前庭性偏头痛（vestibular migraine，VM）是一种常见的神经系统疾病，表现为反复发作的眩晕和偏头 痛症状，其通常与前庭系统功能障碍相关。尽管VM临床诊断已有一定标准，但其具体发病机制尚未完全明 确，近年来研究发现，VM的发病机制与脑功能网络的改变密切相关，其不仅涉及前庭系统的异常，还与疼痛 处理、感觉整合及注意调控等多个脑网络的功能失调密切相关。功能磁共振成像作为一种无创的脑功能成 像技术，已成为揭示VM神经机制的重要工具。本综述将回顾分析功能磁共振成像在揭示VM神经机制中 的应用进展，同时展望未来的研究方向。

Vestibular migraine (VM) is a common neurological disorder characterized by recurrent vertigo and migraine symptoms, which are usually associated with dysfunction of the vestibular system. Although there are certain clinical diagnostic criteria for VM, its specific pathogenesis is still not fully clarified. Recent studies have found that the pathogenesis of VM is closely related to the changes in brain functional networks. It not only involves abnormalities in the vestibular system but is also closely related to the dysfunction of multiple brain networks such as pain processing, sensory integration, and attention regulation. Functional magnetic resonance imaging (fMRI), as a non-invasive brain functional imaging technique, has become an important tool for revealing the neural mechanism of VM. This review will retrospectively analyze the application progress of fMRI in revealing the neural mechanism of VM, and also look forward to the future research directions.