Vestibular migraine (VM) is a disabling disease characterized by recurrent vestibular symptoms and often accompanied by migraine. The pathogenesis of VM is not completely clear. Most studies believe that it is related to ion channel defects, cortical spreading depression, inflammation and genetic susceptibility. Clinical examinations such as cranial magnetic resonance, audiology and vestibular function examination have no specificity for the diagnosis of VM, but they are helpful to exclude other diagnoses. According to type of its attack, VM is commonly given acute treatment and preventive treatment. Clinically, individualized treatment should be carried out based on patient′s actual condition. This paper reviews the pathogenesis, clinical characteristics, auxiliary examination, diagnosis and treatment of VM in order to help clinicians further understand VM.