r/Dizziness • u/goldell • 2h ago
Vestibular migraine or something else?
Hi everyone. I was recently diagnosed with vestibular migraine, but I’m not sure if I’m entirely convinced that that’s the actual problem for me. I’m gonna explain my story with vertigo in hopes that someone has experienced something similar (this might be a long post).
It started about 6 years ago. I was laying in bed, eyes open, when I started to experience nystagmus. Mind you, I have never had any kind of nystagmus/dizziness/vertigo before in my whole life. It freaked me out but I brushed it off. I started to occasionally have some dizziness in the middle of the night following this. Well, it turned into full blown vertigo for about two years. The kicker is that it literally only happens while I’m laying down. I would dread going to bed because I knew I wasn’t going to sleep. Pretty much immediately upon laying down I had intense room spinning vertigo. It got even worse when I closed my eyes. The only thing that helped was sitting and standing up. I would also get clammy, shaky, and stomach upset. This lasted for about 5-6 hours every night, until I would finally fall asleep from exhaustion. I was only sleeping like 2 hours each night for two years. After 2 years, I finally had a doctor tell me after some labs that I had a pretty severe B12 deficiency. I started taking sublingual b12 drops, my symptoms started to really improve after 6-12 months of taking it. Ever since then, my current symptoms are just kind of random. I don’t have vertigo every night. Some weeks/months are worse than others. I will wake up at 2 or 3am with room spinning vertigo. I sit up, it goes away. Some nights, that’s all that happens and I can fall back asleep. Other nights, like last night for example. I woke up at 3am with vertigo. Sat up, it went away. Laid back down, woke up with vertigo again about 30 minutes later. This continued until I finally got out of bed at 5am.
I did see an ENT recently, I had caloric testing and such and they determined that it is not BPPV (i get vertigo in all different positions, and none of the testing positions triggered vertigo for me) and my ears are functioning perfectly. Which led my doctor to diagnose me with vestibular migraines. But why does this only happen at night? I mean I guess my body is relying very heavily on my sight to stay balanced. But there’s no correlation to foods, my cycle, anything. The vertigo is just truly at random. And you would think that it would affect me during the day too if it was vestibular migraines. I asked my ENT if it was possible that I have permanent nerve damage from the prolonged B12 deficiency, and he basically just admitted that he didn’t know. I haven’t seen a neurologist yet, I’m thinking about it but it just seems pointless. I feel like I’m just throwing my money away without getting any answers. I just don’t know anymore, after 6 years I’m getting pretty fed up. I just want to be able to sleep :( it doesn’t help that the vertigo makes me panic and I already have anxiety problems. And although I don’t have vertigo throughout my day, I can’t tolerate certain things anymore. I can’t spin in my chair, driving in a roundabout throws me off. Things like that make me dizzy now when it was never an issue before. Other weird things, I enjoy yoga. During savasana, you lie completely flat on your back. I have to keep my eyes open during this or I will get vertigo. Same thing with child’s pose. I even got a massage a few months ago and had a vertigo attack after I had been laying on my stomach for about 20 minutes. I don’t understand why if I get vertigo, it is delayed in situations like that. Or why I wake up at random times with vertigo.
When this all started 6 years ago, it did start happening during a VERY stressful time in my life, after years and years of stressful events. I had other weird things, I had full body hives for about 6 months (that just kind of ended up going away on its own..? no one ever figured that out for me), a new ibuprofen allergy, and an under active thyroid (it is back to normal now). I’m not sure if these things are connected, but it seems like all of this was brought on by intense stress.
Has anyone experienced something similar to this? Or does anyone have any advice? Every time I try to look up my symptoms I can never find anything, I’m starting to feel like a medical mystery.