Treatment of Medical Therapy-Resistant Vestibular Migraine with Cranial Osteopathy: A Case Report

Year 2021, Volume: 2 Issue: 1, 62 - 64, 15.04.2021

Seyhmus Kaplan Yaser Said Cetin

Abstract

Vestibular migraine is a variant of migraine with episodic vestibular symptoms. Diagnostic criteria were determined in 2012 and the term vestibular migraine was used. Lifetime prevalence in adults is calculated as 1%. The time between the onset of migraine and the onset of vestibular attacks varies among patients. In many patients, migrainous headaches begin before vestibular attacks. Sometimes vestibular attacks can begin years before migraine headaches occur. Vestibular symptoms and attack durations may vary between patients and in different episodes of the same patient. Today, drugs used in the treatment of migraine are generally used in the treatment of vestibular migraine. However, these drugs can sometimes be ineffective or provide short-term improvement. This situation requires -especially for these patients- a treatment scheme that includes different type of holistic medicine approach. In this case report, a vestibular migraine patient who was resistant to medical migraine treatment and was treated with osteopathic treatment method will be discussed.

Keywords

migraine, vestibular migraine, migranous headache, osteopathy, osteopathic teatment, osteopathic theraphy, osteopathic medicine

Thanks

We would like to thank Şüheda ÖNEM YEDEK, who contributed to the understanding of the subject with her anatomical drawing.

References

• 1. Arnold M. Headache classification committee of the international headache society (ihs) the international classification of headache disorders. Cephalalgia. 2018;38(1):1-211.
• 2. Van Ombergen A, Van Rompaey V, Van de Heyning P, Wuyts F. Vestibular migraine in an otolaryngology clinic: prevalence, associated symptoms, and prophylactic medication effectiveness. Otology & Neurotology. 2015;36(1):133-138.
• 3. Espinosa-Sanchez JM, Lopez-Escamez JA. New insights into pathophysiology of vestibular migraine. Frontiers in neurology. 2015;6:12.
• 4. Nicholas AS, Nicholas EA. Osteopathy in the Cranial Field. Atlas of Osteopathic Techniques. 2nd ed. Lippincott Williams & Wilkins; 2012: Chapter 18.
• 5. Johnson GD. Medical management of migraine‐related dizziness and vertigo. The Laryngoscope. 1998;108(S85):1-28.
• 6. Brantberg K, Trees N, Baloh RW. Migraine-associated vertigo. Acta oto-laryngologica. 2005;125(3):276-279.
• 7. Salmito MC, Duarte JA, Morganti LOG, Brandão PVC, Nakao BH, Villa TR, Ganança FF. Tratamento profilático da migrânea vestibular. Brazilian journal of otorhinolaryngology. 2017;83(4):404-410.
• 8. Çeliker A, Bir LS, Ardiç N. Effects of valproate on vestibular symptoms and electronystagmographic findings in migraine patients. Clinical neuropharmacology. 2007;30(4):213-217.
• 9. Voigt K, Liebnitzky J, Burmeister U, Sihvonen-Riemenschneider H, Beck M, Voigt R, Bergmann A. Efficacy of osteopathic manipulative treatment of female patients with migraine: results of a randomized controlled trial. The Journal of alternative and complementary medicine. 2011;17(3):225-230.
• 10. Fraix M. Osteopathic manual medicine for vertigo: review of literature, case report, and future research. J Am Acad Osteopathy. 2009;2:25-29.
• 11. Mein EA, Greenman PE, McMillin DL, Richards DG, Nelson CD. Manual medicine diversity: research pitfalls and the emerging medical paradigm. J Am Osteopath Assoc. 2001;101(8):441-444.