This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Vertigo due to central lesions

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • in central vertigo (1)
    • the vertigo develops gradually. Exception- acute cerebrovascular events (an acute central vertigo is probably vascular in origin)
    • central lesions usually cause neurological symptoms and signs in addition to vertigo
    • auditory features tend to be uncommon.
    • causes severe imbalance
    • nystagmus is purely vertical, horizontal, or torsional and is not inhibited by fixation of eyes onto an object
    • latency following provocative diagnostic maneouver is shorter (up to 5 seconds)
  • causes may include:
    • cerebellopontine angle tumor (1)
    • cerebrovascular disease:
      • transient ischemic attack
      • stroke
    • vertebro-basilar insufficiency and thromboembolism:
      • lateral medullary syndrome
      • subclavian steal syndrome
      • basilar migraine
    • brain tumour:
      • for example an ependymoma or a metastasis in the fourth ventricle
    • migraine (1)
    • multiple sclerosis (1)
    • aura of epileptic attack - especially, in temporal lobe epilepsy
    • plaque of demyelination in the pons - multiple sclerosis
    • drugs - for example, phenytoin, barbiturates
    • syringobulbia

Reference:

Related pages

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.