Episode of vertigo in someone who has a history of migraines - about 25% of migraine sufferers have spontaneous attacks of vertigo and ataxia
Clinical presentation
- Light-sensitive during dizzy spells of variable duration
- Fluctuating hearing loss, acute permanent hearing loss occur in a small percentage
- Motion sensitivity with bouts of motion sickness
Management
- Based on lifestyle modifications and finding then avoiding triggers
- Pharmacology - abortive agents e.g. triptans, prophylaxis e.g. propanalol, amitriptyline
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