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Vertigo in a 60-year-old woman can be caused by various factors, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease. Age-related changes in the inner ear, medication side effects, or neurological issues such as a transient ischemic attack (TIA) could also contribute. A thorough medical evaluation is essential to determine the exact cause and appropriate treatment.

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