OIF Army veteran • Chronic tinnitus • Episodic vertigo and imbalance
The Challenge
The veteran’s vertigo claim was previously denied. VA stated: “The evidence does not show your vertigo is proximately due to or the result of your service-connected tinnitus. No medical relationship has been established.”
What Existed Before
- Service-connected tinnitus.
- Episodes of dizziness and imbalance
Our Contribution
- Review of auditory and balance-related patterns documented in treatment notes
- Identification of symptom timing consistent with secondary vestibular involvement
- Chronological analysis comparing tinnitus onset with vertigo development
- Structured secondary-service-connection explanation using existing evidence
Key Takeaway
After the secondary-connection documentation - NEXUS LETTER was submitted, the veteran later received a favorable VA decision granting vertigo secondary to tinnitus.
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View medical review policyOriginally published December 7, 2025 • Last updated March 2, 2026
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