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Vestibular migraine — RACP Paediatrics MCQ

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ModerateNeurologyVestibular migraineRACP Paediatrics

A 12-year-old has episodic vertigo lasting hours associated with severe headache, photophobia, and phonophobia. Between episodes there is no hearing loss or tinnitus. What is the most likely diagnosis?

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Correct answer: E — Vestibular migraine

Vestibular migraine: episodic vertigo lasting minutes to hours associated with migrainous features (headache, photo/phonophobia). Distinguished from Meniere by absence of hearing loss/tinnitus. Treatment is as per standard migraine (acute and prophylactic).

Reference: RCH Melbourne – 2023 – Vertigo CPG; RACP Paediatric Curriculum – Neurology