A variant of migraine characterized by recurrent episodes of vertigo, motion intolerance, and spatial disequilibrium, occurring with or without significant headache pain.
A variant of migraine characterized by recurrent episodes of vertigo, motion intolerance, and spatial disequilibrium, occurring with or without significant headache pain.
Clinical Context: Neurological evaluation ensures exclusion of structural brain lesions, Meniere’s disease, or vascular anomalies.
Diagnostic Consideration: Unlike classic BPPV, vestibular migraine episodes can last hours or days and are accompanied by sensory hypersensitivity without specific canal nystagmus.
Upper cervical correction stabilizes both the vestibular nuclei and the trigeminocervical complex, calming the central sensory threshold.
The cranio-cervical junction (where the skull meets the Atlas and Axis vertebrae) is the primary structural crossroads of the central nervous system. When misalignment occurs here, it can create mechanical traction on the brainstem, impede venous drainage, and disturb autonomic balance. Hope Southlake uses calculated 3D digital imaging to gently reposition these vertebrae without any twisting, popping, or cracking.
When your headaches hit, normal conversation sounds like shouting and supermarket fluorescent lights feel blinding. You find yourself retreating into dark, silent rooms wearing sunglasses indoors.
Read Symptom Guide →Related SymptomYou roll over in bed or turn your head quickly to check your blind spot, and the whole room begins spinning violently around you for 20 to 30 seconds, leaving you nauseated and clutching the wall.
Read Symptom Guide →Related SymptomYour ENT, neurologist, and MRI results all came back "completely normal," yet you live every day feeling foggy, disoriented, and as if you could tip over at any moment.
Read Symptom Guide →Related SymptomThe room isn’t spinning, but your body feels like it is on the deck of a boat in rough water. When you sit or stand still, you feel an internal bobbing, swaying, or floating sensation.
Read Symptom Guide →
After suffering from multiple concussions, a serious back injury, and finding no answers in the traditional medical system, Dr. Kramer discovered upper cervical care. This personal journey fueled his passion for bringing precise, individualized care to the Southlake community.
"We understand how discouraging it is to keep searching for answers and still not feel like yourself. You deserve clarity and a precise path forward."
Advanced testing and examination help determine if upper cervical care is right for you.
Start restoring nervous system function and getting your life back.
What does life look like when your nervous system is finally in balance and your symptoms no longer control your calendar?
Wake up without debilitating head pressure or dizziness
Keep commitments to work, family, and social plans
Achieve deep, restorative sleep that recharges your energy
Reduce dependency on endless prescription rescue medications
Don't just take our word for it.
"Dr Kramer was my answer to constant, severe headaches which were caused by my neck. He identified the issue, and got things working properly again. The relief has been incredible. I'm so grateful."
- Stephanie Kabat
"I came in to this office very afraid for my future, because the symptoms I was having were debilitating. After completing my recommended course of initial treatment, I am excited about the future again. Dr Kramer is incredibly knowledgeable."
- Jessica Gilbert
"Dr. Kramer is wonderful. Takes time to listen to your story and comes up with a treatment plan just for you. Patient specialized care that is evidence based. His treatment has helped me tremendously with symptoms others could not change or even bothered to address. Highly recommend his skilled approach."
- Elizabeth Rose

Hope Upper Cervical Spine Center
500 N Carroll Ave Suite 110
Southlake, TX 76092
Phone: (972) 638-0994
Yes. Up to 30% of vestibular migraine episodes occur without noticeable headache, presenting purely as dizziness, motion sensitivity, and brain fog.
Take the first step toward lasting relief and neurological stability. Schedule your consultation with Hope Southlake today.