case report patient with fragile x with vestibular migraine

by Prof. Elouise Bechtelar 6 min read

Vestibular migraine: A case report and review of the …

23 hours ago Vestibular migraine (VM) is one of the most common causes of episodic vertigo, but it can be missed in patients complaining of dizziness. This report describes the case of a 46-year-old woman with episodic vertigo attacks and a history of migrainous headaches. Some of the … >> Go To The Portal


What is the most common trigger of vestibular migraine?

The top 5 most common triggers for vestibular migraine are;Stress and anxiety.Poor sleep – both too little, and too much!Hunger and dehydration – missing meals and not taking enough water.Dietary triggers – many common foods, especially caffeine.Hormonal changes – i.e. menstruation, menopause and in teenagers.

Can vestibular migraines cause permanent damage?

Many of the patients I see with migraine are concerned that the migraine attacks or the disease is causing permanent damage. To the best of our understanding, that's completely wrong. Migraine patients do not have to be worried about long-term brain damage. It simply doesn't happen.

What foods should you avoid if you have vestibular migraines?

Vestibular migraine attacks, which are characterized by vertigo, can be extremely uncomfortable, though removing trigger foods may relieve symptoms. The most common dietary triggers include aged cheeses, processed meats, chocolate, coffee, MSG, and alcoholic beverages like red wine and beer.

Can vestibular migraines cause hearing loss?

Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss.

Is vestibular migraine a disability?

The Social Security Administration (SSA) recognizes vestibular balance disorder as a disability that, in some cases, qualifies for benefits. Vertigo usually must be accompanied by some amount of hearing loss to be considered disabling.

Are vestibular migraines autoimmune?

Autoimmunity isn't involved in most cases of vestibular disorders; however, it can cause large losses when continuing unchecked.

What is the best treatment for vestibular migraines?

If the person is getting frequent attacks, the doctor may recommend one or more of these medications, as well as others:Beta-blockers.Calcium channel blockers.Tricyclic antidepressants.Serotonin or serotonin/norepinephrine reuptake inhibitors (SSRIs or SNRIs)Topiramate.

Does magnesium help with vestibular migraines?

Some vestibular migraine patients also live with fibromyalgia and chronic fatigue syndrome. Magnesium malate is effective for all three.

Is walking good for vestibular neuritis?

Activities such as walking, running, sports, Yoga or Tai Chi offer similar benefits (see above section on "general" interventions"). In our view, dynamic balancing exercises are appropriate for nearly all vestibular disorders.

Is vestibular migraine the same as Meniere's?

What's the difference between vestibular migraine and Meniere's disease? Vestibular migraine and Meniere's disease are different, but they do share some similarities. Meniere's disease is actually rare and often misdiagnosed, whereas it is more likely a patient will have vestibular migraine, which is extremely common.

Is vestibular migraine permanent?

There isn't a cure for vestibular migraine. But with the help of an experienced headache specialist, many patients learn to manage their triggers. That can help them live a normal life.

Can vestibular migraines last for years?

The duration of the vestibular symptoms can be highly variable, but usually last between 5 minutes to 72 hours [1,2]. Some patients may suffer from persistent vestibular symptoms lasting months to years with episodic exacerbations.

Is vestibular migraine a risk factor for cerebral ischemia?

Due to the fact that vestibular migraine is one of the risk factors of cerebral ischemia, we need to pay more attention to this phenomenon. The current case suggests that both routine medication on ischemic stroke as well as treatment for migraines should be used concurrently in vestibular migraine ….

Can a migraine cause ischemic lesions?

Though it is recognized that migraines may cause ischemic lesions in some brain regions, the relationship between vestibular migraine and cerebral infarction has seldom been reported, especially with no known research reports about vestibular migraine with Wallenberg syndrome.

What factors warrant immediate referral in patients complaining of headaches?

Factors to be aware of that may warrant immediate referral in patients complaining of headaches include: - a thunderclap headache with pain occurring suddenly and peaking within a few minutes. - history of HIV. - coexisting infection.

What side of the forehead does the therapist give a headache?

The patient reports that in the past few weeks, the patient reports that she has also started to experience severe throbbing headaches on the right side of her forehead and above the ear.

How long does migraine pain last?

A migraine is characterized by a unilateral pulsatile pain accompanied by nausea and sensitivity to light and sound. The pain can last between 4-72 hours and is lessened after sleeping. Sometimes, an aura accompanies a migraine which involves fully reversible visual, sensory, or dysphasic speech disturbances.

How does a headache affect your health?

Headaches can impact posture, balance, gait, and overall quality of life. A multidisciplinary approach is needed to ensure optimal patient care. Any medical professional involved in the patient’s care should be included in the treatment plan.

How long does cluster headache last?

The pain is typically sharp, pulsating, or pressure. Pain is commonly unilateral temporal or periorbital pain that lasts from 15 minutes to 3 hours and typically occurs with other autonomic symptoms.

Is a cluster headache unilateral?

Both cervicogenic and migraine headaches are typically unilateral. Cluster headaches would be a much less likely diagnosis consideration based on the lack of typical associated autonomic symptoms, and the report of sleep lessening the pain. Cluster headaches are also typically males between the ages of 20-40.

Can a cervicogenic headache be exacerbated?

To assist in ruling out cervicogenic headache, the therapist can apply pressure to the upper cervical or occipital region and cause symptom exacerbation. It is difficult to distinguish between a cervicogenic headache and a migraine and the two can occur simultaneously.

Etiology

The abnormality of the chromosome presented in Fragile X syndrome is found on the Xq27.3 site and commonly used as a diagnostic marker for the syndrome [1]. In most cases, the expansion of the single trinucleotide gene sequence includes 50 to 200 CGG repeats at the site and these repeats are passed down from generation to generation [1].

Diagnosis

Because there is no clinical diagnostic criteria, scoring systems have been developed to select individuals for Fragile X Syndrome [4]. It can also be diagnosed using molecular genetics testing of the FMR1 gene. One method of diagnosis is based on chromosomal study to present the chromosome under special folic acid deficient culture conditions [3].