Vertigo classification: Difference between revisions
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{{Vertigo}} | {{Vertigo}} | ||
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{{CMG}}; {{AE}} {{ZMalik}} | |||
==Overview== | ==Overview== | ||
Vertigo is typically classified into one of two categories depending on the location of the damaged vestibular pathway. These are peripheral or central vertigo. Each category has a distinct set of characteristics and associated findings | Vertigo is typically classified into one of two categories depending on the location of the damaged [[Vestibular system|vestibular pathway]]. These are peripheral or central vertigo. It can also be classified into 3 sub groups based on duration of vertigo. Each category has a distinct set of characteristics and associated findings. | ||
==Classification== | ==Classification== | ||
Vertigo may be classified according to location of dysfunction into 2 subtypes and according to time course/duration into 3 subtypes:{{familytree/start |summary=Sample 1}} | |||
{{familytree/start |summary=Sample 1}} | |||
{{familytree | | | | | | | | A01 |A01=Classification of Vertigo<ref name="Dieterich2007">{{cite journal|last1=Dieterich|first1=Marianne|title=Central vestibular disorders|journal=Journal of Neurology|volume=254|issue=5|year=2007|pages=559–568|issn=0340-5354|doi=10.1007/s00415-006-0340-7}}</ref><ref name="Karatas2008">{{cite journal|last1=Karatas|first1=Mehmet|title=Central Vertigo and Dizziness|journal=The Neurologist|volume=14|issue=6|year=2008|pages=355–364|issn=1074-7931|doi=10.1097/NRL.0b013e31817533a3}}</ref><ref name="Guerraz2001">{{cite journal|last1=Guerraz|first1=M.|title=Visual vertigo: symptom assessment, spatial orientation and postural control|journal=Brain|volume=124|issue=8|year=2001|pages=1646–1656|issn=14602156|doi=10.1093/brain/124.8.1646}}</ref>}} | {{familytree | | | | | | | | A01 |A01=Classification of Vertigo<ref name="Dieterich2007">{{cite journal|last1=Dieterich|first1=Marianne|title=Central vestibular disorders|journal=Journal of Neurology|volume=254|issue=5|year=2007|pages=559–568|issn=0340-5354|doi=10.1007/s00415-006-0340-7}}</ref><ref name="Karatas2008">{{cite journal|last1=Karatas|first1=Mehmet|title=Central Vertigo and Dizziness|journal=The Neurologist|volume=14|issue=6|year=2008|pages=355–364|issn=1074-7931|doi=10.1097/NRL.0b013e31817533a3}}</ref><ref name="Guerraz2001">{{cite journal|last1=Guerraz|first1=M.|title=Visual vertigo: symptom assessment, spatial orientation and postural control|journal=Brain|volume=124|issue=8|year=2001|pages=1646–1656|issn=14602156|doi=10.1093/brain/124.8.1646}}</ref>}} | ||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | ||
{{familytree | | | B01 | | | | | | | | B02 | | |B01=Based on Location of Dysfunction|B02=Time Course/Duration}} | {{familytree | | | B01 | | | | | | | | B02 | | |B01=Based on Location of Dysfunction|B02=Time Course/Duration}} | ||
{{familytree | |,|-|^|. | {{familytree | |,|-|^|-|.| | | |,|-|-|-|+|-|-|-|.| }} | ||
{{familytree | C01 | | C02 | | C03 | | C04 | | C05 |C01=Peripheral|C02=Central|C03=Lasting a Day or Longer|C04=Lasting Minutes to Hours|C05=Lasting Seconds}} | {{familytree | C01 | | C02 | | C03 | | C04 | | C05 |C01=Peripheral|C02=Central|C03=Lasting a Day or Longer|C04=Lasting Minutes to Hours|C05=Lasting Seconds}} | ||
{{familytree | |!| | | |!| | | | | | | | | | | }} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!|}} | ||
{{familytree | D01 | | D02 | | | | | |D01=Lesion in inner ear or vestibulocochlear nerve|D02=Lesion in brainstem or cerebellum}} | {{familytree | D01 | | D02 | | |!| | | |!| | | |!| |D01=Lesion in inner ear or vestibulocochlear nerve|D02=Lesion in brainstem or cerebellum}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| }} | |||
{{familytree | E01 | | E02 | | E03 | | E04 | | E05 |E01=[[Ménière’s disease]]<br>[[Benign positional paroxysmal vertigo]]<br>[[Acute]] [[labyrinthitis]]<br>[[Acute]] [[vestibular neuronitis]]<br>[[Cholesteatoma]]<br>[[Otosclerosis]]<br>[[Perilymphatic fistula]]<br>[[Acoustic Neuroma]]|E02=[[Brainstem]] [[Stroke]]<br>Vestibular [[Migraine]]<br>[[Multiple Sclerosis]]<br>Cerebellar [[ischemia]] or [[hemorrhage]]<br>[[Cerebellar]] [[tumors]]<br>[[Lateral medullary syndrome]]<br>[[Chiari malformation]]|E03=[[Vestibular neuronitis]]<br>Vertebrobasilar ischemia with labyrinth infarct<br> [[Brainstem]] [[stroke]]<br> Inferior cerebellar infarct/bleed|E04=[[Ménière’s disease]]<br>Vertebrobasilar [[transient ischemic attack]] (TIA)<br>[[Migraine]] [[Headache]]<br>[[Perilymph fistula]]|E05=[[Benign paroxysmal positional vertigo]]}} | |||
{{familytree/end}} | {{familytree/end}} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 19:50, 20 January 2021
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Vertigo Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Vertigo classification On the Web |
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American Roentgen Ray Society Images of Vertigo classification |
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Risk calculators and risk factors for Vertigo classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Vertigo is typically classified into one of two categories depending on the location of the damaged vestibular pathway. These are peripheral or central vertigo. It can also be classified into 3 sub groups based on duration of vertigo. Each category has a distinct set of characteristics and associated findings.
Classification
Vertigo may be classified according to location of dysfunction into 2 subtypes and according to time course/duration into 3 subtypes:
| Classification of Vertigo[1][2][3] | |||||||||||||||||||||||||||||||||||||
| Based on Location of Dysfunction | Time Course/Duration | ||||||||||||||||||||||||||||||||||||
| Peripheral | Central | Lasting a Day or Longer | Lasting Minutes to Hours | Lasting Seconds | |||||||||||||||||||||||||||||||||
| Lesion in inner ear or vestibulocochlear nerve | Lesion in brainstem or cerebellum | ||||||||||||||||||||||||||||||||||||
| Ménière’s disease Benign positional paroxysmal vertigo Acute labyrinthitis Acute vestibular neuronitis Cholesteatoma Otosclerosis Perilymphatic fistula Acoustic Neuroma | Brainstem Stroke Vestibular Migraine Multiple Sclerosis Cerebellar ischemia or hemorrhage Cerebellar tumors Lateral medullary syndrome Chiari malformation | Vestibular neuronitis Vertebrobasilar ischemia with labyrinth infarct Brainstem stroke Inferior cerebellar infarct/bleed | Ménière’s disease Vertebrobasilar transient ischemic attack (TIA) Migraine Headache Perilymph fistula | Benign paroxysmal positional vertigo | |||||||||||||||||||||||||||||||||
References
- ↑ Dieterich, Marianne (2007). "Central vestibular disorders". Journal of Neurology. 254 (5): 559–568. doi:10.1007/s00415-006-0340-7. ISSN 0340-5354.
- ↑ Karatas, Mehmet (2008). "Central Vertigo and Dizziness". The Neurologist. 14 (6): 355–364. doi:10.1097/NRL.0b013e31817533a3. ISSN 1074-7931.
- ↑ Guerraz, M. (2001). "Visual vertigo: symptom assessment, spatial orientation and postural control". Brain. 124 (8): 1646–1656. doi:10.1093/brain/124.8.1646. ISSN 1460-2156.