TITLE:
Exploring the Efficacy of Repetitive Transcranial Magnetic Stimulation in Treating Vestibular Migraine and Its Clinical Prospects
AUTHORS:
Junlong Wang, Lan Zhang, Tao Yang, Xia Liu, Yue Wang
KEYWORDS:
Vestibular Migraine, Repetitive Transcranial Magnetic Stimulation, Pathological Mechanism, Treatment Progress
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.13 No.12,
December
2,
2025
ABSTRACT: Vestibular Migraine (VM) is a common clinical neurological disorder characterized by recurrent episodes of dizziness and headaches. It has a significant genetic predisposition and a high morbidity and disability rate, posing a serious burden on patients’ quality of life and social functioning. The clinical manifestations of VM are diverse and may cause notable symptoms such as nausea and vomiting, phonophobia and photophobia, blurred vision, tinnitus, and a feeling of fullness in the ears. It can also lead to atypical comorbid symptoms such as anxiety, depression, loss of interest, cognitive decline, and insomnia, which are easily overlooked but profoundly affect the psychological health and long-term prognosis of patients. Currently, its pathological mechanisms are not completely understood, and the effectiveness of clinical drug treatments varies, highlighting the urgent need for safer and more effective treatment methods. Repetitive Transcranial Magnetic Stimulation (rTMS), as a non-invasive neuromodulation technique, can precisely regulate neural circuit activity, improve brain metabolism, and promote the integration of multisensory information. It has been widely applied in the modulation of the nervous system. Several neurophysiological and clinical studies have shown that rTMS has potential application value in the adjunctive treatment of VM. This article systematically reviews the pathological mechanisms of VM, the effects and therapeutic potential of rTMS, analyzes the shortcomings and limitations present in the current research phase, and looks forward to future development directions, aiming to provide a theoretical basis and practical reference for the clinical diagnosis and treatment of VM.