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Balance Disorders

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Meniere's Disease

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Cause: Fluid build-up in the inner ear. Symptoms: Vertigo, hearing loss, tinnitus, ear fullness. Treatments: Diuretics, low-sodium diet, vestibular rehabilitation, possibly surgery.

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Cervicogenic Dizziness

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Cause: Neck problems affecting proprioception and balance. Symptoms: Dizziness associated with neck movement or position. Treatments: Physical therapy, cervical spine treatments, proprioceptive exercises.

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Stroke

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Cause: Disruption of blood flow to the brain. Symptoms: Acute dizziness, balance issues, possible unilateral weakness or numbness. Treatments: Emergency medical treatment, stroke rehabilitation, secondary prevention.

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Ototoxicity

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Cause: Toxicity caused by medication or chemicals affecting the ear. Symptoms: Tinnitus, vertigo, hearing loss. Treatments: Stopping the offending medication, managing symptoms, hearing aids if permanent damage.

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Migraine-associated Vertigo

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Cause: Association with migraine headache disorder. Symptoms: Episodic vertigo, sensitivity to motion, light and sound, headache. Treatments: Migraine preventive medications, vestibular rehabilitation, lifestyle modifications.

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Mal de Débarquement Syndrome (MdDS)

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Cause: Typically follows travel by sea, unresolved sensation of motion. Symptoms: Persistent rocking or swaying feeling, unsteadiness, fatigue. Treatments: Vestibular rehabilitation, medications for motion sickness, counseling.

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Perilymph Fistula

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Cause: Tear or defect in the oval or round window of the inner ear. Symptoms: Unsteadiness, dizziness, hearing loss. Treatments: Bed rest, avoidance of straining, and possibly surgery to repair the defect.

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Benign Paroxysmal Positional Vertigo (BPPV)

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Cause: Dislodged otoliths in semicircular canals. Symptoms: Dizziness, nausea, balance problems when changing head position. Treatments: Epley maneuver, Semont maneuver, exercises to displace particles.

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Multiple Sclerosis

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Cause: Autoimmune disorder affecting central nervous system. Symptoms: Dizziness, vertigo, balance coordination issues. Treatments: Disease-modifying therapies, rehabilitation programs, symptom management.

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Presbyvestibulopathy

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Cause: Age-related degeneration of vestibular system. Symptoms: Balance problems, dizziness, falls. Treatments: Balance training, physical therapy, safety modifications at home.

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Vestibular Neuritis

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Cause: Viral infection affecting the vestibular nerve. Symptoms: Vertigo, dizziness, balance difficulties. Treatments: Corticosteroids, antiviral drugs, vestibular rehabilitation exercises.

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Bilateral Vestibulopathy

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Cause: Loss of function in both vestibular organs. Symptoms: Balance disturbances, oscillopsia, lack of spatial orientation. Treatments: Vestibular rehabilitation exercises, assistive devices, lifestyle changes.

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Labyrinthitis

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Cause: Inner ear infection or inflammation. Symptoms: Vertigo, hearing loss, imbalance, possibly nausea. Treatments: Medications (antibiotics, steroids), rest, vestibular rehabilitation therapy.

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Acoustic Neuroma

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Cause: Benign tumor on the vestibulocochlear nerve. Symptoms: Hearing loss, tinnitus, balance problems, dizziness. Treatments: Monitoring, radiation therapy, surgical removal.

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Superior Canal Dehiscence Syndrome (SCDS)

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Cause: Abnormal opening in the bone overlying the superior canal. Symptoms: Sound or pressure-induced vertigo, oscillopsia, autophony. Treatments: Surgery to repair the dehiscence, avoidance of activities that increase intracranial pressure, hearing aids.

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