differential diagnosis

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  • 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:

Last reviewed 01/2018