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Published on: August 22, 2025
Epidemiological evidence for a link between vertigo and migraine
Michael von Brevern1, Hannelore Neuhauser
1Department of Neurology, Park-Klinik Weissensee, Berlin, Germany. von.brevern@park-klinik.com
Migraine and vertigo are common, affecting millions globally. Research increasingly shows a strong link between these conditions, suggesting vertigo may be a symptom of migraine, particularly in vestibular migraine.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Migraine and vertigo/dizziness are highly prevalent conditions in the general population.
- Epidemiological evidence increasingly supports a link between migraine and vertigo beyond chance concurrence.
- Studies show increased vertigo prevalence in migraine patients and vice versa.
Purpose of the Study:
- To explore the intricate relationship between vertigo and migraine.
- To highlight vestibular migraine as a primary cause of recurrent vertigo.
- To discuss other vestibular disorders associated with migraine.
Main Methods:
- Review of epidemiological data and clinical studies.
- Analysis of population-level prevalence data.
- Examination of associations between migraine and specific vestibular disorders.
Main Results:
- The lifetime prevalence of migraine is approximately 14%, while 20-30% experience vertigo/dizziness.
- Vestibular migraine is the most common cause of recurrent spontaneous vertigo, with a 1% lifetime prevalence.
- Migraine is also linked to benign paroxysmal positional vertigo, Menière's disease, and motion sickness.
Conclusions:
- A significant epidemiological link exists between vertigo and migraine.
- Vertigo is conceptualized as a vestibular symptom in vestibular migraine.
- Migraine is associated with various vestibular disorders and conditions manifesting as dizziness.
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