I do believe my issue is migraine-caused, with temporary vestibular impairment that lasts longer, brought on by the migraine (basilar). I go through a period where I get major attacks (feeling like I’m on a rough boat, difficulty walking, weak/jelly legs, wavy vision, and increased tinnitus, sometimes one sided face or head pain). These major attacks last abt an hour or so. Then in between these attacks I have general imbalance and anxiety. I only rarely have true vertigo, and when I do, it lasts only a few seconds. So for me, the series of major attacks along with the period of imbalance that persists between, I call that a relapse episode. Those last for a few months for me. Then I am fine for awhile. This last relapse episode came at the same time I started getting true hot flashes. Also, prednisone short course helps calm the major episodes down. I am also taking Propranolol as a migraine preventative. I raise the dose with a relapse.
Due to the episodic nature of my symptoms, and having ruled out other diseases, my Neuro says it can only be migraine or menieres. Since my VNG 3yrs ago and the VNG this last May were normal, I am told it is not menieres. So we’re left with migraine. I have a history of migraine with aura worsened by birth control pills, so I could never take them. Seems hormones, especially now at menopause, are a huge trigger for me. My mom also has a history of hemiplegic migraines (that mimic a stroke), so I perfectly fit the description of the typical person who converts to MAV or vestibular migraine later in life.