Question: 31 Year old male.



About 2 months ago I developed a vestibular/tingling issue.



What happens is for about 1-3 days I will get bi-lateral facial tingling, mostly on my cheeks. Not severe, but moderate and annoying. This is like a creepy/crawling feeling, tingling, numbness. No loss of facial movement or strength. That will last about 1-3 days 24/7 then slowly subside, at which time dizziness then begins. The dizziness is not a true vertigo, but more of a motion sickness, just got off a boat/roller coaster feelings, with some lightheaded feeling at times, being pushed to the side feeling, etc. I do get minor photophobia with it at times. This will last for days…. 3-9 days so far. It will then usually end, and I will get a couple close to normal days with near no symptoms, then the cycle starts again….. Facial tingling for days, then the vestibular symptoms.



It seems that during the vestibular part, when I lay down or rest I feel much better then. I feel great during sleep. Going in a car/ grocery store, movement, makes it worse.



I had a recent MRI, after about 2 weeks after this started and it was clear. (ATTACHED). I have had 2 in office nuero exams and they were 100% normal. I had a test done on my ears at a vestibular lab which was normal for inner ear function. However my rotary chair test was abnormal he said, which points to a brain process in his option.



So far the doctors have told me that because my MRI is clear, ear tests normal, that in their opinion I am having “Vestibular Migraines”. I will note that during these episodes I have yet to have a “real” headache, but maybe a minor one at times.



I do have a past history of undiagnosed all day long headaches that happened from about 2009-2011, then went away on their own, but since 2011, I have been pretty much headache free until this new onset of “Vestibular Symptoms” have hit.



The only other clue I can think of is I always noticed thought-out my life that I could not tolerate spiny amusement rides, and sometimes visual effects, like going into a grocery store would make me feel lightheaded in general.



My question is, what is your option on this “vestibular migraine” ? Is there something that they could be missing that I should be tested for? I was thinking maybe I have MS because of the past symptoms, a couple years break, and now again? But they said no way with clear imaging and normal MRI. Lyme disease?



Is there anything else I can look into? I don’t like how my face tingles for DAYS.. I have read in migraines where someone can get facial numbness for like a hour or two, but have you ever heard of this happening for DAYS? And then vestibular symptoms following?



They want me to try a migraine prevention medication, but I am un-sure on the diagnosis and feel they could have missed something. But maybe not? Need opinion.



MRI attached. Thank you

Thanks for response. I am going to try the migraine prevention medication. In the case that I do not respond are there any other differantional diagnoses or tests I can look into for further investigation? thanks