II. Causes: Vertigo
- Critical to distinguish peripheral from central cause
- Common Primary Vestibular Problems (93% of Vertigo)
- Miscellaneous Causes
- Motion Sickness
- Vertigo Caused by Medication
- Vertigo Caused by Psychological Condition
- Provoked by stress (also seen in Migraine)
- Constant Vertigo for weeks
- Anxiety or Depression
- Brief spells are seen in Panic Attacks
- Persistent Vertigo also seen in Meniere's
III. Causes: Vertigo with Motor Weakness
- Facial weakness
- Other Focal Neurologic Deficits
- Cerebellopontine angle tumor
- Cerebrovascular Disease
- Multiple Sclerosis
IV. Causes: Vertigo with Hearing Affected
- No Hearing Loss
- Vestibular Neuronitis
- Brainstem Infarct (PICA or anterior vestibular)
-
Hearing Loss from acute Vertigo Causes
- Ramsay Hunt Syndrome
- Brainstem Infarct (AICA ot labyrinthine artery)
- Viral Labyrinthitis or Bacterial Labyrinthitis
- Perilymphatic Fistula
- Hearing Loss from chronic Vertigo Causes
- Hearing Loss with Tinnitus
- Hearing Loss with recent Trauma
V. Differential Diagnosis
- See Dizziness
- Images
