Vestibular migraine is the second most common cause of dizziness and is characterized by variability in migraine symptom presentation, duration, and temporal relationship to vestibular symptoms. Studies have reported alterations in amplitude and latency of vestibular-evoked myogenic potentials among individuals with vestibular migraine....
Vestibular audiologists evaluating patients with vestibular migraine should consider cervical and ocular VEMP testing alongside vHIT to characterize sacculo-collic and otolith-ocular pathway dysfunction, which may help differentiate vestibular migraine subtypes.
Mapping specific vestibular pathway deficits in vestibular migraine could support more precise diagnostic profiling and eventually guide targeted rehabilitation strategies.
- 01Study focuses on sacculo-collic (ear-to-neck) and otolith-ocular (ear-to-eye) pathway dysfunction in vestibular migraine.
- 02Vestibular migraine presents with highly variable symptom patterns, making diagnosis and characterization challenging.
- 03Findings could help explain why some patients have more prominent dizziness vs. visual symptoms.
- 04Published peer-reviewed (DOI: 10.65717/iao.2026.252189).
- 05Supports multimodal vestibular test battery use in this population.
Sacculo-collic and otolith-ocular pathway dysfunction is measurably present in individuals with vestibular migraine.
studypartially supported- PMID
- 42345430
- DOI
- 10.65717/iao.2026.252189.
- Journal
- International Archives of Otorhinolaryngology
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Individuals diagnosed with vestibular migraine
- Intervention
- Vestibular pathway testing (sacculo-collic and otolith-ocular assessments)
Primary outcomes
Characterization of sacculo-collic pathway dysfunction; Characterization of otolith-ocular pathway dysfunction