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Differential diagnosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • the duration of vertiginous episodes and the presence or absence of auditory symptoms helps to arrive at a specific diagnosis (1)

pathology

duration of episode

associated auditory syptoms

peripheral or central origin

benign paroxysmal positional vertigo

seconds

no

peripheral

vestibular neuronitis

days

no

peripheral

Ménière's disease

hours

yes

peripheral

perilymphatic fistula

seconds

yes

peripheral

transient ischemic attack

seconds to hours

no

central

vertiginous migraine

hours

no

central

labyrinthitis

days

yes

peripheral

stroke

days

no

central

acoustic neuroma

months

yes

peripheral

cerebellar tumor

months

no

central

multiple sclerosis

months

no

central

Note:

  • 93% of primary care patients with vertigo have benign paroxysmal positional vertigo (BPPV), acute vestibular neuronitis, or Ménière's disease. (2) (see table above )

Reference:

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