Hi there. So glad you wrote in to share some of your journey with us. It sounds like it's been upsetting to experience this resurgence of attacks, for sure. The intensity of the vertigo-related migraine sounds awful. Glad you sought a diagnosis for those 4 years back.
As to what occurred 5 days ago - first, I will clarify that we are not medical professionals here so I can't diagnose you in any way here. However, I will say that anytime we hear community members sharing about a way that their condition has changed or is presenting differently, we strongly encourage them to pursue a medical evaluation. Just to clarify, had you ever had the nausea before? If you are now experiencing what feels like a new round of the same type of attack you had previously, there could be countless reasons this is occurring. Environmental changes, hormonal shifts, stress, weather, aging - there are a lot of things that can cause migraine to reemerge in our lives after it's been dormant for a window of time.
The question of brain fog (inability to focus) and aphasia (difficulty finding words) are both well-documented components of migraine. Here is a good resource on those topics that you might find will resonate with you: https://migraine.com/living-migraine/aphasia-brain-fog. Be sure to check out the comment section following the article as our community members always have a lot of great information to share.
We are here for you and in this with you. Please know you are not alone and reach out to us for information or support anytime. So glad you're with us. Warmly- Holly -migraine.com team.