TABLE 1

Symptoms and temporal pattern of common disorders of dizziness

DisorderSymptomsTemporal pattern
Benign paroxysmal positional vertigo (BPPV)Head or body movement-provoked vertigoEpisodic; seconds to minutes; can have delayed latency in symptoms or fatigue of symptoms upon repeat movement
Cervical vertigoDizziness, imbalance or lightheadedness with neck pain or changes in neck positionEpisodic; minutes to hours
Menière diseaseVertigo with fluctuating hearing loss, aural fullness, and tinnitusSpontaneous onset; episodic; 20 minutes to 24 hours
Vestibular neuritisVertigo without auditory symptoms, followed by head movement-provoked symptomsSudden onset; 1–3 days
LabyrinthitisVertigo with auditory symptoms, followed by head movement-provoked symptomsSudden onset; several days
Acoustic neuroma or vestibular schwannomaImbalance with brief episodes of dizziness; auditory symptoms; occasional neurologic symptomsGradual onset; progressive and continuous
Superior canal dehiscenceAutophony, disequilibrium, positional vertigo, and pressure- or sound-induced symptoms of vertigoEpisodic; seconds to minutes
Perilymphatic fistulaPressure- or sound-induced symptoms of vertigo, imbalanceSudden onset; episodic; seconds to minutes
Vascular event (anterioinferior cerebellar artery or posterioinferior cerebellar artery stroke)Vestibular crisis event: vertigo with associated hearing loss and other neurologic symptoms and signs followed by head movement-provoked symptomsSudden onset; lasting 1–3 days
  • Based on information in references 3 and 4.