From the Guidelines
Yes, menstrual-related migraines can cause vertigo, as migraine-associated vertigo is a recognized condition that can manifest with episodic vestibular symptoms, including vertigo, and is often associated with migraines, which can be triggered by hormonal fluctuations during menstruation. According to the clinical practice guideline on benign paroxysmal positional vertigo 1, migraine-associated vertigo is a common cause of vertigo in the adult population and may account for as many as 14 percent of cases of vertigo. The diagnostic criteria for migraine-associated vertigo include episodic vestibular symptoms, migraine according to International Headache Society criteria, and at least two migraine symptoms during at least two vertiginous episodes, such as migrainous headache, photophobia, phonophobia, or visual or other aura. Some key features of migraine-associated vertigo that distinguish it from other causes of vertigo, such as benign paroxysmal positional vertigo (BPPV), include the presence of migraines and associated symptoms like photophobia or phonophobia, as well as the absence of hearing loss and specific nystagmus patterns 1. Given the potential for menstrual migraines to trigger vertigo, treatment options may include standard migraine medications, preventive medications to reduce migraine frequency, and lifestyle modifications to manage symptoms and prevent episodes. It is essential to consider the possibility of migraine-associated vertigo in patients experiencing vertigo, especially if they have a history of migraines or if their vertigo is accompanied by migrainous symptoms, to provide appropriate diagnosis and treatment 1.
From the Research
Menstrual-Related Migraines and Vertigo
- There are no direct references to vertigo in the provided studies 2, 3, 4, 5, 6.
- The studies discuss the diagnosis, treatment, and management of menstrual-related migraines, but do not mention vertigo as a symptom or associated condition.
- Menstrual-related migraines are discussed in terms of their association with hormonal fluctuations, particularly estrogen withdrawal, and their treatment options, including triptans, NSAIDs, and hormonal therapies 2, 3, 5, 6.
- The studies provide information on the prevalence, diagnosis, and treatment of menstrual-related migraines, but do not address the specific question of whether they can cause vertigo 2, 3, 4, 5, 6.