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Vestibular migraine (VM) has long been recognized but has recently been approved by the International Headache Society and the Bárány Society as a diagnostic concept. To grasp the correct diagnosis of vestibular migraine, it is necessary to be familiar with the diagnostic criteria firstly. The second is to have a good grasp of its clinical manifestations (the nature of vestibular symptoms, duration of attacks, accompanying symptoms related to migraine, etc). Finally, it is important to differentiate vestibular migraine from other conditions with similar manifestations such as migraine of special types, benign paroxysmal vertigo, benign recurrent vertigo, and Ménière's disease. DOI: 10.3969/j.issn.1672-6731.2019.01.003