Pre Course 1: Challenges in Vestibular Migraine Management
| Thursday, June 13, 2024 |
| 8:00 AM - 10:00 AM |
| Grand Ballroom 5-9 |
Overview
Vestibular Migraine and Other Migraine Variants Section
Details
Vestibular Migraine is a relatively new diagnostic entity. Every year there is new data on its prevalence, but significant questions remain about how to distinguish vestibular migraine from other forms of dizziness. To explore some of these questions, we have assembled a large group of experts representing several specialties. Each speaker will deliver a short presentation so that the audience can compare and contrast their opinions.
8:00 am – 8:05 am: Introductions
8:05 am – 8:20 am: Do the Current Diagnostic Criteria Serve our Patients Well? (Debate)
8:20 am – 8:35 am: Understanding vestibular migraine: Central sensitization in the brainstem or multimodal sensory dysfunction in the thalamocortical network?
8:35 am – 8:50 am: Is vestibular testing necessary of all patients with dizziness? How can vestibular testing help diagnose vestibular migraine?
8:50 am – 9:00 am: Dizziness in Children - when it is migraine and when it is not?
9:00 am – 9:10 am: Migraine-Associated Dizziness in Children: Symptoms and Physiology Over Time
9:10 am – 9:25 am: Why Do We Need to Differentiate PPPD from Vestibular Migraine?
9:25 am – 9:35 am: What other systems should be considered in patients with vestibular migraine and other dizziness presentations?
9:35 am – 10:00 am: Wrap Up/Questions
Speaker
Frederick Godley
Association of Migraine Disorders
Introductions
8:00 AM - 8:05 AM
Frederick A. Godley, III MD, FACS is a general otolaryngologist in private practice in Rhode Island. Dr. Godley recognizes that migraine disease is a complex genetic neurovascular disease with a spectrum of symptoms beyond headache. He is a champion of improved care of those with migraine and its many comorbidities. He has founded the Association of Migraine Disorders (AMD), a nonprofit organization dedicated to patient and professional education, interdisciplinary research and public awareness. AMD hosts the international migraine awareness day, Shades for Migraine, celebrated on June 21. AMD provides a free, 4-module, 6.5 CME course in migraine management, The Migraine Toolbox, available on MyCME.com. AMD hosts the new migraine research platform, The Migraine Science Collaborative, designed to connect and inform clinicians, clinical researchers and basic scientists.
He received his medical degree from Boston University, completed his general surgical residency at the University of Massachusetts Medical Center and his specialty training at the Yale – New Haven Hospital. Dr. Godley has taught young surgeons at the Johns Hopkins Hospital, the Massachusetts Eye & Ear Infirmary and currently the Rhode Island Hospital.
Amir Kheradmand
Johns Hopkins University
Do the Current Diagnostic Criteria Serve our Patients Well? (Side: Pro)
8:05 AM - 8:20 AM
Amir Kheradmand is an Associate Professor of Neurology, Neuroscience, Otolaryngology-Head and Neck Surgery, and Laboratory for Computational Sensing and Robotics (LCSR) at Johns Hopkins. He specializes in vertigo, dizziness, imbalance, and disorders of eye movements. His research combines normal human neurophysiology and investigations in patients with disorders such as ocular misalignment, abnormal eye movements, nystagmus, and vestibular dysfunction. A special focus has been on understanding the mechanisms of spatial disorientation, and how their deleterious effects can be ameliorated. This work is translational, with an iterative process between the clinic and the laboratory with the goal of developing more accurate clinical diagnosis and better modes of treatment.
Michael Teixido
Neurotology
Thomas Jefferson University
Do the Current Diagnostic Criteria Serve our Patients Well? (Side: Con)
8:05 AM - 8:20 AM
Dr. Teixido is a Neurotologist in Wilmington, Delaware. He completed his residency in Otolaryngology at Loyola University in 1990. He completed a Neurotology fellowship under Richard Wiet, Horst Conrad and Raul Hinojosa at Northwestern University, Southern Illinois University and University of Chicago. Since 1991 he has been in Neurotologic practice with clinical appointments at Thomas Jefferson University, the University of Pennsylvania and at Drexel College of Medicine. He founded the Delaware Otologic Medicine and Surgery Fellowship in 2006. He is active in adult and pediatric cochlear implantation. He is a member of numerous professional societies related to otology and neurotology, and holds numerous editorial board positions.
Amir Kheradmand
Johns Hopkins University
Understanding vestibular migraine: Central sensitization in the brainstem or multimodal sensory dysfunction in the thalamocortical network? (Multimodal Sensory Dysfunction)
8:20 AM - 8:35 AM
Amir Kheradmand is an Associate Professor of Neurology, Neuroscience, Otolaryngology-Head and Neck Surgery, and Laboratory for Computational Sensing and Robotics (LCSR) at Johns Hopkins. He specializes in vertigo, dizziness, imbalance, and disorders of eye movements. His research combines normal human neurophysiology and investigations in patients with disorders such as ocular misalignment, abnormal eye movements, nystagmus, and vestibular dysfunction. A special focus has been on understanding the mechanisms of spatial disorientation, and how their deleterious effects can be ameliorated. This work is translational, with an iterative process between the clinic and the laboratory with the goal of developing more accurate clinical diagnosis and better modes of treatment.
Michael Teixido
Neurotology
Thomas Jefferson University
Understanding vestibular migraine: Central sensitization in the brainstem or multimodal sensory dysfunction in the thalamocortical network? (Central Sensitization)
8:20 AM - 8:35 AM
Dr. Teixido is a Neurotologist in Wilmington, Delaware. He completed his residency in Otolaryngology at Loyola University in 1990. He completed a Neurotology fellowship under Richard Wiet, Horst Conrad and Raul Hinojosa at Northwestern University, Southern Illinois University and University of Chicago. Since 1991 he has been in Neurotologic practice with clinical appointments at Thomas Jefferson University, the University of Pennsylvania and at Drexel College of Medicine. He founded the Delaware Otologic Medicine and Surgery Fellowship in 2006. He is active in adult and pediatric cochlear implantation. He is a member of numerous professional societies related to otology and neurotology, and holds numerous editorial board positions.
Claire Ceriani
Assistant Professor Of Neurology
Jefferson Headache Center
Is vestibular testing necessary of all patients with dizziness? How can vestibular testing help diagnose vestibular migraine? (Side: Con)
8:35 AM - 8:50 AM
Dr. Ceriani is an assistant professor of neurology at Thomas Jefferson University, and the Program Director of the headache medicine fellowship at the Jefferson Headache Center. She is a graduate of Sidney Kimmel Medical College at Thomas Jefferson University, and she completed both residency and fellowship at Jefferson.
Kristen Steenerson
Clinical Assistant Professor
Stanford University
Is vestibular testing necessary of all patients with dizziness? How can vestibular testing help diagnose vestibular migraine? (Side: Pro)
8:35 AM - 8:50 AM
Kristen K. Steenerson, MD is a clinical assistant professor at Stanford University School of Medicine with joint appointments in the departments of Otolaryngology--Head and Neck Surgery as well as Neurology and Neurological Sciences. She serves as a c0-director to the Stanford Balance Center, by directing the DIzziness Clinic. Dr. Steenerson completed her undergraduate degree in Human Biology at Claremont McKenna College, her medical degree at the University of Utah, her transitional year and neurology residency at the Mayo Clinic Arizona, and finally her vestibular neurology fellowship at Barrow Neurological Institute.
Jacob Brodsky
Associate Professor Of Otolaryngology
Boston Children's Hospital
Dizziness in Children - when it is migraine and when it is not?
8:50 AM - 9:00 AM
Dr. Brodsky is a pediatric otolaryngologist and is the director/co-founder of the Balance and Vestibular Program at Boston Children’s Hospital. He is also Associate Professor of Otolaryngology at Harvard Medical School. His clinical and academic work focuses on disorders of the middle and inner ear, including the medical and surgical management of vestibular disorders and hearing loss. He has published widely on these topics and routinely presents his work at national and international meetings. He has particular research interests on the effects of migraine and of concussion on the vestibular system. Dr. Brodsky completed his Otolaryngology residency at Upstate Medical University in 2011 and his Pediatric Otolaryngology fellowship at Boston Children’s Hospital in 2012.
Carlyn Patterson Gentile
Assistant Professor Of Neurology And Pediatrics
Children's Hospital Of Philadelphia
Migraine-associated dizziness in children: symptoms and physiology over time
9:00 AM - 9:10 AM
Dr. Carlyn Patterson Gentile, MD, PhD, is an Assistant Professor of Neurology and Pediatrics at the University of Pennsylvania Perelman School of Medicine and an attending headache specialist and director of the headache fellowship at the Children's Hospital of Philadelphia. Dr. Patterson Gentile's research focus is in post-traumatic headache, the intersection between vision and headache disorders, and understanding associated symptom clusters in children with headache.
Marissa Anto
Attending Neurologist
CHOP
Why Do We Need to Differentiate PPPD from Vestibular Migraine? (Perspective of a neurologist)
9:10 AM - 9:25 AM
Dr Anto is a child neurologist in the Headache Program at the Children’s Hospital of Philadelphia (CHOP). She graduated from Harvard University with Magna Cum laude honors in History of Art and Architecture and then completed her Master's in Public Health at the London School of Economics. She attended medical school at Mount Sinai where she also completed pediatrics training and then went on to complete Child Neurology Residency and Headache Fellowship at CHOP. Her research interests include adverse childhood experiences (ACE) and how they influence headache disorders. Her long term clinical research goal is to determine how to most effectively treat children with refractory migraine and high ACE exposure. Additionally her research centers on ensuring health equity in child neurology and more specifically in the delivery of headache medicine by addressing disproportionate ACE exposure in racial and ethnic minority populations.
Michael Teixido
Neurotology
Thomas Jefferson University
Do We Need to Differentiate PPPD from Vestibular Migraine? (Perspective of an otolaryngologist)
9:10 AM - 9:25 AM
Dr. Teixido is a Neurotologist in Wilmington, Delaware. He completed his residency in Otolaryngology at Loyola University in 1990. He completed a Neurotology fellowship under Richard Wiet, Horst Conrad and Raul Hinojosa at Northwestern University, Southern Illinois University and University of Chicago. Since 1991 he has been in Neurotologic practice with clinical appointments at Thomas Jefferson University, the University of Pennsylvania and at Drexel College of Medicine. He founded the Delaware Otologic Medicine and Surgery Fellowship in 2006. He is active in adult and pediatric cochlear implantation. He is a member of numerous professional societies related to otology and neurotology, and holds numerous editorial board positions.
Ali Ladak
Research Scientist, Physical Therapist IV, Clinical Specialist
Children's Hospital Of Philadelphia
What other systems should be considered in patients with vestibular migraine and other dizziness presentations?
9:25 AM - 9:35 AM
Ali Ladak PhD, DPT serves as a research scientist and physical therapist for the interdisciplinary pediatric headache clinic at the Children’s Hospital of Philadelphia. Provides education to the headache neurology fellows and University of Pennsylvania Neurology Residents, and is an assistant professor at Temple University’s College of Public Health. Focusing on contributory systems (eg. ocular, vestibular, autonomic, cervical, and orofacial) that may negatively interact with migraines, post-traumatic headaches, and other headache disorders.
Frederick Godley
Association of Migraine Disorders
Wrap Up and Questions
9:35 AM - 10:00 AM
