Migren-berrelasi Kegamangan
Oleh Andrew P. Jones, M.D.-6743
Kegamangan, yang adalah khayal gerak-gerik di kerabat sampai lingkungan, secara umum berpengalaman sebagai sebagian sakit kepala migren.

Migren adalah penyakit characterized oleh sakit kepala berkala, tetapi pasien sering pengalaman gejala lain, termasuk pening. Di beberapa pasien, pening bisa menjadi satu-satunya gejala. Pening yang dihubungkan dengan migren dianggap kegamangan.

Kegamangan adalah secara mendasar sensasi pemintalan kamar sekitar anda, sedangkan sudah tenang. Mual dan kadang-kadang muntah selalu dihubungkan dengan kegamangan.

Mabuk kendaraan adalah iringan migren biasa juga. Kebanyakan yang belajar laporan sekitar 50% dari pasien dengan migren mempunyai mabuk kendaraan. Pasien dengan kegamangan yang dihubungkan oleh migren sering menyediakan sejarah panjang ketidaktoleranan gerakan selama mobil, kapal, atau perjalanan dengan pesawat udara atau ketiga. Orang dengan migren ialah, di umum, lebih peka terhadap gerakan lingkungan dan untuk menyibukkan lingkungan.

Gejala migren-berrelasi kegamangan variabel dan mungkin ingin kamar yang berputar di tidur (kegamangan sebenarnya), meraba terus-menerus ketidakseimbangan, dan/atau pening menghubungkan terutama kalau berpindah dan tidak di tidur. Gejala secara langsung dihubungkan dengan sepenyakit migren Bisa terjadi sebelum datangnya Atau selama sakit kepala.

Vertigo Without Headaches

Juga cukup biasa untuk mengalami kegamangan selama jarak waktu yang tanpa sakit kepala. Sebagai seperti itu, banyak pasien yang pengalaman migren-berrelasi kegamangan akan mengalami pening sebagai gejala utama di ketiadaan sakit kepala pun! Sebenarnya, kebanyakan pasien dengan kegamangan yang dihubungkan oleh migren mempunyai pening yang terjadi secara mandiri sakit kepala.

Kondisi terakhir seseorang ini yang mengalami kegamangan tanpa yang mana pun Mengelirukan dokter dan pasien sama. Jauh lebih biasa daripada pemikiran dan sebagian besar waktu adalah diagnosa yang dirindukan dan thereby kesempatan yang dirindukan untuk pengobatan.

Prevalence of Migraine-Associated Vertigo
Laporan menunjukkan bahwa 27-42% semua pasien migren melaporkan kegamangan berkala. Apa yang menarik ialah bahwa tentang ketiga (sekitar 36%) pasien ini mengalami kegamangan selama titik yang tanpa sakit kepala. Sisanya yang mengalami kegamangan baik baru saja sebelum atau selama sakit kepala. Timbulnya kegamangan selama Periode lebih tinggi di pasien dengan pancaran seditentang ke yang itu tanpa pancaran.
Lamanya:

Gejala kegamangan mungkin tahan selama sedikit menit atau mungkin terus-menerus selama beberapa minggu atau malah berbulan-bulan! Di wanita, ada perkumpulan kuat pening yang terjadi dalam menstrual siklus.

Lamanya kegamangan juga bisa cukup variabel. Frekuensi lamanya berbeda sihir kegamangan di migren-berrelasi kegamangan ialah sebagai berikut:

O7% kegamangan pengalaman untuk lamanya detik-detik.
O31% kegamangan pengalaman selama menit-menit sampai sampai 2 jam.
o5% have vertigo for 2-6 hours.
o8% have vertigo for 6-24 hours.
o49% experience vertigo for longer than 24 hours.

What Causes the Vertigo Associated with Migraines?

The most commonly accepted theory regarding the pathophysiology of migraine-associated vertigo is the Cortical Spreading Depression theory (CSD). Multiple authors propose that episodes of dizziness are similar to that of a migraine aura or are actually part of the aura.

But since only about 20% of migraine sufferers actually experience an aura, researches attribute the vertigo as part of a fluctuation of nerve cell ion channels. Recent understandings in a particular type of migraine – Familial Hemiplegic Migraine (FHM) have shown two genes responsible for controlling ion flow across nerve cell membranes.

These two genes affect changes in calcium, sodium and potassium channels. This alters the electrical conduction potentials of nerve cells. The result is a transient wave front that suppresses central neuronal activity. This depression spreads in all directions from its site of origin. These changes result in a reduction in cerebral blood flow in the areas of spreading depression.

Two authors have suggested that when dizziness is unrelated to headache, the dizziness occurs from the release of neuropeptides, including substance P, neurokinin A, calcitonin and gene–related peptide [CGRP].
No single hypothesis explains the or dizziness process in migraine at this time. Thus, the causes of the symptoms of migraine remain controversial.
Meniere’s Disease
There is another relatively common form of vertigo called Meniere’s Disease. Meniere’s Disease is not related to migraines at all. It has a classic triad of vertigo, hearing loss and tinnitus (ringing of the ears). The vertigo of Meniere’s Disease is frequently confused with migraine-associated vertigo.
Fortunately, the vertigo associated with the more common forms of migraines rarely have any hearing loss and also does not have much in the way of tinnitus.
Basilar Migraines

The is one ominous variant of migraine headaches called Basilar Migraines (or also known as Bickerstaff ‘s syndrome) which is a cross between a migraine and occasionally ends up in a stroke. Some features of Basilar Migraines include vertigo, hearing loss and tinnitus. Up to 80% of patients with Basilar Migraine have been reported to have sensorineural hearing loss.
So in the case of the Basilar Migraines, the vertigo might be indistinguishable from Meniere’s Disease during the headache-free intervals. Otherwise the presence of the would lend it toward the migraine component and should be treated as a migraine.
Clearly, Basilar Migraines

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are a more pernicious variety of migraine headache. Even though Basilar Migraines are classified as a sub-group of migraines, some believe that the stroke-like damage that is frequently associated with this group of headaches places it in a different category and should be treated very differently from the typical migraine.

Treatment

Unfortunately, the vertigo component of migraines is extremely resistant to standard treatment. The triptan class of drugs is relatively ineffective. Also, the standard anti-vertigo drugs like meclizine and phenergan also do not work well.

A Better Method For Migraine Relief

There is another option to relieve migraine pain – a migraine cure. Cure the migraine and never worry about migraine-associated vertigo again.

Recent reports indicate migraine headaches can indeed be totally abolished – as a number of elite medical clinics catering to women have testified. Under their treatment protocols, migraines are completely eliminated in 80% of their patients.

These successes are limited to women only, as addressing a woman’s hormones is the basis of the cure. Some clinics have published their treatment protocols and even made them available to the public.

The Women’s Health Institute of Texas believes that a migraine cure certainly eliminates the migraine nausea altogether - and concern over the ensuing migraine may no longer be necessary – at least in women.

Dr. Andrew P. Jones, M.D. is the Medical Director for the Women’s Health Institute of Texas. He is Board Certified by the American Board of Internal Medicine and by the American Academy of Biologically Identical Hormone Therapy. He is chief medical advisor to the non-profit group, www.DitchThePill.org Find out more about Dr. Jones and the cure for migraine headaches at: www.migraine-headaches-information.com/ His medical experience primarily revolves around the relationship of women’s health issues and bio-identical hormone management of PMS, menopause and migraine headaches.