Last reviewed: July 2020
Last updated: March
2019
Summary
Differentials
Common
- Benign positional paroxysmal vertigo (BPPV)
- Meniere disease
- Vestibular neuritis
- Labyrinthitis
- Vestibular migraine
- Syncope or presyncope
- Orthostatic hypotension
- Postural orthostatic tachycardia syndrome
- Diabetes mellitus
- Hypothyroidism
- Rheumatoid arthritis
- Alcohol
- Drugs
Uncommon
- Cholesteatoma
- Superior semicircular canal dehiscence
- Perilymphatic fistula
- Persistent postural-perceptual dizziness (PPPD)
- Mondini dysplasia
- Posterior fossa tumor
- Multiple sclerosis
- Cerebellar stroke
- Vertebrobasilar insufficiency
- Chiari malformation type 1
- Wallenberg syndrome
- Trauma
- Cervical artery dissection
- Paraneoplastic cerebellar degeneration
- Hereditary ataxia
- Benign 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
- Lyme disease
- Syphilis
- HIV
- Cytomegalovirus (CMV)
- Herpes simplex infection (HSV-1)
Contributors
Authors
Consultant Otolaryngologist and Otologist
Rotherham NHS Foundation Trust
Rotherham
UK
Disclosures
SAD declares that she has no competing interests.
Professor of ENT
Sydney Cochlear Implant Centre
Sydney
Australia
Disclosures
WG is a co-author of one reference 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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