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Differential Diagnosis for Vertigo

Single Most Likely Diagnosis

  • Benign Paroxysmal Positional Vertigo (BPPV): This is the most common cause of vertigo, characterized by brief, episodic vertigo triggered by specific head movements. It is often related to the movement of otolith crystals in the inner ear.

Other Likely Diagnoses

  • Vestibular Migraine: A condition where vertigo is associated with migraine headaches, often without the headache itself being present. It's a common cause of vertigo, especially in patients with a history of migraines.
  • Labyrinthitis: An inner ear disorder characterized by inflammation of the labyrinth, which can cause vertigo, hearing loss, and tinnitus. It is often viral in nature.
  • Meniere's Disease: A disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), hearing loss, and a feeling of fullness in the ear. The episodes can be severe and debilitating.

Do Not Miss Diagnoses

  • Stroke or Transient Ischemic Attack (TIA): Although less common, vertigo can be a symptom of a stroke or TIA, especially if accompanied by other neurological deficits. Early recognition is crucial for timely intervention.
  • Posterior Circulation Stroke: Specifically, vertebrobasilar insufficiency can cause vertigo among other symptoms like double vision, weakness, and difficulty speaking.
  • Multiple Sclerosis: In some cases, vertigo can be a presenting symptom of multiple sclerosis, an autoimmune disease affecting the central nervous system.

Rare Diagnoses

  • Acoustic Neuroma: A benign tumor on the nerve connecting the inner ear to the brain, which can cause vertigo, hearing loss, and tinnitus.
  • Ototoxicity: Certain medications or chemicals can damage the inner ear, leading to vertigo, hearing loss, and balance problems.
  • Superior Canal Dehiscence: A rare condition where there is an abnormal opening in the bone overlying the superior canal of the inner ear, leading to vertigo and hearing symptoms in response to sound or pressure changes.

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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