Does anyone experience symptoms like this with vestibular migraine, especially without actual headache pain?
Hi! I’m currently trying to get in with a headache/neurology specialist, so I’m not looking for anyone to diagnose me. I’m mostly curious whether people with vestibular migraine have experienced anything similar, because some of the posts here are starting to sound surprisingly familiar.
A few years ago, I got sick with what doctors thought may have been something viral. Afterward, I developed severe head pressure and vertigo. By the time I finally found doctors who took it seriously, the original illness seemed to have resolved, but a lumbar puncture showed elevated CSF pressure. I was eventually treated with acetazolamide, which helped significantly. An MRI also showed a mild Chiari malformation, although I was never told whether it was actually causing symptoms.
Things gradually improved, but ever since then I’ve had occasional “flares.” I can go long periods feeling completely normal, but when one happens, I get a really strange collection of symptoms.
The biggest ones are: • Pressure/fuzzy/heavy sensation around the base of my skull and neck. It’s usually more pressure than actual headache pain. • Ear pressure/fullness. In-ear headphones can become uncomfortable and sometimes make me feel dizzy. • Extreme fatigue. During a flare I can suddenly feel like I desperately need to lie down or sleep. • Significant neck/shoulder/upper-back muscle guarding. During this most recent flare my trapezius muscles became incredibly tight and my arms started feeling tired/shaky (although I still had normal strength/function). Urgent care confirmed that my traps were extremely tight, and baclofen helped tremendously. • Positional symptoms. Certain head/neck positions make everything substantially worse, and keeping my neck neutral tends to help.
The dizziness is particularly difficult to describe because I experience two different kinds.
When lying down at certain angles, especially during the original severe episode, I could get actual room-spinning vertigo. For months I could only sleep completely flat on my back with no pillow because other positions could trigger it.
When I’m upright, it’s different. I’ll be standing/walking normally and suddenly feel like I’m standing on a boat that abruptly lurched sideways, almost like I unexpectedly missed a step. Then it passes.
I also sometimes get a strange sensation with larger eye movements during flares. If I shift my gaze significantly away from straight ahead, I can sometimes feel a brief zing/pulling sensation behind my eyes. During the original illness I also occasionally had visible eye twitching in certain gaze positions.
Probably the strangest symptom is something I tried to explain to doctors years ago. When I would go from being upright to lying down, it felt like the weight/pressure inside my head needed 10–15 minutes to redistribute. The closest analogy I can think of is tilting a sandbag and feeling the sand slowly settle toward the new lowest point. I know fluid isn’t literally sloshing around inside my head—that’s just what the sensation felt like. When I got up the next morning, I’d sometimes need a few minutes for my equilibrium to feel normal again.
I also occasionally feel/hear my heartbeat starting around the base of my skull during a flare.
What’s confusing me is that I don’t typically get a painful migraine-type headache. My head can feel pressured/heavy/strange, but pain isn’t really the defining feature.
This latest flare also seems very connected to my neck and upper body. I finally got everything to relax and felt completely normal over the weekend, but after going back into the office today, my shoulders/upper back started tightening again and some of the head pressure/dizziness returned.
Again, I’m pursuing medical evaluation and not using Reddit as a substitute for a neurologist. I think I mostly want to know whether anyone else has experienced these bizarre, difficult-to-describe sensations, because trying to explain them makes me feel like I’m speaking another language sometimes. I live in a big city and Neurologists are booked out months in advance so even though I’m on the waitlist for several my actual appointment isn’t scheduled until December.