differential diagnosis
Last reviewed 07/2023
- the following conditions may be associated with recurrent vertigo (1)
- Benign paroxysmal positional vertigo - vertigo is provoked by a change in position and lasts for seconds
- Meniere's disease - vertigo occurs spontaneously, lasts for minutes to hours, and is accompanied by unilateral hearing loss and tinnitus
- migraine - vertigo is highly variable in duration and usually precedes or is accompanied by headache
- vertebrobasilar insufficiency - is associated with brain-stem symptoms such as diplopia, dysarthria, and facial numbness.
- panic disorder
- positional vertigo
and nystagmus may be caused by:
- cerebellar disease
- brain stem
disease
- in central causes of positional vertigo and
nystagmus several features are different:
- the nystagmus continues indefinitely as long as the provoking position is maintained
- the direction of the nystagmus may not be towards the lower ear
Reference: