Migrainous Vertigo

No gold standard for diagnosis

• Only consistent Sx: recurrent vertigo

Consider diagnosis if:

• Vertigo occurs during a known migraine
• Other typical components of Migraine

For recurrent vertigo w/o typical headache, should first:

• r/o Meniere’s: obtain formal audiometry
• r/o Perilymphatic Fistula: send to ENT
• r/o MS: send to Neuro for MRI, LP, evoked responses

See posting Vertigo – 2.