20th September 2015 by NASGP


vertigoAn elderly patient enters your room appearing unsteady, ‘No, I haven’t had too much to drink, Doc!’. You probably already have a differential diagnosis in your head, labyrinthitis being one of them. But, as this BMJ editorial reminds us, not all vertigo is labyrinthitis (BMJ 2012; 345:e5809).

The authors stress that the terms vertigo and labyrinthitis are not synonymous. Vertigo simply refers to an illusion of movement, whereas labyrinthitis (or more correctly vestibular neuritis) is actually rare with an incidence of 3.5/100,000/y. In one study, only 15% of patients referred to neuro-otology service with vestibular neuritis had the diagnosis; most of the others had benign paroxysmal positional vertigo (BPPV) or vestibular migraine. So, how can we get the diagnosis right?


Read for free

Sign up to access everything.

Free trial


Already a member? Login to view this content.


"We have used LocumDeck for a number of months now and find it really useful when booking locums. You can see the availability of GPs, their documents are all loaded on the site and you can book instantly – it takes minutes to do. There are also no expensive locum agency fees to pay – just the GP’s actual payment. It's quick and hassle-free."

Lesley Munro-Faure, Managing Partner at Unity Health, York

See the full list of features within our NASGP membership plans