What is the clinical significance of episodic vertigo with horizontal nystagmus?

Episodic vertigo with horizontal nystagmus could be indicative of vestibular neuritis, labyrinthitis or Meniere’s disease.

Vestibular neuritis typically presents with sudden onset, episodic vertigo without hearing loss or tinnitus. Labyrinthitis and Meniere’s disease, which can be associated, present with episodic vertigo with hearing loss and tinnitus.

In contrast, benign paroxysmal positional vertigo is not episodic and can be reliably reproduced on position change.

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This post was written by Omar Rifai