Vestibular Migraines Are One Of The Most Common Causes Of Vertigo. With this condition, patients suffer from migraines that involve vestibular symptoms such as dizziness, vertigo and nausea. Headaches do not necessarily have to be present. In fact, sometimes some people may have vertigo without any headache. The term migraine in this condition means it is a spontaneous episode caused by a combination of triggers. There is not a clear explanation for why vestibular migraines happen but there are lots of things we can do to help to reduce them. Vestibular migraines present as spontaneous episodes of vertigo that last