Table 1: Vestibular migraine, MD, and BPPV: distinctive features.

VMMDBPPV

AgeAlways (peak 4th decade)3rd–5th decade5th decade
SexF 3 : 1F/M 1 : 1 or 1 : 2 MF 2 : 1
Family history++++
VertigoPolysymptomatic, monosymptomatic, or positionalMonosymptomaticPositional
Attacks durationMinutes to days20 minutes to 12 hoursSeconds, but recurrent positional paroxysms for days or weeks
Phono/photophobia+++
Headache++++−
Aura+
Hearing loss++++
Progressive hearing loss−++++