I know I won’t have time to ask all of these questions, but here is the list I am going to take with me next week. Last call for edits, additions, etc.!
Question 1: True or false: If meclizine helps alleviate dizziness symptoms in a patient, then the dizziness is being caused by the ear and not by migraine. In other words, dizziness caused only by migraine will not be helped by meclizine. True, or false?
Question 2: Can chaotic electrical activity in the brain (such as from migraine, from hallucinogenic drugs, or other sources) damage the vestibular centre or system?
Question 3: Are all the symptoms experienced in MAV hallucinations, or are some of the symptoms artefacts of the inner ear?
Question 4: Do we know for certain the underlying aetiology of MAV?
Question 5: Is it possible that MAV starts due to a change in the inner ear?
Question 6: Is it possible that the change could be a degree of hydrops, however small? And could ongoing MAV really be a case of hydrops, or a very small fistula that leaks only occasionally?
Question 7: Is it fair to say that MAV is a condition in which a change to the vestibular system has not been compensated for?
Question 8: Do we know why MAVers experience ear pressure, positional vertigo or hearing loss (where present)?
Question 9: In MAV, does treating the migraine also treat the dizziness? In other words, does a migraine treatment that works on the headache also work on the dizziness?
Question 10: Do we know why each medication works in MAV? Or are the medicines prescribed purely due to positive consolidated clinical experience without knowing their exact mode of action on the condition?
Question 11: Do you think there will be significant innovation in this space within the next 10 years and what technological change is likely to drive that?