The San Juan de Dios Hospital in Aljarafe has taken an innovative step in addressing vertigo, one of the most perplexing and common symptoms in medical practice. Vertigo, which can appear suddenly and completely alter the perception of the environment, affects up to 80% of the population at some point in their lives, according to the Spanish Society of Otorhinolaryngology and Head and Neck Surgery. However, its diagnosis remains a challenge, as it can manifest both from mild disorders and serious pathologies that require urgent attention. To tackle this challenge, the hospital has introduced Vértigo 360, a clinical assistant based on artificial intelligence developed by Family Medicine resident Marta Fernández. Inspired by conversational models like ChatGPT, this system is specifically designed to help healthcare professionals structure clinical reasoning in real-time. Following its presentation at the annual vertigo update conference, the center plans to integrate it into daily practice as a support tool. Vértigo 360 allows doctors to input key patient data—age, symptoms, history—and, within seconds, provides a structured differential diagnosis, suggests diagnostic maneuvers, and guides initial treatment. Unlike traditional protocols, the tool proposes several hypotheses simultaneously and prioritizes them based on their likelihood, acting as a second layer of analysis that helps avoid overlooking important diagnoses, especially in unusual cases. The utility of this technology is particularly relevant in the first minutes of care, when it is crucial to distinguish between a benign condition and a medical emergency like a stroke. “Vertigo is so nonspecific that even specialists can find it difficult to classify,” explains Fernández. Therefore, having a system that organizes information and suggests possible causes is essential, especially for non-specialized doctors. The impact of artificial intelligence in this field goes beyond diagnosis. The hospital also uses three-dimensional models of the inner ear, generated from MRIs, to personalize therapeutic maneuvers. Additionally, AI-based applications allow for recording episodes of vertigo at home and analyzing eye movement with great precision, facilitating more continuous and effective patient monitoring. The experience of Eli, a nursing assistant at the hospital, illustrates the value of these innovations. After suffering from vestibular neuritis that kept her off work for nine months, her recovery combined conventional treatments with exercises and rehabilitation sessions using virtual reality. These sessions recreated everyday situations and challenging environments to retrain balance, from simulating waves in a boat to navigating a supermarket. “At first, it was tough, but the improvement was evident,” says Eli, who can now return to her normal life and empathize better with the patients she cares for. Despite the advancements, specialists insist that artificial intelligence is a support tool and that active listening to the patient remains irreplaceable. “Technology helps, but there must always be a professional behind it,” emphasizes Fernández. The incorporation of Vértigo 360 marks the beginning of a new era in vertigo care at the San Juan de Dios Hospital in Aljarafe, demonstrating that innovation is already part of present-day healthcare.