Differential Diagnosis for "Feels like I'm falling forward"

• Single most likely diagnosis
  • Benign Paroxysmal Positional Vertigo (BPPV): This condition is characterized by brief, intense episodes of vertigo triggered by specific head movements, which could be interpreted as feeling like falling forward. It's a common cause of vertigo and has a relatively benign prognosis.
• Other Likely diagnoses
  • Vestibular Migraine: This condition can cause vertigo, imbalance, and a sensation of falling, which might be described as feeling like falling forward. It's often accompanied by migraine headaches but can occur without them.
  • Inner Ear Infection (Labyrinthitis): Infections of the inner ear can cause severe vertigo, which might be perceived as a sensation of falling. This condition can also lead to hearing loss and tinnitus.
  • Orthostatic Hypotension: A sudden drop in blood pressure upon standing can cause dizziness and a feeling of falling. This is more about a feeling of lightheadedness rather than true vertigo but can be perceived similarly.
• Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
  • Stroke or Transient Ischemic Attack (TIA): Although less common, a stroke or TIA can present with sudden onset of vertigo or a feeling of imbalance, which might be described as feeling like falling. Given the potentially devastating consequences, it's crucial to consider and rule out these conditions promptly.
  • Multiple Sclerosis: This autoimmune disease can cause a wide range of neurological symptoms, including vertigo and balance problems. Early diagnosis is key for effective management.
  • Cardiac Arrhythmias: Certain heart rhythm disturbances can lead to reduced blood flow to the brain, causing dizziness or a feeling of falling. Identifying and treating these conditions is critical to prevent serious outcomes.
• Rare diagnoses
  • Meniere's Disease: A disorder of the inner ear that affects balance and hearing. The vertigo associated with Meniere's can be severe and might be perceived as a feeling of falling forward, though it's typically accompanied by other symptoms like tinnitus and hearing loss.
  • Acoustic Neuroma: A non-cancerous tumor on the nerve connecting the inner ear to the brain can cause vertigo, among other symptoms. It's a rare condition but one that requires early detection for effective treatment.