Peripheral or Central Vertigo

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Can you name the Peripheral or Central Vertigo ?

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Sign or Symptoms Central (C) or Peripheral (P) Vertigo
Tinnitus often present
Marked severity of vertigo
No inhibition of visual fixation
Bidirectional or Unidirectional nystagmus
Chronic duration of symptoms
Fall toward the slow phase
Tinnitus usually absent
Caused by BPPV, infection (labyrinthitis), Menieres neuronitis, ischemia, trauma, toxin
Unidirectional fast phase nystagmus
Sign or Symptoms Central (C) or Peripheral (P) Vertigo
Visual fixation inhibits nystagmus and vertigo
Common causes: vascular, demyelinating, neoplasm
Associated CNS abnormalities - diplopia, hiccups, cranial neuropathies, dysarthria
Finite symptoms (minutes, days, weeks) but recurrent
Vertical or purely torsional nystagmus may be present
Purely horizontal nystagmus may be present
Mild vertigo
Spin toward fast phase

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