Vestibular migraine: a common central vestibular disorder that has only been increasingly recognized by specialists in recent years and has become a common cause of otogenic vertigo, with a much higher incidence than Meniere’s disease. It is also the most common cause of vertigo in children. Clinical manifestations are diverse, with vestibular symptoms manifesting mainly spontaneous vertigo, positional vertigo, visually induced vertigo, vertigo triggered by head movements, and dizziness caused by head movements with nystagmus and nausea. Duration of vertigo attacks: 5 minutes-72 hours, frequent attacks up to 5 times or more, of which 25% of patients have attacks of less than 5 minutes, and of those with brief attacks not exceeding 5 minutes, 75% have more than 5 attacks per day within 3 days. Triggers of vertigo attacks: head movement, visual stimulation, change of head position, positional vertigo in 40-70% of patients, visual vertigo triggered by visual scenes of motion (traffic, cinema). Migraine symptoms: unilateral, pulsating headache, otalgia, photophobia, phonophobia, visual aura (flashes, dark spots, visual field defects), etc. Most often there is a family history. Vertigo and headache symptoms: may precede the headache and become a manifestation of migraine aura; some patients even never have headache. Accompanying symptoms: flashing lights, dark spots, visual field defects, fear of sound, photophobia, etc. are common. Tinnitus and hearing loss are not the main manifestations. Hearing loss is usually mild-moderate, common in both ears, and not fluctuating. Predisposing factors: excessive stress, sleep disturbances, anxiety, alcohol consumption, smoking, hypoglycemia, fluctuations in estrogen, certain specific foods (e.g. red wine, condiments such as monosodium glutamate containing flavoring concentrate). Physical activity can induce benign recurrent vertigo in adults. Differentiation from other common otogenic vertigo diseases: Benign paroxysmal positional vertigo: vertigo is induced by postural changes and can disappear with a change of position, short duration, seconds to 1 minute, bed turning induces vertigo for a few seconds, no hearing changes, vestibular function can be normal, postural tests can induce nystagmus downward in the affected ear, direction to the same side. Meniere’s disease: vertigo lasting from 20 minutes to several hours, accompanied by tinnitus, deafness and a feeling of bulging in the ear, early low-frequency sensorineural deafness, with progressive hearing loss over several years. Late onset membranous vagal effusion with a 5 to 10 year history of deafness and severe sensorineural deafness with severe unilateral vestibular dysfunction most often seen. Vestibular neuronitis: typical peripheral vertigo, vertigo unilateral vestibular dysfunction, no hearing impairment, with viral infections such as colds. Exolymphatic fistula (hallux cleft syndrome): may or may not be associated with attacks after head trauma, may be triggered by coughing, sneezing, forceful bowel movements, loud sounds, low frequency hearing loss predominant, sometimes with enhanced bone conduction. Foods to avoid in vestibular migraine: Beverages: alcohol, coffee, tea, ice cream. Fruits: lemon, citrus, grapefruit. Snacks or snacks: cheese, dairy products, chocolate, nuts. Meat, fish, poultry: cured, smoked or canned meats such as: ham, bacon, cold cuts, sausages (foods containing nitrites). Condiments: monosodium glutamate, chicken essence, soy sauce, artificial sweeteners. Soups: canned soups, chunky concentrated soups. Vegetables: pickled foods such as kimchi. Others: salt, onion salt or garlic salt, MSG, tomato paste, hot soy sauce, olives, pickles, condiments, salt products, lemon, pepper, soy sauce, meat with added tenderizer, salad dressing, Worcestershire sauce.