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Migraine associated vertigo and high TSH
I saw my neurologist today and she said My that my results of my TSH that went up since around the time I have had severe vertigo episodes were i will be walking and just fall may be related to my migraine associated vertigo or the vertigo may be entirely related to my hypothyroidism I just developed this year (I'm now 50). I was also tested for autoantibodies/Hasimotos and it was negative. So, a couple of questions that I didn't get to ask her.
1. What does the low thyroid have to do with vertigo and migrianes and/or vertigo and low thyroid?
2. Why did I just become hypothyroid in my 50's? Can this be due to being peri-menopausal? What other things can cause later onset (not genetic or childhood onset hypothyroidism).
3. I'm on Topamax, and Amitriptilyne to control the migraine associated vertigo. It is working very well so she said it apparantly due to the migraine and not my inner ear. But then how is it still possibly related to thyroid.
thank you,
mkh9
1. What does the low thyroid have to do with vertigo and migrianes and/or vertigo and low thyroid?
2. Why did I just become hypothyroid in my 50's? Can this be due to being peri-menopausal? What other things can cause later onset (not genetic or childhood onset hypothyroidism).
3. I'm on Topamax, and Amitriptilyne to control the migraine associated vertigo. It is working very well so she said it apparantly due to the migraine and not my inner ear. But then how is it still possibly related to thyroid.
thank you,
mkh9
Dr. Santos,
Thanks for your reply. I have a couple of questions regarding what you said.
1. When you said hypothyroidism can coexist with migraines especially if there is failure in treatment response, do you mean failure to treat the migraine properl or failure to treat the hypothyroidism?
2.I was tested for Hasimotos antibodies and was negative. Also, I haven't had thyroid surgery, or radioiodine. So the question here is is there another autoimmune process besides Hasimotos that I should be checked for?
3. When you said Vertigo can be a part of the aura symptoms or may be ndirect effect, indirect effect of what?
Lastly, Why does hypothyroidism coexist with migraine? Is this reason a known correlation? The neurologist said I may be able to get off the Topamax because the vertigo may be due to the thyroid does that sound right? Will I eventually be able to just go back to my usual Sumatriptan and be taking synthroid instead and this will control the vertigo?
thank you,
mkh9
Thanks for your reply. I have a couple of questions regarding what you said.
1. When you said hypothyroidism can coexist with migraines especially if there is failure in treatment response, do you mean failure to treat the migraine properl or failure to treat the hypothyroidism?
2.I was tested for Hasimotos antibodies and was negative. Also, I haven't had thyroid surgery, or radioiodine. So the question here is is there another autoimmune process besides Hasimotos that I should be checked for?
3. When you said Vertigo can be a part of the aura symptoms or may be ndirect effect, indirect effect of what?
Lastly, Why does hypothyroidism coexist with migraine? Is this reason a known correlation? The neurologist said I may be able to get off the Topamax because the vertigo may be due to the thyroid does that sound right? Will I eventually be able to just go back to my usual Sumatriptan and be taking synthroid instead and this will control the vertigo?
thank you,
mkh9
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How are you? Thyroid diseases, including hypothyroidism, are among the conditions now known to often coexist with migraines especially if there is failure in treatment response. Hypothyroidism results when the thyroid gland fails to produce enough hormones and may be attributed to a variety of issues. It affects 5-20% of women in the elderly group and the occurrence varies with genetics with a high prevalence in Caucasians, as well as in populations with a high iodine intake. Common causes of hypothyroidism are autoimmune destruction of the thyroid gland, medication effect, and previous thyroid surgery or radioiodine therapy. It is good that you are responding well with your present management.Vertigo can be a part of the aura symptoms or may be indirect effect. If the symptoms persist, it is best that you have this checked by your doctor for proper management. Hope this helps. Take care and do keep us posted.