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

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