R438 – Medication Effects on Vestibular Rehabilitation in PTMAD

ProblemDo migraine prophylactic medications effect the vestibular rehabilitation of individuals with Post-Traumatic Migraine Associated Dizziness (PTMAD)?MethodsTraumatic Brain Injury (TBI) is a common cause of neurologic disorders with a reported incidence in the literature between 180 to 500 per 100000. Individuals affected by mild TBI have a diverse range of symptoms that include but are not limited to dizziness, concentration difficulty, migraine headaches, emotional lability, nausea, anosmia, sensitivity to light and sounds. Evidence of post-traumatic migraine associated dizziness (PTMAD), following mild TBI, have been described and characterized previously by our group. In this retrospective review, we looked at 90 males with blast exposure or blunt head trauma suffered in combat and a diagnosis of PTMAD who were placed on Elavil, Verapamil, or Topamax medications for migraine prophylaxis. These patients, while on these medications, actively participated in a vestibular rehabilitation program over a...