No, because the underlying migraine tendency is inherited and does not go away. That is less discouraging than it sounds: episodes commonly become infrequent or stop for long periods once it is recognised and treated as migraine, and nothing is being damaged in the meantime.
No, because the underlying migraine tendency is inherited and does not go away. That is less discouraging than it sounds: episodes commonly become infrequent or stop for long periods once it is recognised and treated as migraine, and nothing is being damaged in the meantime.
There is no cure for migraine, and vestibular migraine is migraine. The predisposition is substantially genetic and persists. What is not permanent is the frequency of episodes, which varies enormously across a lifetime and responds to treatment. Equally important: nothing is being structurally damaged. The inner ear is not deteriorating, hearing does not progressively decline, and the balance organs are intact. So the long-term picture is a condition that comes and goes rather than one that accumulates injury.
Many people arrive having been told for years that they have an untreatable inner-ear problem, or that nothing can be found. Both conclusions lead to no treatment being offered. Because the mechanism is migraine, the same preventive approaches used for headache reduce vestibular episodes, and people who have adjusted their lives around unexplained dizziness often improve substantially once it is managed correctly. That gap between the untreated and treated state is larger here than in most conditions, which is why the diagnosis itself is the intervention that matters most.
Fewer episodes, milder episodes, and less of the day-to-day sensitivity to visual motion between them. Preventive medication is chosen by class against the person's other conditions and needs several weeks at an adequate level before it can be judged - stopping early is the commonest reason a workable option is discarded. Sleep regularity, meal timing, hydration and keeping acute medication frequency low all contribute. Vestibular rehabilitation addresses the background motion sensitivity, which medication alone often leaves behind.
Episodes can stop for months or years, and hormonal changes including menopause shift the pattern for many women. A long quiet period is not a cure and does not mean preventive treatment failed or succeeded permanently; it is how the condition behaves. That is worth knowing so that a recurrence after two good years is not experienced as a relapse into something worse. VNG balance testing is performed at both offices for adults 18 and older; audiometry is arranged with audiology.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: migraine; MedlinePlus: dizziness and vertigo; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.