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Related Experiment Video

Updated: Feb 11, 2026

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

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Subclinical vestibular dysfunction in migraineurs without vertigo: A Clinical study.

L Bernetti1, C Pellegrino2, I Corbelli1

  • 1Department of Medicine, Neurologic Clinic, Headache Centre, University of Perugia, Perugia, Italy.

Acta Neurologica Scandinavica
|April 17, 2018
PubMed
Summary

Migraine patients without vertigo show subclinical vestibular dysfunction. Vestibular-cerebellar dysfunction is suggested in migraineurs, especially those with aura.

Keywords:
caloric vestibular stimulationheadachemigrainevertigovestibular system

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Area of Science:

  • Neurology
  • Ophthalmology
  • Oto-rhino-laryngology

Background:

  • Migraine is a complex neurological disorder.
  • Vestibular system dysfunction is increasingly recognized in migraineurs.
  • Subclinical vestibular alterations may precede overt symptoms.

Purpose of the Study:

  • To investigate subclinical vestibular dysfunction in migraine patients without a history of vertigo.
  • To compare vestibular function between migraineurs and healthy controls.

Main Methods:

  • Observational study comparing episodic migraineurs (with/without aura) and healthy controls.
  • Comprehensive vestibular examination including Pagnini-McClure's, Dix-Hallpike's, video head impulse test (V-HIT), and caloric vestibular stimulation.
  • Analysis of nystagmus and slow-phase angular velocity using video-nystagmography.

Main Results:

  • Migraineurs exhibited statistically higher angular velocity (AV) in caloric vestibular stimulation tests compared to controls.
  • Migraineurs showed significantly higher V-HIT results, indicating enhanced vestibulo-ocular reflex gain.
  • No demographic differences were observed between migraineurs and controls.

Conclusions:

  • Migraineurs without prior vertigo or dizziness demonstrate subclinical vestibular pathway alterations.
  • Findings support a vestibular-cerebellar dysfunction hypothesis in migraine, particularly in those with aura.