Blockers: Used to help prevent frequent episodes.

Additional Information:
- Vestibular migraines can be challenging to diagnose due to the separation of migraine and vestibular symptoms.
- They are the most common cause of episodic vertigo and affect more women than men (5:1 ratio).

For more detailed information, you can refer to the articles on MyMigraineTeam:
- [Vestibular Migraines — An Overview](https://www.MyMigraineTeam.com/resources/vestib...)
- [Newly Identified Form of Vertigo Responds to Treatment](https://www.MyMigraineTeam.com/resources/newly-...)

 This AI-generated response comes from MyMigraineTeam and other selected sources. It is not a substitute for medical advice. Always ask your doctor about specific health concerns.

Vestibular Migraines — An Overview | MyMigraineTeam

Newly Identified Form of Vertigo Responds to Treatment | MyMigraineTeam