Meniere’s Disease: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99).

  • Cervical syndrome – syndrome of the cervical spine with nerve compression/damage.

Neoplasms – tumor diseases (C00-D48).

  • Acoustic neuroma (AKN) – benign tumor arising from the Schwanńs cells of the vestibular portion of the VIII. Cranial nerve, the auditory and vestibular nerves (vestibulocochlear nerve), and is located in the cerebellopontine angle or in the internal auditory canal. Acoustic neuroma is the most common cerebellopontine angle tumor. More than 95% of all AKNs are unilateral. In contrast, in the presence of neurofibromatosis type 2, acoustic neuroma typically occurs bilaterally.
  • Cerebellopontine angle tumor, unspecified.

Ears – mastoid process (H60-H95).

  • Hearing loss
  • Lermoyez syndrome – rare clinical picture of the inner ear with seizure-like character, which by some authors it is considered as a special form of Menier’s disease and not as an independent disease.

Psyche – Nervous System (F00-F99; G00-G99).

  • Multiple sclerosis (MS)
  • Neuronitis vestibularis – inflammation of the vestibular nerve leading to disturbance of the vestibular organ with acute vertigo and vomiting
  • Subclavian steal syndrome (vertebral artery tap syndrome) – belongs to the so-called tapping phenomena (steal syndromes) and refers to blood pressure drops or fluctuations distal to temporary or incomplete stenosis (vascular occlusion) of the subclavian artery (shoulder girdle artery) even before the departure of the vertebral artery
  • Vestibular migraine – attack-like vertigo, with nausea (nausea) and vomiting (vomiting) (lasting several minutes to half an hour); followed by a hemiplegic headache and the typical migraine accompanying symptoms (e.g., sensitivity to light and noise) and worsening with physical exertion
  • Vertebrobasilar insufficiency – decreased blood flow through the vertebral artery and basilar artery.
  • Wallenberg syndrome (synonyms: Brainstem syndrome, Dorsolateral medulla-oblongata syndrome or Arteria-cerebellaris-inferior-posterior syndrome; English PICA syndrome) – special form of apoplexy (stroke).
  • Cerebral circulatory disorders, unspecified.

Injuries, poisonings, and other consequences of external causes (S00-T98).

  • Caisson disease (synonyms: Decompression sickness, compressed air sickness; decompression sickness (DCS), decompression illness, DCI) – results from releasing pressure too quickly when a diver emerges from depth.
  • Kinetosis (synonyms: motion/travel/sea sickness).