Migraine, a common cause of headache, can lead to dizziness, even tinnitus or hearing blockage. A 56-year-old female has been bothered with migraine without aura for 5 years. She presented right persistent tinnitus for more than one year. Audiometry, recruitment test and speech discrimination score were normal. Time-of-flight magnetic resonance angiogram revealed basilar artery deviation and left intracranial vertebral artery tortuosity. It is probable that auditory cortical reorganization did not recover and so contributed to right tinnitus after frequent migraine headache attacks. Migraine and right tinnitus declined in the following half a year of conservative treatment. In the following one year, it was uneventful.