Dizziness - Central and Peripheral Causes - Differential Diagnosis

Central Causes:

 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg, Cerebellar infarction and hemorrhage, Brainstem ischemia

 • Inflammation: Meningitis, Cerebellar abscess	

 • Trauma: cerebellar contusion

 • Tumours: CPA, posterior fossa, glomous		

 • Toxic

 • Vestibular Migraine		

 • Multiple Sclerosis	

 • Chiari Malformation

Peripheral Causes:

 • Meniere’s

 • Labyrinthitis 

 • Acoustic Neuroma

 • BPPV

 • Vestibular Neuronitis

 • Herpes zoster oticus (Ramsay Hunt syndrome)	

 • Labyrinthine concussion

 • Perilymphatic fistula

 • Semicircular canal dehiscence syndrome	

 • Cogan's syndrome	

 • Recurrent vestibulopathy

 • Aminoglycoside toxicity	

 • Otitis media



- Amy Chung, MD, MSc @AmyChung 



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