A 34-year-old with a long history of migraine with aura reports recurrent episodes of spontaneous vertigo lasting from one to several hours, sometimes with photophobia, sometimes with head-motion intolerance. Hearing is subjectively normal; serial audiograms over a year are stable. There is no aural fullness.

Affected earContralateral ear

VEMP traces are within normal limits and the audiogram is stable — no fluctuating low-frequency cochlear signature.

Which single feature most argues FOR vestibular migraine and AGAINST Ménière's disease in this patient?

Select an option to continue.

← All clinical cases

Affected earContralateral ear

VEMP traces are within normal limits and the audiogram is stable — no fluctuating low-frequency cochlear signature.

Which single feature most argues FOR vestibular migraine and AGAINST Ménière's disease in this patient?

Select an option to continue.

← All clinical cases

Recurrent vertigo in a patient with migraine — but is it Ménière's?

Which single feature most argues FOR vestibular migraine and AGAINST Ménière's disease in this patient?

Recurrent vertigo in a patient with migraine — but is it Ménière's?

Which single feature most argues FOR vestibular migraine and AGAINST Ménière's disease in this patient?