lasting months is usually psychogenic, not vestibular. However, the physician must be clear on what a patient means by "constant." Some patients who say they have constant dizziness for months actually mean that they have a constant susceptibility to frequent episodic dizziness; this can be a vestibular problem.
Headache, photophobia, and sonophobia suggest migrainous vertigo
. Most patients with migrainous vertigo will also experience visual aura in at least some of their attacks.
Shortness of breath
, palpitations,pins and needle feelings and sweating may suggest a panic attack
, but true vertigo is often so terrifying that such symptoms are not uncommon with vestibular disease