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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Written By
Military Disability Nexus Editorial Team
Educational Guidance and Evidence Research
View editorial standardsReviewed For Clinical Accuracy
Military Disability Nexus Clinical Review Team
Clinical Integrity and Accuracy Review
View medical review policyOriginally published December 7, 2025 • Last updated May 28, 2026
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