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Differential Diagnosis for Sudden Onset Dizziness

Single Most Likely Diagnosis

  • Benign Paroxysmal Positional Vertigo (BPPV): This condition is characterized by brief, intense episodes of vertigo triggered by specific head movements. It's a common cause of sudden onset dizziness and is often related to the movement of otolith crystals in the inner ear.

Other Likely Diagnoses

  • Vestibular Neuritis: An inflammation of the vestibular nerve, which can cause sudden, severe vertigo that lasts for days. It's often associated with viral infections.
  • Labyrinthitis: An inner ear disorder characterized by inflammation of the part of the inner ear responsible for balance (labyrinth). It can cause sudden onset of vertigo, hearing loss, and tinnitus.
  • Migraine-associated Vertigo: Some people experience vertigo as part of a migraine episode. This can be accompanied by headache, nausea, and sensitivity to light and sound.

Do Not Miss Diagnoses

  • Stroke or Transient Ischemic Attack (TIA): Although less common, sudden onset dizziness can be a symptom of a stroke or TIA, especially if accompanied by other neurological deficits such as weakness, numbness, or difficulty with speech.
  • Posterior Circulation Stroke: Specifically, a stroke affecting the posterior circulation can present with vertigo, ataxia, and other symptoms without the typical hemiparesis seen in anterior circulation strokes.
  • Cardiac Causes (e.g., Arrhythmias, Cardiac Arrest): Certain cardiac conditions can lead to reduced blood flow to the brain, resulting in dizziness or vertigo. These conditions are medical emergencies.

Rare Diagnoses

  • Multiple Sclerosis: In rare cases, multiple sclerosis can present with vertigo as an initial symptom due to lesions in the brainstem or cerebellum.
  • Acoustic Neuroma: A benign tumor on the nerve connecting the inner ear to the brain can cause vertigo, hearing loss, and tinnitus, though it typically develops slowly over time.
  • 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 sudden but are often recurrent.

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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