Vertigo - sensation of movement while at rest (must distinguish from other symptoms such as pre-syncope or giddiness)

Differential Diagnosis

Peripheral Causes (80% of cases)
 Central Causes
Benign paroxysmal positional vertigo* Perilymphatic fistula Migrainous vertigo
Vestibular neuritis* Semicircular canal dehiscence syndrome Brainstem ischemia
Meniere disease* Cogan's syndrome Cerebellar infarction and hemorrhage
Herpes zoster oticus (Ramsay Hunt syndrome) Recurrent vestibulopathy Chiari malformation
Labyrinthine concussion Acoustic neuroma Multiple sclerosis
Aminoglycoside toxicity Otitis media Episodic ataxia type 2
*Most common



Diagnostic Questions
Physical Exam


BPPV



Ramsay-Hunt