Answer:

“Great question there. And, the question would be, I can rephrase it to, what if you have both PPPD and vestibular migraine at the same time? So, with PPPD you have constant dizziness. And, PPPD can be triggered by anything that causes vertigo. Vestibular migraine obviously causes vertigo. And, a lot of my vestibular migraine patients, I think at least off the top of my head, over a half of them also have symptoms of PPPD.

And, so what I typically find is treating the migraines by reducing the number of vertigo attacks. That leads to an improvement of the PPPD symptoms as well. In some of the patients, who the PPPD symptoms don’t really get much better or don’t go away, those are the ones I consider sending for vestibular therapy to really help them get back to normal. They tend generally to be those patients who are more anxious, a little bit more prone to distress. That’s what I notice in general.”

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RESOURCES & LINKS:

• This Q&A is an excerpt from the Vestibular Health Summit Sessions
• The Vestibular Health Summit Sessions are included with 360NeuroGO Enterprise

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FACULTY:

Shin Beh, MD

​Shin C. Beh, M.D., is an Assistant Professor in the Department of Neurology at UT Southwestern Medical Center. A neurologist, Dr. Beh is the founding Director of UT Southwestern’s Vestibular Neurology and Neuro-Visual Disorders Clinic and serves on the faculty of the Multiple Sclerosis and Neuroimmunology Clinic. Dr. Beh’s research interests include vestibular migraine, and various other neuro-otologic disorders. He has published a number of scholarly articles and book chapters and presented nearly 40 abstracts and invited lectures related to his specialty. Dr. Beh serves as a reviewer for journals that include JAMA Neurology; Journal of Neurology, Neurosurgery & Psychiatry; Therapeutic Advances in Neurological Disorders; The Neurologist; and Neurodegenerative Disease Management.