The dizziness is severe and may be a form of peripheral vertigo. Common clinical conditions include Meniere’s syndrome, otoliths and vestibular neuronitis and labyrinthitis. Patients with vestibular neuronitis may experience dizziness, nausea, vomiting, and visual rotation, usually without tinnitus, and often with a history of colds. Patients with vestibular neuronitis also have a history of colds, but dizziness can be accompanied by deafness and tinnitus. Patients with Meniere’s syndrome often have a history of recurrent episodes of dizziness, which can be accompanied by nausea, vomiting, rotating vision, deafness and tinnitus. Patients with otolithiasis have a short duration of dizziness, ranging from a few seconds to a few minutes, with episodes of dizziness, nausea, vomiting, and deafness and tinnitus.