HearingReview.com | September/October 2025

Symptoms of dizziness, lightheadedness, and headaches are common symptoms in both vestibular migraine (VM) and postural orthostatic tachycardia syndrome (POTS). Both conditions are often underdiagnosed but yet not uncommon. Complicating this diagnostic enigma is the fact that onset of both conditions is commonly seen in pre-teen and teenage females. Furthermore, both conditions may occur in individuals with familial history of either or both conditions and they may be seen as co-morbidities. Both are reported to have hormonal and familial influences. This may cause proper diagnosis and management to often be delayed and validates the need for comprehensive vestibular evaluation in patient triage and management.

Richard E Gans, PhD