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Dizziness and disequilibrium (imbalance) following concussion (mild TBI) is second only to headache in symptom frequency. The differential diagnosis of post-concussive dizziness (PCD) can be divided into non-vestibular, central vestibular and peripheral vestibular causes with growing recognition that patients frequently exhibit both central and peripheral findings on vestibular testing. Symptoms that have traditionally been ascribed to central vestibular dysfunction may be due to peripheral dysfunction. Our ability to test peripheral vestibular function has improved allowing for the identification of peripheral vestibular disorders that in the past would have remained undetected. Unfortunately, many patients are not adequately evaluated for vestibular disorders until long after the onset of their symptoms. Dr. Gerard Gianoli, MD is a neuro-otologist and skull base surgeon with extensive experience evaluating and treating patients with post-traumatic vestibular disorders via conservative as well as surgical approaches. He provides an introduction to the topic of post-traumatic dizziness and disequilibrium while highlighting the important role of comprehensive vestibular testing in patients with persistent complaints, and in particular for those who show minimal improvement or relapse following vestibular therapy and other neurorehabilitation approaches.