Zuraida Zainun
Muhammad Munzir Zuber Ahmadi
- Senior Lecturer, University Sains Malaysia Health Campus, Kelantan, Malaysia
- Medical Officers, University Sains Malaysia Health Campus, Kelantan, Malaysia
Abstract
Migraine and vestibular migraine are the primary cause of headache in general population world widely. The prevalence shows that 1 in 10 people have migraine. Majorities of headache causes are undiagnosed properly and usually treated for symptomatic treatment without following correct guidelines. Standard treatment options for migraine include acute relief, lifestyle strategies, alternative remedies, and prophylactic drug. Most patients are managed in primary care using painkiller in many cases without proper management and consultation by specialist. In this case, Stu spinning sensation diagnosed of underlying migraine, 30 years old Malay lady with history of resolved right BPPV but unfortunately still complaint of persistent headache and dizziness after several weeks. Typical symptoms of BPPV such as spinning sensation , vomiting are resolved after 1–2 weeks post menstrual period. Detailed history and clinical evaluation was done and she was diagnosed vertigo as vestibular migraine and proper migraine prophylaxis was started using Amitriptyline and Metoprolol. After several weeks of therapy, the symptoms started to improve.
Keywords: Migraine, prophylaxis, vestibular, headache, symptomatic treatment, primary care
[This article belongs to Research & Reviews: A Journal of Neuroscience(rrjons)]
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Research & Reviews: A Journal of Neuroscience
| Volume | 14 |
| Issue | 01 |
| Received | December 3, 2023 |
| Accepted | January 23, 2024 |
| Published | April 19, 2024 |