One of the most common complaints in ENT clinics is dizziness. Although most cases are caused by vestibular neuritis and benign paroxysmal positional vertigo (BPPV), a significant number of patients experience non-vestibular dizziness....
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists and ENT clinicians evaluating patients with dizziness should consider dysautonomia/POTS in the differential diagnosis alongside vestibular migraine and PPPD; this review provides a practical framework for differentiation but is expert opinion, not guideline-level evidence.
Misdiagnosis among overlapping dizziness disorders leads to inappropriate or delayed treatment; a clear clinical differentiation framework for POTS, vestibular migraine, and PPPD can meaningfully improve patient outcomes in ENT and vestibular clinics.
- 01Review covers differential diagnosis of POTS, vestibular migraine, and PPPD in ENT settings.
- 02POTS (postural orthostatic tachycardia syndrome) is a form of dysautonomia causing dizziness upon standing.
- 03Each condition has distinct triggers, diagnostic criteria, and treatment pathways.
- 04Intended as a practical guide for ENT clinicians, including audiologists managing vestibular patients.
- 05Evidence base is expert review level; no new clinical data are presented.
Orthostatic dizziness from dysautonomia/POTS can be clinically differentiated from vestibular migraine and PPPD in ENT settings.
opinionpartially supported- PMID
- 42299168
- DOI
- 10.7759/cureus.108903.
- Journal
- Cureus
- Publication type
- review
- Evidence level
- 5
- Population
- Patients presenting with dizziness in ENT clinical settings
- Intervention
- Clinical differentiation framework for POTS/dysautonomia vs. vestibular migraine vs. PPPD
Primary outcomes
Diagnostic criteria and distinguishing features across the three dizziness conditions