Most important causes of vertigo
| Disorder | Notes |
|---|---|
| Viral labyrinthitis | Recent viral infection Sudden onset Nausea and vomiting Hearing may be affected |
| Vestibular neuritis | Recent viral infection Recurrent vertigo attacks lasting hours or days No hearing loss |
| Benign paroxysmal positional vertigo | Gradual onset Triggered by change in head position Each episode lasts 10-20 seconds |
| Meniere's disease | Associated with hearing loss, tinnitus and sensation of fullness or pressure in one or both ears |
| Vertebrobasilar ischaemia | Elderly patient Dizziness on extension of neck |
| Acoustic neuroma | Hearing loss, vertigo, tinnitus Absent corneal reflex is important sign Associated with neurofibromatosis type 2 |

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