Introduction: Migraine associated with Auditory-vestibular Dysfunction or Vestibular Migraine (MV) and Ménière's Syndrome (SM) have similar clinic and it is confused to differentiate one by another, often being a challenge to have a differential diagnosis between these entities.

Objectives: To present a systematic review on the differential diagnosis between Migraine associated with Auditory-vestibular Dysfunction and Ménière's Syndrome.

Data Synthesis: Migraine is one of the most frequent types of headache in the population. It is characterized by a vascular syndrome caused by vasoconstriction and vasodilation of the intracranial arteries. Many patients with migraine present vestibular symptoms, with migraine-type headache with episodes of dizziness, even vertigo, aural fullness, auditory symptoms, tinnitus and movement intolerance, which persist for hours, days or weeks, characterizing MV. MS begins between 20 and 60 years, it is usually unilateral and it is characterized by recurrent vertigo crises lasting at least 20 minutes up to 24 hours, associated with tinnitus, atrial fullness and hearing fluctuation, and may be accompanied by nausea and vomiting. In the studies performed, no typical pattern appears in the vestibular tests to determine the diagnosis of MV. The differentiation between MV and MS will occur through a detailed anamnesis, the analysis of the classification criteria of the MV and progressive hearing loss, being this the best method of differentiation.

Conclusion: Vestibular Migraine has clinical characteristics very similar to MS, VM should be part of the differential diagnosis of vertigo and it also be remembered during the management of patients with migraine.