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Vertigo in a Woman with Unexpected Pregnancy



Parallel abstracts

A 37-year-old married woman had suffered migraine without aura during the period from 18 and 25 years old. The first vertiginous episode occurred when she was 29, accompanied with nausea, vomiting, photophobia and phonophobia. At 30, she was diagnosed with sterility. At 32, the same vertiginous episode recurred and was conservatively treated with several anti-vertigo and anti-emetic medications. Because of missed menstrual periods, she received a pregnancy test and the result was positive. After 10 months, she bore a healthy baby girl. However, 8 months after the delivery, the same vertiginous episode recurred, but she took no medication due to lactation. Over the following 4 years, the same vertiginous episode recurred 5 times. Eventually, she was diagnosed with vestibular migraine. Therefore, pregnancy is possible in a vertiginous woman of childbearing age even if she has been diagnosed with sterility. Any medication with teratogenic risk should be avoided if pregnancy cannot be completely excluded. Antihistamine diphenhydramine (FDA class B) or promethazine (FDA class B), or antiemetics metoclopramide (FDA class B), should be considered first, followed by FDA class C antiemetics prochlorperazine or diphenidol. Antihistamine betahistine, however, should be avoided as there have not been enough data for FDA classification.

Parallel keywords

FDA class pregnancy test sterility vertigo vestibular migraine


Lempert, T(2013).Vestibular migraine.Semin Neurol.33,212-8.
Headache Classification Committee of the International Headache Society=IHS(2013).The International Classification of Headache Disorders. 3rd ed (beta version).Cephalalgia.33,629-808.
MacGregor, EA(2014).Migraine in pregnancy and lactation.Neurol Sci.35,61-4.
Frederick, IO,Qiu, C,Enquobahrie, DA(2014).Lifetime prevalence and correlates of migraine among women in a pacific northwest pregnancy cohort study.Headache.54,675-85.
Schmidt, PM,Flores, Fda T,Rossi, AG,Silveira, AF(2010).Hearing and vestibular complaints during pregnancy.Braz J Otorhinolaryngol.76,29-33.


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