• See Also
  1. Vertigo
  2. Peripheral Causes of Vertigo
  3. Central Causes of Vertigo
  4. Vertigo Management
  5. Meniere's Disease
  6. Motion Sickness
  7. Vestibular Neuronitis
  8. Benign Paroxysmal Positional Vertigo
  9. Perilymphatic Fistula (Hennebert's Sign)
  10. Acute Labyrinthitis
  11. Bacterial Labyrinthitis (Acute Suppurative Labyrinthitis)
  12. HiNTs Exam (Three-Step Bedside Oculomotor Examination)
  13. Horizontal Head Impulse Test (Head Thrust Test, h-HIT)
  14. Nystagmus
  15. Skew Deviation (Vertical Ocular Misalignment, Vertical Heterotropia, Vertical Strabismus)
  16. Dix-Hallpike Maneuver
  17. Dizziness
  18. Dysequilibrium
  19. Syncope
  20. Light Headedness
  1. Critical to distinguish peripheral from central cause
    1. See Vertigo
    2. See Peripheral Causes of Vertigo
    3. See Central Causes of Vertigo
  2. Common Primary Vestibular Problems (93% of Vertigo)
    1. Paroxysmal Positional Vertigo
    2. Acute Vestibular Neuronitis
    3. Meniere's Disease
  3. Miscellaneous Causes
    1. Motion Sickness
    2. Vertigo Caused by Medication
    3. Vertigo Caused by Psychological Condition
      1. Provoked by stress (also seen in Migraine)
      2. Constant Vertigo for weeks
        1. Anxiety or Depression
        2. Brief spells are seen in Panic Attacks
        3. Persistent Vertigo also seen in Meniere's
  • Causes
  • Vertigo with Motor Weakness
  1. Facial weakness
    1. Acoustic Neuroma
    2. Herpes Zoster
  2. Other Focal Neurologic Deficits
    1. Cerebellopontine angle tumor
    2. Cerebrovascular Disease
    3. Multiple Sclerosis
  1. No Hearing Loss
    1. Vestibular Neuronitis
    2. Brainstem Infarct (PICA or anterior vestibular)
  2. Hearing Loss from acute Vertigo Causes
    1. Ramsay Hunt Syndrome
    2. Brainstem Infarct (AICA ot labyrinthine artery)
    3. Viral Labyrinthitis or Bacterial Labyrinthitis
    4. Perilymphatic Fistula
  3. Hearing Loss from chronic Vertigo Causes
    1. Acoustic Neuroma
    2. Cholesteatoma
    3. Meniere's Disease
    4. Otosclerosis
    5. Vestibular Schwannoma
  4. Hearing Loss with Tinnitus
    1. Acute Labyrinthitis
    2. Acoustic Neuroma
    3. Meniere's Disease
  5. Hearing Loss with recent Trauma
    1. Concussion
    2. Perilymphatic Fistula
  • Differential Diagnosis
  1. See Dizziness
  2. Images
    1. DizzinessDDx.png
  • References
  1. Baloh (1999) Postgrad Med 105(2):161-72 [PubMed]
  2. Knox (1997) Am Fam Physician 55(4):1185-90 [PubMed]
  3. Labuguen (2006) Am Fam Physician 73:244-51 [PubMed]
  4. Tusa (2005) Neurol Clin 23:655-673 [PubMed]
  5. Tusa (2003) Med Clin N Am 87:609-41 [PubMed]