Evaluation of balance disorders

Última revisión: 12 Oct 2025
Última actualización: 16 Jul 2025

Resumen

Diferenciales

Común

  • Vestibular neuritis/labyrinthitis
  • Meniere disease
  • Vitamin B1 (thiamine) deficiency
  • Ototoxic vestibulopathy
  • Benign paroxysmal positional vertigo (canalithiasis)
  • Hemorrhagic stroke
  • Ischemic stroke
  • Alcohol-related cerebellar degeneration
  • Vestibular migraine
  • Idiopathic Parkinson disease
  • Peripheral neuropathy
Todos los datos

Infrecuente

  • Vestibular schwannoma (acoustic neuroma)
  • Sequential bilateral vestibular neuritis
  • Idiopathic bilateral vestibular hypofunction
  • Congenital bilateral vestibular hypofunction
  • Degenerative (age-related) inner ear disease
  • Autoimmune inner ear disease
  • Superior canal dehiscence (SCD)
  • Meningitis
  • Mal de debarquement syndrome
  • Spinocerebellar ataxia
  • Multiple sclerosis (MS)
  • Cerebellitis/brainstem encephalitis
  • Wernicke encephalopathy
  • Posterior fossa tumor
  • Chiari malformation
  • Central pontine myelinosis
  • Paraneoplastic syndrome
  • Vitamin E deficiency
  • Celiac disease
  • Primary cerebellar degeneration
  • Secondary parkinsonism
  • Normal pressure hydrocephalus
  • Corticobasal degeneration
  • Progressive supranuclear palsy
  • Multiple system atrophy (MSA; striatonigral degeneration, Shy-Drager syndrome)
  • Spinal cord trauma
  • Guillain-Barre syndrome (GBS)
  • Spinal spondylosis
  • Spinal cord tumor
  • Neuromyelitis optica (NMO)
  • Subacute combined degeneration of the cord
  • Syphilis, tabes dorsalis
  • Tuberculosis of the spine (Pott disease)
  • HIV infectious myelopathy
  • Human T-lymphotropic virus (HTLV)-1 infectious myelopathy
  • Systemic lupus erythematosus (SLE) inflammatory myelopathy
  • Anxiety disorder
  • Drug toxicity
Todos los datos

Colaboradores

Autores

Adrian Priesol, MD, FRCPC
Adrian Priesol

Assistant Professor of Laryngology

Harvard Medical School

Medical Director of Auditory Evoked Testing

Massachusetts Eye and Ear Infirmary

Boston

MA

Divulgaciones

AP declares that he has no competing interests.

Nurhan Torun, MD, FRCSC
Nurhan Torun

Assistant Professor in Ophthalmology

Director of Neuro-ophthalmology

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

Divulgaciones

NT declares that she has no competing interests.

Revisores por pares

Joel A. Goebel, MD, FACS

Professor and Vice-Chairman

Department of Otolaryngology-Head and Neck Surgery

Director

Dizziness and Balance Center

Washington University School of Medicine

Saint Louis

MO

Declarações

JAG has been reimbursed for conference speaking and clinical research support by NeuroCom Intl, Inc. and for conference speaking by MicroMedical Technologies, Inc.

Stephen P. Cass, MD

Associate Professor

Department of Otolaryngology

University of Colorado

Aurora

CO

Declarações

SPC declares that he has no competing interests.

Daniel J. Costello, MD

Instructor in Neurology

Department of Neurology

Massachusetts General Hospital

Boston

MA

Declarações

DJC declares that he has no competing interests.

Doris Bamiou, MD, MSc, PhD

Clinical Senior Lecturer & Consultant in Audiovestibular Medicine

UCL Ear Institute

UCL

London

UK

Declarações

DB declares that she has no competing interests.

Créditos aos pareceristas

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Referências

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Principais artigos

Goebel JA. 2015 Equilibrium Committee Amendment to the 1995 AAO-HNS guidelines for the definition of Ménière's disease. Otolaryngol Head Neck Surg. 2016 Mar;154(3):403-4. Resumo

Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017 Mar;156(suppl 3):S1-47.Texto completo  Resumo

Expert Panel on Neurologic Imaging:, Sharma A, Kirsch CFE, et al. ACR appropriateness criteria(®) hearing loss and/or vertigo. J Am Coll Radiol. 2018 Nov;15(11s):S321-31.Texto completo  Resumo

Expert Panel on Neurologic Imaging:, Salmela MB, Mortazavi S, et al. ACR appropriateness criteria(®) cerebrovascular disease. J Am Coll Radiol. 2017 May;14(5s):S34-61.Texto completo  Resumo

Artigos de referência

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