Possible ConditionSymptomsLength of AttackTriggers
BPPV – Benign Paroxysmal Positional VertigoRoom spinning vertigo
Nausea
Less than 60 seconds
Short attacks may occur several times/day
Attacks often continue for a few weeks than subside
Re-occurrences common
Laying down
Rolling over in bed
Looking up / down
Bending over
Quick head turns
Vestibular NeuritisRoom spinning vertigo
Nausea
Dizziness / Imbalance
24-72 hours of severe vertigo
Followed by weeks/months of dizziness / imbalance
Vertigo does not typically return after initial attack
Viral / bacterial infection (cold / flu)
Dizziness triggered by:
movement
busy places
bright light / loud noises
LabyrinthitisRoom spinning vertigo
Dizziness / Imbalance
Hearing loss in affected ear (full or part)
24-72 hours of severe vertigo
Followed by weeks/months of dizziness / imbalance
Vertigo does not typically return after initial attack
Hearing does not return
Viral / bacterial infection (cold / flu)
Dizziness triggered by:
movement
busy places
bright light / loud noises
Menières DiseaseSevere vertigo
Dizziness / Imbalance
Ear Fullness / Pressure
Temporary hearing loss (during the attack)
Tinnitus
20 minutes to 24 hours
Average attack 2-4 hours
Lingering / milder symptoms for a few days following
Symptoms come on suddenly without a movement trigger
Attacks sometimes triggered by dehydration, high salt intake
Vestibular MigraineA combination of some of the following:
vertigo
dizziness
nausea
motion sensitivity
headache
visual aura
sensitivity to light
tinnitus
A few minutes to 72 hours
Symptoms can often linger for several weeks following an attack
Head motion or busy environments
Certain foods
Alcohol / caffeine
Exercise
Lack of sleep
PPPD – Persistent Postural Perceptual DisorderDizziness
Nausea
Unsteadiness
Rocking / Swaying
Motion sensitivity
Dizziness is persistent
More than 15 days per month
Worse while upright and moving
Busy environments
Stress, poor sleep:
– often triggered by a separate vestibular condition (neuritis, BPPV)
MDDS – Mal De Debarquement SyndromeRocking
Bobbing
Swaying
Imbalance
Constant
Daily since it began
Initially begins after a long voyage by car, ship or plane
Worse while person is not moving
Often feels better in motion
StrokeA combination of some of the following:
vertigo
hearing loss
inability to walk without support
trouble speaking
trouble swallowing
double vision
confusion
Sudden onset
Constant or worsening symptoms
No specific activity, positional, dietary trigger

Last Updated on Aug 13, 2021


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