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Differential Diagnosis for Sudden Onset Vertigo

Single Most Likely Diagnosis

  • Vestibular Neuritis (Labyrinthitis): This condition is characterized by sudden onset vertigo, often following a viral respiratory infection, and can include hearing loss. The absence of evidence for right middle ear infection supports this diagnosis, as it typically involves the inner ear.

Other Likely Diagnoses

  • Meniere's Disease: Although it typically presents with episodic vertigo, hearing loss, and tinnitus, the recent onset and combination of symptoms could initially suggest Meniere's, especially if the vertigo is constant and there's a history of similar episodes.
  • Acute Otosclerosis: This condition can cause vertigo and hearing loss, but it's less likely given the sudden onset and recent respiratory infection.

Do Not Miss Diagnoses

  • Stroke (Lateral Medullary Syndrome or Cerebellar Infarct): Although less likely, a stroke can present with sudden vertigo and must be ruled out due to its severe consequences. The presence of other neurological deficits would increase suspicion.
  • Multiple Sclerosis: This condition can cause vertigo among other neurological symptoms, and while less common, its diagnosis is critical due to its long-term implications.

Rare Diagnoses

  • Autoimmune Inner Ear Disease: A rare condition that can cause sudden hearing loss and vertigo, often bilateral, and may be associated with systemic autoimmune disorders.
  • Syphilis (Otosyphilis): A rare cause of hearing loss and vertigo, especially in the context of congenital syphilis or late-stage acquired syphilis.
  • Cogan Syndrome: A rare disorder characterized by recurrent corneal inflammation and vestibular-auditory symptoms, which could present with vertigo and hearing loss.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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