Last reviewed: 8 Apr 2021
Last updated: 31 Mar 2021
Summary
Differentials
Common
- Benign positional paroxysmal vertigo (BPPV)
- Meniere disease
- Vestibular neuritis
- Labyrinthitis
- Vestibular migraine
- Presyncope
- Orthostatic hypotension
- Postural orthostatic tachycardia syndrome
- Diabetes mellitus
- Alcohol
- Drugs
Uncommon
- Cholesteatoma
- Superior semicircular canal dehiscence
- Perilymphatic fistula
- Persistent postural-perceptual dizziness (PPPD)
- Posterior fossa tumor
- Multiple sclerosis
- Posterior circulation stroke
- Vertebrobasilar insufficiency
- Arnold-Chiari malformation type 1
- Wallenberg syndrome (Lateral medullary infarction)
- Trauma
- Vertebral artery dissection
- Paraneoplastic cerebellar degeneration
- Idiopathic intracranial hypertension
- Normal pressure hydrocephalus
- Mal de debarquement syndrome
- Psychophysiological dizziness
- Psychogenic dizziness
- Systemic lupus erythematosus (SLE)
- Cogan syndrome
- Granulomatosis with polyangiitis (formerly known as Wegener granulomatosis)
- Behcet disease
- Carbon monoxide poisoning
- Postsurgery
- Secondary syphilis
Contributors
Authors
Consultant Otolaryngologist and Otologist
Rotherham NHS Foundation Trust
Rotherham
UK
Disclosures
SAD declares that she has no competing interests.
Dr Susan Douglas would like to thank Professor William Gibson, a previous contributor to this topic. WG is an author of one of the references cited in this topic.
Peer reviewers
Professor and Vice Chairman
Residency Program Director
Dizziness and Balance Center Director
Otolaryngology-Head and Neck Surgery
Washington University School of Medicine
St. Louis
MO
Disclosures
JG is an author of a number of references cited in this topic.
Senior Lecturer in Otolaryngology
Honorary Consultant Otolaryngologist
Glasgow Royal Infirmary
Glasgow
UK
Disclosures
IS declares that he has no competing interests.
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