🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 116 (from laksa012)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa116.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-migraine\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-migraine\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/vestibular-migraine","crawl_time":1776299336,"first_indexed_time":1554670996,"http_code":200,"src_unparsed":"org,hopkinsmedicine!www,\/health\/conditions-and-diseases\/vestibular-migraine s443","src_root_hash":"4754538707639265316","history_drop_reason":null,"meta_title":"Vestibular Migraine | Johns Hopkins Medicine","meta_descriptions":["Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache. Vestibular migraine isn’t fully understood, but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain. Many of the triggers for migraine headache can cause a vestibular migraine."],"attrs_boilerpipe_text":"Ear Nose and Throat\nHeadache\nMigraine headaches\n are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting.\nWhat You Need to Know\nVestibular migraine can cause vestibular or balance symptoms with or without an actual headache.\nThere is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago.\nVestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain.\nMany of the triggers for migraine headaches can cause a vestibular migraine.\nVestibular Migraine Symptoms\nVestibular migraines can involve combinations of the following symptoms:\nMigraine \theadache symptoms, such as\nSevere, \t\tthrobbing headache, usually on one side of the head\nNausea \t\tand vomiting\nSensitivity to light, smell and noise\nVestibular \tsymptoms may include:\nVertigo \t\t(dizziness), usually lasting minutes to hours, but sometimes days\nUnsteadiness \t\tand loss of balance\nSensitivity \t\tto motion\nAlthough subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as\nMéniére’s disease\n.\nWith a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache.\nWhat causes vestibular migraine?\nVestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the\ncomplex mechanisms of migraine\n, it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation.\nIn addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine.\nVestibular Migraine Diagnosis\nBecause a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include:\nBenign \tparoxysmal positional vertigo (BPPV)\nMéniére’s \tdisease\nTransient \tischemic attack (TIA) or “mini-stroke”\nIt is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging.\nVestibular Migraine Treatment\nTreatment for vestibular migraine is similar to that for other\nmigraine headaches\n. Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance.\nIf the person is getting frequent attacks, the doctor may recommend one or more of these medications, as well as others:\nBeta-blockers\nCalcium \tchannel blockers\nTricyclic \tantidepressants\nSerotonin \tor serotonin\/norepinephrine reuptake inhibitors (SSRIs or SNRIs)\nTopiramate\nPeople with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress.","attrs_markdown":"[Skip to Main Content](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/vestibular-migraine#skip)\n\n[![Johns Hopkins Medicine](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/hopkins-medicine-logo-white-header.svg?iar=0&hash=C6173D209DB591FDF4EFE00B18C2FFE4)](https:\/\/www.hopkinsmedicine.org\/)\n\nJohns Hopkins Medicine  Menu\n\n- [Health](https:\/\/www.hopkinsmedicine.org\/health)\n- [School of Medicine](https:\/\/www.hopkinsmedicine.org\/som)\n- [Johns Hopkins Medicine Home](https:\/\/www.hopkinsmedicine.org\/)\n- [About](https:\/\/www.hopkinsmedicine.org\/about)\n- [Patient Care](https:\/\/www.hopkinsmedicine.org\/patient-care)\n- [Research](https:\/\/www.hopkinsmedicine.org\/research)\n\n- [MyChart](https:\/\/mychart.hopkinsmedicine.org\/)\n- [Schedule an Appointment](https:\/\/www.hopkinsmedicine.org\/patient-care\/johns-hopkins-medicine-request-appointment)\n- [Find a Doctor](https:\/\/www.hopkinsmedicine.org\/profiles)\n- [Find a Clinical Trial](https:\/\/www.hopkinsmedicine.org\/clinical-trials)\n- [Pay Your Bill](https:\/\/www.hopkinsmedicine.org\/patient-care\/patients-visitors\/billing-insurance\/pay-bill)\n- [Employment](https:\/\/www.hopkinsmedicine.org\/employment)\n\nClose\n\nSearch\n\nClose\n\n[MyChart Login MyChart](https:\/\/mychart.hopkinsmedicine.org\/)\n\n[Home](https:\/\/www.hopkinsmedicine.org\/) [Health Home](https:\/\/www.hopkinsmedicine.org\/health) [Conditions and Diseases](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases)\n\n![Woman lying in bed experiencing a migraine](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/brain\/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217)\n\n![Woman lying in bed experiencing a migraine](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/brain\/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217)\n\n![Woman lying in bed experiencing a migraine](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/brain\/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217)\n\n# Vestibular Migraine\n[Ear Nose and Throat](https:\/\/www.hopkinsmedicine.org\/health\/ear-nose-and-throat) [Headache](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache)\n\n[Migraine headaches](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/migraine-headaches) are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting.\n\n## What You Need to Know\n- Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache.\n- There is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago.\n- Vestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain.\n- Many of the triggers for migraine headaches can cause a vestibular migraine.\n\n## Vestibular Migraine Symptoms\n- Vestibular migraines can involve combinations of the following symptoms:\n  - Migraine headache symptoms, such as\n  - Severe, throbbing headache, usually on one side of the head\n  - Nausea and vomiting\n  - Sensitivity to light, smell and noise\n\n- Vestibular symptoms may include:\n  - Vertigo (dizziness), usually lasting minutes to hours, but sometimes days\n  - Unsteadiness and loss of balance\n  - Sensitivity to motion\n\nAlthough subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as [Méniére’s disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease).\n\nWith a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache.\n\n## What causes vestibular migraine?\nVestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the [complex mechanisms of migraine](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/how-a-migraine-happens), it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation.\n\nIn addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine.\n\n## Vestibular Migraine Diagnosis\nBecause a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include:\n\n- [Benign paroxysmal positional vertigo (BPPV)](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/benign-paroxysmal-positional-vertigo-bppv)\n- [Méniére’s disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease)\n- [Transient ischemic attack (TIA) or “mini-stroke”](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/stroke)\n\nIt is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging.\n\n## Vestibular Migraine Treatment\nTreatment for vestibular migraine is similar to that for other [migraine headaches](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/migraine-headaches). Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance.\n\nIf the person is getting frequent attacks, the doctor may recommend one or more of these medications, as well as others:\n\n- Beta-blockers\n- Calcium channel blockers\n- Tricyclic antidepressants\n- Serotonin or serotonin\/norepinephrine reuptake inhibitors (SSRIs or SNRIs)\n- Topiramate\n\nPeople with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress.\n\n#### Vestibular Migraine Headaches\n[Watch on YouTube - ![](https:\/\/www.hopkinsmedicine.org\/-\/media\/youtube-video-thumbnails\/vestibular-migraine-headaches\/mqdefault.jpg)](https:\/\/www.youtube.com\/watch?v=TzIFEIxIxas&ab_channel=JohnsHopkinsMedicine)\n\n## Related\n![Surgeons at work.](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/balance-problems\/scds-surgery-teaser.jpg?h=260&iar=0&w=380&hash=44E1984A6F9CC40A3FAAD92E7B48D898)\n\n- [Surgery](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/superior-canal-dehiscence-syndrome-scds\/surgery)\n- [Meniere Disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease)\n- [Bilateral Loss of Labyrinthine Function](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/bilateral-loss-of-labyrinthine-function)\n- [Benign Paroxysmal Positional Vertigo (BPPV)](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/benign-paroxysmal-positional-vertigo-bppv)\n\n## Find A Doctor\n### Displaying 1 - 3 of 7 results for \"[Headache Medicine](https:\/\/profiles.hopkinsmedicine.org\/search?specialties=Headache%20Medicine&sort=networks%2Crelevance%2Cavailability)\"\n\n- #### [Katrina Marie Nayak, MD](https:\/\/profiles.hopkinsmedicine.org\/provider\/Katrina-Marie-Nayak\/2702405)\n  **5**\/ out of 5  [170 reviews](https:\/\/profiles.hopkinsmedicine.org\/provider\/Katrina-Marie-Nayak\/2702405#profile-reviews)\n  \n  ![Katrina Marie Nayak, MD](https:\/\/cdn-images.kyruus.com\/providermatch\/johnshopkins\/photos\/500\/nayak-katrina-1033679642.jpg)\n  \n  **Expertise:** Neurology, Headache Medicine\n  \n  **Primary Location:** Johns Hopkins Bayview Medical Center, Baltimore, MD\n- #### [Anne Damian Yacoub, MD](https:\/\/profiles.hopkinsmedicine.org\/provider\/Anne-Damian-Yacoub\/2702833)\n  **4\\.9**\/ out of 5  [109 reviews](https:\/\/profiles.hopkinsmedicine.org\/provider\/Anne-Damian-Yacoub\/2702833#profile-reviews)\n  \n  ![Anne Damian Yacoub, MD](https:\/\/cdn-images.kyruus.com\/providermatch\/johnshopkins\/photos\/orig\/damian-anne-1134672918.jpg)\n  \n  **Expertise:** Neurology, Headache Medicine, Multiple Sclerosis\n  \n  **Primary Location:** Johns Hopkins Bayview Medical Center, Baltimore, MD\n- #### [Dian Patricia Grandison, CRNP](https:\/\/profiles.hopkinsmedicine.org\/provider\/Dian-Patricia-Grandison\/2702426)\n  **4\\.9**\/ out of 5  [43 reviews](https:\/\/profiles.hopkinsmedicine.org\/provider\/Dian-Patricia-Grandison\/2702426#profile-reviews)\n  \n  ![Dian Patricia Grandison, CRNP](https:\/\/cdn-images.kyruus.com\/providermatch\/johnshopkins\/photos\/500\/grandison-dian-1083137970.jpg)\n  \n  **Expertise:** Pediatric Neurology, Headache Medicine, Neurology\n  \n  **Primary Location:** Johns Hopkins Bayview Medical Center, Baltimore, MD\n\n![](https:\/\/jhmcdn.blob.core.windows.net\/jhm-assets\/find-a-doctor\/search_icon.svg)\n\n### ![](https:\/\/jhmcdn.blob.core.windows.net\/jhm-assets\/find-a-doctor\/search_icon.svg) Search More Clinicans\n- [Neurotology](https:\/\/profiles.hopkinsmedicine.org\/search?unified=\"Neurotology\"&sort=networks%2Crelevance%2Cavailability)\n- [Head Pain](https:\/\/profiles.hopkinsmedicine.org\/search?unified=\"Head%20Pain\"&sort=networks%2Crelevance%2Cavailability)\n- [Headache](https:\/\/profiles.hopkinsmedicine.org\/search?unified=\"Headache\"&sort=networks%2Crelevance%2Cavailability)\n***\n![](https:\/\/jhmcdn.blob.core.windows.net\/jhm-assets\/find-a-doctor\/hospital-orange.svg)\n\n### ![](https:\/\/jhmcdn.blob.core.windows.net\/jhm-assets\/find-a-doctor\/hospital-orange.svg) Find a Treatment Center\n- [Otology and Neurotology](https:\/\/www.hopkinsmedicine.org\/otolaryngology\/specialty-areas\/otology)\n- [Neuro-Visual and Vestibular Disorders Center](http:\/\/www.hopkinsmedicine.org\/neurology_neurosurgery\/centers_clinics\/vestibular\/)\n- [Headache Center](https:\/\/www.hopkinsmedicine.org\/neurology-neurosurgery\/specialty-areas\/headache)\n\n![](https:\/\/www.hopkinsmedicine.org\/-\/media\/project\/jhm\/icons\/jhmcalendar.svg?iar=0&hash=9758E8BED5D3E0BEC4202D7B92AC5624)\n\n## Request an Appointment\n[Find a Doctor](https:\/\/www.hopkinsmedicine.org\/profiles)\n\n- [410-955-5000](tel:410-955-5000) Maryland\n- [855-695-4872](tel:855-695-4872) Outside of Maryland\n- [\\+1-410-502-7683](tel:+1-410-502-7683) International\n\n[Find a Doctor](https:\/\/www.hopkinsmedicine.org\/profiles)\n\nSee More\n\n## Related\n- [![Surgeons at work.](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/balance-problems\/scds-surgery-teaser.jpg?h=260&iar=0&mh=260&mw=380&w=380&hash=0CF5C6A448A62C381BA9246620091367) Balance problems Surgery](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/superior-canal-dehiscence-syndrome-scds\/surgery)\n- [![No image available](https:\/\/www.hopkinsmedicine.org\/-\/media\/feature\/noimageavailable.png?h=260&iar=0&mh=260&mw=380&w=380&hash=01CB2D77A5A7FCCDF87DF2ED968048A2) Balance problems Meniere Disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease)\n- [![Woman dealing with loss of balance.](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/health\/1_-conditions\/balance-problems\/bilateral-loss-of-labyrinthine-function-teaser.jpg?h=260&iar=0&mh=260&mw=380&w=380&hash=F624955BEDDB29592EF27E8255F4BDFA) Balance problems Bilateral Loss of Labyrinthine Function](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/bilateral-loss-of-labyrinthine-function)\n\n## Related Topics\n- [Ear Nose and Throat](https:\/\/www.hopkinsmedicine.org\/health\/ear-nose-and-throat)\n- [Headache](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache)\n\n## [![Johns Hopkins Medicine](https:\/\/www.hopkinsmedicine.org\/-\/media\/images\/hopkins-nav-logo.svg)](https:\/\/www.hopkinsmedicine.org\/)\nLanguage Assistance Available:\n\n- [Español](https:\/\/www.hopkinsmedicine.org\/patient-care\/patients-visitors\/language-assistance-services#spanish)\n- 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All rights reserved.","attrs_readable_markdown":"[Ear Nose and Throat](https:\/\/www.hopkinsmedicine.org\/health\/ear-nose-and-throat) [Headache](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache)\n\n[Migraine headaches](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/migraine-headaches) are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting.\n\n## What You Need to Know\n- Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache.\n- There is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago.\n- Vestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain.\n- Many of the triggers for migraine headaches can cause a vestibular migraine.\n\n## Vestibular Migraine Symptoms\n- Vestibular migraines can involve combinations of the following symptoms:\n  - Migraine headache symptoms, such as\n  - Severe, throbbing headache, usually on one side of the head\n  - Nausea and vomiting\n  - Sensitivity to light, smell and noise\n\n- Vestibular symptoms may include:\n  - Vertigo (dizziness), usually lasting minutes to hours, but sometimes days\n  - Unsteadiness and loss of balance\n  - Sensitivity to motion\n\nAlthough subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as [Méniére’s disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease).\n\nWith a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache.\n\n## What causes vestibular migraine?\nVestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the [complex mechanisms of migraine](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/how-a-migraine-happens), it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation.\n\nIn addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine.\n\n## Vestibular Migraine Diagnosis\nBecause a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include:\n\n- [Benign paroxysmal positional vertigo (BPPV)](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/benign-paroxysmal-positional-vertigo-bppv)\n- [Méniére’s disease](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/menieres-disease)\n- [Transient ischemic attack (TIA) or “mini-stroke”](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/stroke)\n\nIt is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging.\n\n## Vestibular Migraine Treatment\nTreatment for vestibular migraine is similar to that for other [migraine headaches](https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/headache\/migraine-headaches). Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance.\n\nIf the person is getting frequent attacks, the doctor may recommend one or more of these medications, as well as others:\n\n- Beta-blockers\n- Calcium channel blockers\n- Tricyclic antidepressants\n- Serotonin or serotonin\/norepinephrine reuptake inhibitors (SSRIs or SNRIs)\n- Topiramate\n\nPeople with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress.","meta_canonical":null}

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URL	https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-migraine
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Meta Title	Vestibular Migraine \| Johns Hopkins Medicine
Meta Description	Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache. Vestibular migraine isn’t fully understood, but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain. Many of the triggers for migraine headache can cause a vestibular migraine.
Meta Canonical	null
Boilerpipe Text	Ear Nose and Throat Headache Migraine headaches are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting. What You Need to Know Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache. There is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago. Vestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain. Many of the triggers for migraine headaches can cause a vestibular migraine. Vestibular Migraine Symptoms Vestibular migraines can involve combinations of the following symptoms: Migraine headache symptoms, such as Severe, throbbing headache, usually on one side of the head Nausea and vomiting Sensitivity to light, smell and noise Vestibular symptoms may include: Vertigo (dizziness), usually lasting minutes to hours, but sometimes days Unsteadiness and loss of balance Sensitivity to motion Although subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as Méniére’s disease . With a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache. What causes vestibular migraine? Vestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the complex mechanisms of migraine , it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation. In addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine. Vestibular Migraine Diagnosis Because a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include: Benign paroxysmal positional vertigo (BPPV) Méniére’s disease Transient ischemic attack (TIA) or “mini-stroke” It is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging. Vestibular Migraine Treatment Treatment for vestibular migraine is similar to that for other migraine headaches . Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance. 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 People with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress.
Markdown	[Skip to Main Content](https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-migraine#skip) [![Johns Hopkins Medicine](https://www.hopkinsmedicine.org/-/media/images/hopkins-medicine-logo-white-header.svg?iar=0&hash=C6173D209DB591FDF4EFE00B18C2FFE4)](https://www.hopkinsmedicine.org/) Johns Hopkins Medicine Menu - [Health](https://www.hopkinsmedicine.org/health) - [School of Medicine](https://www.hopkinsmedicine.org/som) - [Johns Hopkins Medicine Home](https://www.hopkinsmedicine.org/) - [About](https://www.hopkinsmedicine.org/about) - [Patient Care](https://www.hopkinsmedicine.org/patient-care) - [Research](https://www.hopkinsmedicine.org/research) - [MyChart](https://mychart.hopkinsmedicine.org/) - [Schedule an Appointment](https://www.hopkinsmedicine.org/patient-care/johns-hopkins-medicine-request-appointment) - [Find a Doctor](https://www.hopkinsmedicine.org/profiles) - [Find a Clinical Trial](https://www.hopkinsmedicine.org/clinical-trials) - [Pay Your Bill](https://www.hopkinsmedicine.org/patient-care/patients-visitors/billing-insurance/pay-bill) - [Employment](https://www.hopkinsmedicine.org/employment) Close Search Close [MyChart Login MyChart](https://mychart.hopkinsmedicine.org/) [Home](https://www.hopkinsmedicine.org/) [Health Home](https://www.hopkinsmedicine.org/health) [Conditions and Diseases](https://www.hopkinsmedicine.org/health/conditions-and-diseases) ![Woman lying in bed experiencing a migraine](https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/brain/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217) ![Woman lying in bed experiencing a migraine](https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/brain/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217) ![Woman lying in bed experiencing a migraine](https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/brain/vestibular-migraine-hero.jpg?h=500&iar=0&mh=500&mw=1300&w=1297&hash=DE1FCD96A572CAC0034783253D645217) # Vestibular Migraine [Ear Nose and Throat](https://www.hopkinsmedicine.org/health/ear-nose-and-throat) [Headache](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache) [Migraine headaches](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/migraine-headaches) are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting. ## What You Need to Know - Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache. - There is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago. - Vestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain. - Many of the triggers for migraine headaches can cause a vestibular migraine. ## Vestibular Migraine Symptoms - Vestibular migraines can involve combinations of the following symptoms: - Migraine headache symptoms, such as - Severe, throbbing headache, usually on one side of the head - Nausea and vomiting - Sensitivity to light, smell and noise - Vestibular symptoms may include: - Vertigo (dizziness), usually lasting minutes to hours, but sometimes days - Unsteadiness and loss of balance - Sensitivity to motion Although subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as [Méniére’s disease](https://www.hopkinsmedicine.org/health/conditions-and-diseases/menieres-disease). With a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache. ## What causes vestibular migraine? Vestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the [complex mechanisms of migraine](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/how-a-migraine-happens), it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation. In addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine. ## Vestibular Migraine Diagnosis Because a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include: - [Benign paroxysmal positional vertigo (BPPV)](https://www.hopkinsmedicine.org/health/conditions-and-diseases/benign-paroxysmal-positional-vertigo-bppv) - [Méniére’s disease](https://www.hopkinsmedicine.org/health/conditions-and-diseases/menieres-disease) - [Transient ischemic attack (TIA) or “mini-stroke”](https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke) It is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging. ## Vestibular Migraine Treatment Treatment for vestibular migraine is similar to that for other [migraine headaches](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/migraine-headaches). Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance. 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 People with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress. #### Vestibular Migraine Headaches [Watch on YouTube - ![](https://www.hopkinsmedicine.org/-/media/youtube-video-thumbnails/vestibular-migraine-headaches/mqdefault.jpg)](https://www.youtube.com/watch?v=TzIFEIxIxas&ab_channel=JohnsHopkinsMedicine) ## Related ![Surgeons at work.](https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/balance-problems/scds-surgery-teaser.jpg?h=260&iar=0&w=380&hash=44E1984A6F9CC40A3FAAD92E7B48D898) - [Surgery](https://www.hopkinsmedicine.org/health/conditions-and-diseases/superior-canal-dehiscence-syndrome-scds/surgery) - 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Readable Markdown	[Ear Nose and Throat](https://www.hopkinsmedicine.org/health/ear-nose-and-throat) [Headache](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache) [Migraine headaches](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/migraine-headaches) are a common neurological condition. Although common migraines are characterized by a moderate to severe pounding or throbbing headache, vestibular migraine may or may not involve headaches in combination with vestibular symptoms such as vertigo, imbalance, nausea and vomiting. ## What You Need to Know - Vestibular migraine can cause vestibular or balance symptoms with or without an actual headache. - There is almost always a history of motion sensitivity (such as car sickness) since childhood, and migraine headaches at some point in the person's lifetime, even if they last occurred decades ago. - Vestibular migraine isn’t fully understood but seems to result from overlapping pathways that modulate pain and vestibular inputs into the brain. - Many of the triggers for migraine headaches can cause a vestibular migraine. ## Vestibular Migraine Symptoms - Vestibular migraines can involve combinations of the following symptoms: - Migraine headache symptoms, such as - Severe, throbbing headache, usually on one side of the head - Nausea and vomiting - Sensitivity to light, smell and noise - Vestibular symptoms may include: - Vertigo (dizziness), usually lasting minutes to hours, but sometimes days - Unsteadiness and loss of balance - Sensitivity to motion Although subjective hearing symptoms (ringing, fullness, pressure in one or both ears) are common, significant hearing loss should raise suspicion for an inner ear disorder such as [Méniére’s disease](https://www.hopkinsmedicine.org/health/conditions-and-diseases/menieres-disease). With a vestibular migraine, the person may experience a combination of vestibular attacks, visual aura, or sensitivity to visual stimulation and motion at different times, and they can occur with or without an actual headache. ## What causes vestibular migraine? Vestibular migraines, like other migraine syndromes, tend to run in families. Although science has not completely clarified the [complex mechanisms of migraine](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/how-a-migraine-happens), it is known that women tend to suffer more from the condition than men, and symptoms may get worse around menstruation. In addition, people vulnerable to vestibular migraines can experience episodes after migraine triggers including altered sleep patterns, MSG, menstrual cycle and food such as chocolate, ripened or aged cheese and red wine. ## Vestibular Migraine Diagnosis Because a majority of people who have vestibular migraine do not have vestibular symptoms and headaches occurring at the same time, the onset of dizziness by itself may make it challenging to arrive at a diagnosis. Other diagnostic considerations that can present similarly to vestibular migraine include: - [Benign paroxysmal positional vertigo (BPPV)](https://www.hopkinsmedicine.org/health/conditions-and-diseases/benign-paroxysmal-positional-vertigo-bppv) - [Méniére’s disease](https://www.hopkinsmedicine.org/health/conditions-and-diseases/menieres-disease) - [Transient ischemic attack (TIA) or “mini-stroke”](https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke) It is common for vestibular migraine, Méniére’s disease and BPPV to coexist, which can make diagnosis and treatment even more challenging. ## Vestibular Migraine Treatment Treatment for vestibular migraine is similar to that for other [migraine headaches](https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/migraine-headaches). Use of meclizine or other abortive medications that suppress the vestibular system should be minimized, and only used occasionally as needed, during an episode for instance. 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 People with vestibular migraines can reduce the number and intensity of episodes by maintaining a regular sleep and meal schedule, avoiding triggers, exercising regularly and managing stress.
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