Science Quiz / Peripheral or Central Vertigo

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QUIZ: Can you name the Peripheral or Central Vertigo ?

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

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