Brief Answer: The symptoms suggest Vestibular Migraine Detailed Answer: Hi XXXX Thanks for your query. There are several variants of Migraine, one of which being Vestibular Migraine, which presents as sudden vertigo (spinning sensation, generalized weakness with or without headache). Other possible cause of recurrent vertigo is a condition called Vertebro-Basilar Insufficiency, a condition in which there is a transient reduction in blood supply to the areas of brain responsible for maintaining balance. Reduction in blood supply is usually due to transient compression over the artery (located in the back of the neck) due to cervical spondylosis or bulged disc. An X-ray/MRI of the neck spine will reveal a bulged disc(s). A long-term course of a Tricyclic anti-depressant drug + a sedative + a drug belonging to Beta-Blocker group will show good response. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me; order the required test, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal

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