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Spatial disorientation may be expressed by the patient as dizziness, vertigo or feeling ‘light-headed’. True vertigo, however, is not experienced as a sensation of movement but as tilting or sloping of the environment, often characterised as the room spinning around them.
Ménière’s disease *
Benign paroxysmal positional vertigo (BPPV)
Arrhythmia
Postural hypotension
Migraine/Vestibular migraine
Hyperventilation
Drugs (antihypertensives, antidepressants)
Hypoglycaemia
Posterior circulation TIAs
Anxiety
Seizures (partial)
Carbon monoxide poisoning (e.g. faulty heating)
Persistent postural-perceptual dizziness (PPPD)
Labyrinthitis *
Vestibular neuronitis
Acute alcohol or recreational drug intoxication
Head injuries *
Posterior circulation CVA
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