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

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