Benign Paroxysmal Positional Vertigo (BPPV): This condition is characterized by brief, episodic vertigo triggered by specific head movements, and it can sometimes be associated with tinnitus. However, the tinnitus in BPPV is not typically pulsatile. Despite this, BPPV is very common and should be considered in the differential diagnosis for vertigo.

Meniere's Disease: A disorder of the inner ear that affects balance and hearing, causing vertigo, tinnitus (which can be pulsatile), hearing loss, and ear fullness. The combination of vertigo and pulsatile tinnitus makes Meniere's a strong consideration.
Labyrinthitis: An inner ear disorder characterized by inflammation of the part of the inner ear responsible for balance (labyrinth). It can cause vertigo and may be associated with tinnitus, including pulsatile tinnitus, especially if there's significant involvement of the auditory system.
Vestibular Migraine: Although more commonly associated with headache, vestibular migraines can cause vertigo and sometimes tinnitus, including pulsatile tinnitus, without the headache component.

Acoustic Neuroma: A non-cancerous tumor on the nerve connecting the inner ear to the brain, which can cause vertigo, tinnitus (often unilateral and pulsatile), and hearing loss. Early detection is crucial for effective management.
Stroke or Transient Ischemic Attack (TIA): Vertigo can be a symptom of a stroke or TIA, especially if it's accompanied by other neurological deficits. Pulsatile tinnitus might not be a direct symptom but could be related to vascular issues.
Multiple Sclerosis: An autoimmune disease that affects the brain and spinal cord, leading to a wide range of potential neurological symptoms, including vertigo and tinnitus.

Otosclerosis: A condition in which there is abnormal bone growth in the middle ear, which can cause hearing loss and may be associated with vertigo and tinnitus, though pulsatile tinnitus is less common.
Superior Semicircular Canal Dehiscence: A rare condition where there is an abnormal opening in the bone overlying the superior semicircular canal, leading to vertigo and hearing symptoms, including autophony (hearing internal sounds unusually loudly) and pulsatile tinnitus.
Glomus Jugulare Tumor: A rare, usually benign tumor of the temporal bone that can cause pulsatile tinnitus due to its vascular nature and may also lead to vertigo if it affects the inner ear structures.