Benign paroxysmal positional vertigo differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating [Disease name] from other Diseases
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
OR
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||
|---|---|---|---|---|---|---|---|---|---|
| Symptoms | Physical examination | ||||||||
| Lab Findings | Imaging | ||||||||
| Acute onset | Recurrency | Nystagmus | Hearing problems | ||||||
| Peripheral | |||||||||
| BPPV | + | + | +/− | − | + Dix-Hallpike maneuver | − | − | Dix-Hallpike maneuver | May be associated with nausea, vomiting, and gait instability |
| Vestibular neuritis | + | +/− | + (unilateral)/− | − | + Head thrust test | − | − | History/ Physical exam | May be associated with nausea, vomiting, and gait instability |
| HSV oticus | |||||||||
| Meniere disease | |||||||||
| Labyrinthine concussion | |||||||||
| Perilymphatic fistula | |||||||||
| Semicircular canal
dehiscence syndrome |
|||||||||
| Vestibular paroxysma | |||||||||
| Cogan syndrome | |||||||||
| Vestibular schwannoma | |||||||||
| Otitis media | |||||||||
| Aminoglycoside toxicity | |||||||||
| Recurrent vestibulopathy | + | ||||||||
| Central | |||||||||
| Vestibular migrain | + | ||||||||
| Epileptic vertigo | + | ||||||||
| Multiple sclerosis | |||||||||
| Brain tumors | |||||||||
| Crebellar infarction/hemorrhage | + | ||||||||
| Brain stem ischemia | + | ||||||||
| Chiari malformation | − | ||||||||
| Parkinson | − | ||||||||