Episode of vertigo in someone who has a history of migraines - about 25% of migraine sufferers have spontaneous attacks of vertigo and ataxia

Clinical features

• Light-sensitive during dizzy spells of variable duration
• Phonophobia
• 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