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

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