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

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