Finding Balance in Vestibular Migraine Diagnosis and Treatment
Key Questions
- ¿Qué tan común es la migraña vestibular?
- ¿Qué síntomas experimentan los pacientes con migraña vestibular?
- ¿En qué se diferencia la migraña vestibular de otros trastornos vestibulares
- ¿Qué tipo de médico debería consultar alguien si sospecha de migraña vestibular?
- ¿Qué condiciones son comórbidas comúnmente con la migraña vestibular
- ¿Qué papel juega el estrógeno en la migraña vestibular?
- ¿Qué opciones de tratamiento existen para ayudar a manejar la migraña vestibular?
- ¿Qué consejo le daría a alguien con migraña vestibular que está luchando con náuseas y movimiento?
- ¿Qué papel tienen la neuroplasticidad y el entrenamiento cerebral en el manejo de la migraña vestibular?
- ¿Qué recursos existen para ayudar a las personas que viven con migraña vestibular?
Interview Notes
- Kristen K. Steenerson, MD
- Steenerson Clinic
- Stanford Medicine
- Book: Victory Over Vestibular Migraine: The ACTION Plan for Healing & Getting Your Life Back
- Book: Rock Steady: Healing Vertigo or Tinnitus with Neuroplasticity
- Study: “Galcanezumab for vestibular migraine”
Treatments Mentioned
- Aerobic exercise
- Antidepressants
- Anti-nausea medications
- Anti-seizure medications
- Blood pressure medications
- CGRP inhibitors
- Cognitive behavioral therapy (CBT)
- Cool compress
- Coenzyme Q10 (CoQ10)
- Dopamine antagonist
- Essential Oils
- Feverfew
- Grounding techniques
- Magnesium
- Mindfulness
- Meditation
- Remote electrical neuromodulation
- Strength training
- Trigeminal nerve stimulation
- Triptans
- Vagus (vagal) nerve stimulation
- Vestibular physical therapists
- Vitamin B2 (riboflavin)
Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.
This is a Spanish translation of an expert interview from the Migraine World Summit 2024. All interviews have been carefully translated and medically reviewed.
Kristen K. Steenerson, MD
Clinical Assistant Professor, Otolaryngology (Head and Neck Surgery); Neurology & Neurological Sciences
Stanford University
Kristen K. Steenerson, MD, is a board-certified neurologist fellowship-trained in vestibular neurology. She graduated cum laude from Claremont McKenna College. She completed medical school at the University of Utah in Salt Lake City, followed by a neurology residency at Mayo Clinic in Arizona, where she served as chief resident. There, she discovered the unmet need of patients with vertigo and vestibular symptoms, motivating her to pursue a fellowship in otoneurology/neuro-otology at Barrow Neurological Institute in Phoenix. She joined Stanford Medicine with positions in both the Otolaryngology — Head & Neck Surgery and the Neurology & Neurological Sciences departments, with the goal of jointly addressing the junction of inner ear and brain disorders. Her specific interests include vestibular migraine, benign paroxysmal positional vertigo, Ménière’s disease, and international neurology.
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