Answer: “So there are no tests that help confirm your diagnosis. The tests help you distinguish other conditions. So let’s say if you’re worried about Meniere’s disease, then you do the audiograms that look for the unilateral, low frequency, sensorineural hearing loss. But there is no single test that will help diagnose vestibular migraine. It […]

Answer: “The literature shows after a brain injury, using binocular occlusion can help cause a visual frame of reference. And so the patient is still able to utilize their full visual field, but they have small pieces of tape here that are able to anchor their vision, essentially. And so typically with those patients, and […]

Answer: “Somebody who’s very acute, their symptoms are increased with just a little bit of head movement, is somebody who we would put in that acute stage. Subacute, they can start moving a little bit more. They’re not quite as nauseous with everything that they do, but they’re still… Head movement, they’re the ones that […]

Answer: “You cannot definitively call something bilaterally hypofunction unless you’re doing something else. Rotational chair testing is typically your gold standard for that, but you could do something like a video head impulse test, and I could also help you out too. So the problem is you may only get a VNG report that has […]

Answer: “When I utilize optokinetic stimulation, whether it be striped or checkered paper, or utilizing any kind of screens, I typically get MD clearance. I look at the full medical history, whether they’re on seizure medications, if they’ve had a past history of seizures, and usually that’s not one of the first things that I […]

“Migraine patients tend to have an increase risk of BPPV. No one has looked at vestibular migraines to distinguish that from just migraines but migraine patients in general have a slightly higher risk of BPPV. And one possibility there is, if you go back to animal studies, trigeminal noxious, trigeminal stimulation, can actually induce inflammatory […]