
07/19/2025
One of the most common causes of vestibular symptoms is Vestibular Migraine (VM). Diagnosis of VM can be difficult because testing (MRI, labs, physical exam) is often normal. Instead, we must exclude other causes for the dizziness symptoms and follow the diagnostic criteria.
The diagnostic criteria for VM specifies that a person must experience vestibular symptoms (dizziness, vertigo, imbalance, etc) for 5 minutes - 3 days in length. Those symptoms must also coincide with one migraine symptom. This could be:
➡️ Headache (moderate to severe intensity, worsens with physical activity, on one side of head, or pulsating/throbbing)
➡️ Sensitivity to light and sound
-OR-
➡️ Visual Aura (like flashing lights in visual periphery)
Working with a team of healthcare professionals who are familiar with migraine will be able to help you work toward a diagnosis and treatment. And if you do have VM, remember that there are so many available interventions to help you!