Lampl C, et al. - Given that in the general population, migraine headache and vestibular-type vertigo co-occur about three times more often than expected by chance, researchers analyzed the timing association between migraine-related episodic vertigo and the phases of migraine via reanalyzing patients with episodic migraine with and without aura who experienced episodic vertigo (eV) anytime around their migraine attacks from the “Migraine and Neck Pain Study”. During the migraine attack, eV was reported in 146/487 (30%) anytime; eV was noticed by 79/487 (16%) with the start of the headache, 51/487 (10%) within 2 h before the headache and 16/487 (3%) 2–48 h before the headache, as a premonitory symptom. Diagnosis of vestibular or probable vestibular migraine could be made in 130/487 (26.7%) of these patients supporting the clinical association of migraine and vertigo. Findings of this prospective, follow-up study support the concept that in migraine, vertigo is best thought of as an integral manifestation of migraine, rather than a prodromal or aura symptom.