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

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