If there are no hearing-related symptoms at all, no disturbance in the hearing and no hearing loss, doctors should consider migraine, particularly if the patient complains of headache or head pressure. Vestibular Migraine (also known as MAV, Migraine Associated Vertigo) typically presents in a patient as unilateral onset of head pain, with throbbing as the pain intensifies. The doctor should establish whether there is a family history of migraine, which makes MAV more likely, and whether the symptoms wax and wane. Some of these people have accompanying vestibular symptoms.