Peripheral Vertigo Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo. Benign Paroxysmal Positional Vertigo (BPPV): - Timing: Brief (seconds) but recurrent episodes - Reproducible with certain movements Vestibular Neuritis: - Timing: Continuous episodes, lasting days - May (or may not) have a viral prodrome Meniere's Disease: - Timing: Recurrent episodes lasting minutes to hours - Spontaneous. May have hypoacusia or tinnitus, although initially may be absent Jacobi Internal Medicine Chiefs @jmcchiefs #Peripheral #Vertigo #differential #diagnosis #comparison #table