How common is vertigo in migraine?

Migraine-related vertigo can involve spinning, rocking, unsteadiness, or sensitivity to movement. Some episodes happen without a headache. Light or sound sensitivity, nausea, visual changes, or a history of similar attacks can provide useful context, but these features do not prove the cause. Inner-ear conditions and neurological problems can produce similar sensations, so a new or changing pattern deserves medical review.

During an episode, sit or lie somewhere quiet and dim, keep your gaze steady, and rise slowly. Sip fluids if you can and avoid driving, heights, and activities that require rapid balance reactions. Keep a record of triggers, sleep changes, meals, medicines, headache features, and how long each episode lasts. A clinician can use this pattern to discuss migraine treatment and whether balance or hearing assessment is appropriate.

Get urgent help for sudden facial weakness, arm or leg weakness, new trouble speaking, fainting, severe loss of coordination, a sudden severe headache, or new double vision. Seek prompt assessment for continuous vertigo, repeated vomiting, a new hearing change, or symptoms that feel substantially different from previous migraine episodes. Arrange routine review when attacks recur or interfere with work, sleep, or safe movement.

Could my vertigo be part of my migraine pattern even without head pain? Which triggers should I track? Do I need hearing, balance, or neurological assessment? What should I use at the start of an episode?