A 20-year-old woman presents with recurrent episodes of severe vertigo, tinnitus, and hearing loss. Initial thoughts may lead to Ménière's disease, but the patient doesn't report any episodes of ear fullness. What could be the diagnosis?
While Ménière's disease could initially seem likely, the absence of a feeling of fullness or pressure in the ear suggests another diagnosis. This could be a condition known as vestibular migraine, which is a type of migraine that causes problems with balance, dizziness, and vertigo, but not necessarily headaches. The diagnosis is typically clinical, based on patient symptoms and the exclusion of other conditions.