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Answer :
Final answer:
Neuroma is NOT a peripheral cause of vertigo. (Option B)
Explanation:
Vertigo can be caused by various factors, with peripheral and central causes being the two main categories. The question asks for a "NOT a peripheral cause," which means we are looking for a central cause.
A. Otosclerosis, C. Meniere's Disease, and D. BPPV are all peripheral causes of vertigo. Otosclerosis is a condition that affects the middle ear, Meniere's Disease involves inner ear abnormalities, and BPPV (Benign Paroxysmal Positional Vertigo) is related to ear canal debris.
B. Neuroma, on the other hand, is a central cause of vertigo. A neuroma, specifically an acoustic neuroma or vestibular schwannoma, is a noncancerous tumor that develops on the vestibulocochlear nerve, which connects the inner ear to the brain. The pressure or damage caused by this tumor can affect the central nervous system and lead to vertigo.
In summary, while A, C, and D are peripheral causes of vertigo related to issues in the ear or ear canal, B, Neuroma, is a central cause associated with a tumor on the vestibulocochlear nerve. Therefore, the correct answer is B, Neuroma.
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