Vertigo and headache are frequently reported symptoms in clinical neurology. Approximately 30-50% of migraineurs experience at least occasional vertigo or dizziness associated with migraine. Rotational and positional vertigo are usually not well differentiated from dizziness and gait disturbances. This is primarily a problem related to the diversity of vertigo symptoms, which many patients have difficulty describing. In vestibular migraine, rotational or nonrotational vertigo can occur spontaneously or in association with postural changes. It has been reported in the literature that in a large population-based survey, the most common vertigo symptom was spontaneous rotational vertigo in 67%, followed by positional vertigo in 24% of vestibular migraineurs. During a migraine attack, the initial spontaneous rotational vertigo may change to positional or motion-delusion vertigo and may be accompanied by gait disturbances. Vertigo or dizziness can precede a migraine attack, but can also occur during or after a headache. Studies have reported that in less than a quarter of patients, each headache is accompanied by dizziness or vertigo. Sometimes vertigo even appears as the main symptom, so much so that these patients report only a mild sensation of pressure in the head and do not necessarily describe this symptom as a typical migraine. Approximately 30% of vestibular migraine attacks do not occur with an accompanying headache. Some patients may have vertigo and headache that never occur together. In these cases, typical migraine-related symptoms such as vocal and photophobia, nausea and vomiting, and other symptoms that worsen with exercise are the main symptoms for diagnosis. Aura phenomena, such as visual (positive and negative dark spots, visual disturbances) or somatosensory (hyperalgesia, sensory abnormalities) symptoms can highlight the diagnosis. Vestibular migraine has the same triggers as typical migraine, such as menstruation, sleep disturbances, stress, nutritional factors (certain types of cheese, red wine and glutamates) and possibly weather changes. A recent study reported that positional nystagmus was the most common symptom between attacks of vestibular migraine, with a prevalence of 28%. Up to 41% of the patients studied exhibited mild nystagmus. However, after an average of 9 years, this symptom was present in only one of nine (out of 32) cases. This finding suggests that the central damage was transient and returned to normal between episodes.