Papers of the Week

The condition of PPPD is a common chronic vestibular disorder that is thought to be due to a central vestibular maladaptation. The condition is frequently encountered in those with a history of migraine, anxiety or panic attacks. Many cases of PPPD are preceded by vestibular disorders with vestibular migraine thought to precede at least 20% of cases.1 Those with a history of migraine have been shown to have difficulties with sensory integration, habituation and intolerance to stimuli. This often leads to discomfort associated with some vestibular test procedures. We pose a case report of a patient with a history of migraine that developed new onset PPPD following caloric irrigations.