An Acute Peripheral-Appearing Vestibular Syndrome Followed by Probable Vestibular Migraine: A Case Report

Peripheral-appearing findings during an acute vestibular syndrome do not necessarily establish the etiology of subsequent recurrent vestibular episodes. The emergence of recurrent vertigo with migraine-associated features should prompt diagnostic reassessment. Serial vestibular testing may document evolving vestibular function but should be interpreted in conjunction with the longitudinal clinical phenotype.

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Audiologists and vestibular specialists should remain alert to the possibility that an initial peripheral-appearing vestibular episode may be an early or triggering event for vestibular migraine — reinforcing the need for follow-up after acute vestibular presentations.

Misclassifying vestibular migraine as a peripheral vestibular disorder delays appropriate management; this case highlights a diagnostic overlap that clinicians encounter in vestibular practice.

1. 01Single case report: acute peripheral-appearing vestibular syndrome preceded recurrent vestibular migraine episodes.
2. 02Vestibular migraine causes recurrent dizziness and may not involve typical headache.
3. 03Differential diagnosis between peripheral vestibular disorders and vestibular migraine remains clinically challenging.
4. 04The case raises questions about whether the initial episode was a trigger, a misdiagnosis, or a comorbidity.
5. 05No new interventional data; findings are hypothesis-generating only.

PMID

42967039

DOI

10.1002/ccr3.73846.

Journal

Clinical Case Reports

Publication type

case_report

Evidence level

4

Sample size

1

Population

Single adult patient presenting with acute peripheral-appearing vestibular syndrome followed by probable vestibular migraine

Intervention

Clinical observation and diagnostic evaluation of vestibular episodes