Vertigo
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DDx
By episode duration
- Auditory symptoms present
- Seconds: perilymphatic fistula
- Hours: endolymphatic hydrops (Ménière's disease, syphilis)
- Days: labyrinthitis, labyrinthine concussion (head trauma)
- Months: acoustic neuroma, ototoxicity
- Auditory symptoms absent
- Seconds: positioning vertigo (cupulolithiasis), vertebrobasilar insufficiency, cervical vertigo (head-extension vertigo), diplopia
- Hours: recurrent vestibulopathy (Ménière's disease without auditory symptoms), vestibular migraine
- Days: vestibular neuronitis, head trauma
- Months: vertebrobasilar insufficiency, arteriovenous malformation, brainstem or cerebellar tumor, cerebellar degeneration, multiple sclerosis, vertebrobasilar migraine
- Anticonvulsants (eg, phenytoin), antibiotics (eg, aminoglycosides, doxycycline, metronidazole), hypnotics (eg, diazepam), analgesics (eg, aspirin), alcohol
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DDx
By episode duration
- Auditory symptoms present
- Seconds: perilymphatic fistula
- Hours: endolymphatic hydrops (Ménière's disease, syphilis)
- Days: labyrinthitis, labyrinthine concussion (head trauma)
- Months: acoustic neuroma, ototoxicity
- Auditory symptoms absent
- Seconds: positioning vertigo (cupulolithiasis), vertebrobasilar insufficiency, cervical vertigo (head-extension vertigo), diplopia
- Hours: recurrent vestibulopathy (Ménière's disease without auditory symptoms), vestibular migraine
- Days: vestibular neuronitis, head trauma
- Months: vertebrobasilar insufficiency, arteriovenous malformation, brainstem or cerebellar tumor, cerebellar degeneration, multiple sclerosis, vertebrobasilar migraine
- Anticonvulsants (eg, phenytoin), antibiotics (eg, aminoglycosides, doxycycline, metronidazole), hypnotics (eg, diazepam), analgesics (eg, aspirin), alcohol
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