Skip to main content
. 2009 May 15:527–545. doi: 10.1016/B0-72-160423-4/50059-7

Table 56-2.

Differential Diagnostic Considerations for Peripheral and Central Vestibular Disease

SPECIFIC DISEASES
DISEASE MECHANISM PERIPHERAL DISEASE CENTRAL DISEASE
Degenerative Cerebellar cortical abiotrophy
Lysosomal storage diseases
Anomalous Congenital vestibular disease Thiamine deficiency
Nutritional
Neoplasia

  • Squamous cell carcinoma

  • Fibrosarcoma

  • Osteosarcoma

  • Ceruminous gland or sebaceous gland adenocarcinoma

  • Medulloblastoma

  • Oligodendroglioma

  • Meningioma

  • Lymphoma

  • Extension of middle ear neoplasia

  • Metastasis
Inflammatory/infectious

  • Bacterial otitis interna/labyrinthitis

  • Cryptococcosis

  • Nasopharyngeal polyps (Cuterebra larval migration)

 See Table 56-3
Idiopathic Idiopathic vestibular syndrome (Cuterebra larval migration)
Toxic

  • Aminoglycosides

  • Furosemide

  • Bumetanide

  • Chlorhexidine

  • 10% fipronil solution (aural administration)

  • Metronidazole

  • Lead
Traumatic

  • Iatrogenic

  • External/middle ear flushing

  • Bulla osteotomy

  • Bulla fracture/hemorrhage

 Head trauma
Vascular

  • Feline ischemic encephalopathy

  • Cuterebra larval migration