A Clear Guide to Vestibular Migraine
Strategic Relief for Vestibular Migraine
Dizzy spells with or without headaches? Vestibular migraine affects many and is highly manageable, not a harbinger of serious disease. At Harley AVM, our team delivers targeted control. Rush to urgent AVM care for sudden, severe headache, vision loss, weakness, confusion, or seizure-like symptoms; these concerning symptoms demand immediate action.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Migraine-Related Balance Dysfunction
An Overview of Vestibular Migraine
Vestibular migraine is a neurological balance disorder where migraine activity affects the systems that control balance and spatial orientation. People may experience episodes of dizziness, rocking, swaying, or vertigo, with or without a typical migraine headache. Symptoms often fluctuate and can appear suddenly, making the condition difficult to recognise.
Episodes arise from altered brain processing of sensory signals rather than inner-ear damage alone. Visual motion, stress, hormonal changes, poor sleep, or certain foods can act as triggers. Because hearing tests and scans are often normal, vestibular migraine is frequently misdiagnosed. Accurate identification relies on recognising symptom patterns and migraine features to guide appropriate, targeted management.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Vestibular Migraine
When to Get Checked
You should get assessed if episodes of dizziness, rocking, or vertigo recur without a clear inner-ear trigger, especially if they are linked to headaches, light sensitivity, visual disturbance, nausea, or a personal or family history of migraine. Symptoms that fluctuate or worsen with stress, sleep disruption, or hormonal change also warrant audiovestibular review.
You should seek urgent assessment if balance symptoms appear suddenly with severe headache, new neurological symptoms, weakness, speech difficulty, visual loss, or persistent vomiting.

How We Assess Vestibular Migraine
At Harley Audiovestibular Clinic, our evaluation starts with a detailed history from a senior audiovestibular expert, detailing vertigo episodes, headache patterns, triggers, and sensory sensitivities to match vestibular migraine criteria. We commit to unhurried time with our consultants, crafting a comprehensive view of your symptoms centred on your narrative.
We proceed with vestibular function tests, audiometry, and targeted questionnaires, if indicated, while excluding other causes precisely. Our senior clinicians review findings together for precise insights. This differentiated pathway empowers us to deliver personalised strategies that stabilise episodes and elevate daily comfort effectively. At Harley AVM, we focus on sustainable relief through expert guidance.

Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Vestibular Migraine
Every Vestibular Migraine case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.