A 41-year-old woman presented with a 3-year history of spontaneous episodes of vertigo with the associated nausea, vomiting, photophobia, and imbalance. The episode varied from lasting for a few hours to a few days. History of 10 such attacks in the last 3 years and associated headache with 3 episodes. Triggers She mentioned that at times these episodes are triggered after missed meals, stress, or during menses. Past Illnesses She also gave a history of motion sickness and occasional migraine attacks without aura since 20 years.
Familial History Two of her family members have migraine and her grandmother had Ménière disease. What is your diagnosis for this patient based on the above description? What are the differential diagnoses for this condition? *This case is from Docplexus Editorial Team for educative purpose only. Source: Clinical Pearls in Neurology