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60 Other causes of peripheral vertigo include 1,12,68 : Herpes zoster oticus (reactivation of the virus that causes chicken pox [a condition known as shingles] with lesions affecting the inner ear) Otitis media (inflammation [usually of infectious origin] of the middle ear) Medication side effects and interactions (see Table 2) Concussion with trauma to peripheral vestibular organs Otosclerosis (hardening of middle ear structures) Causes of Central Vertigo Approximately 20% of vertigo cases are due to central causes of which vestibular migraine is one of the most common