Vertigo classification: Difference between revisions
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{{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 | |!| | | |!| | | |!| | | |!| | | |!| }} | ||
{{familytree | E01 | | E02 | | E03 | | E04 | | E05 |E01=Meniere’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> Brain-stem stroke''<br> Inferior cerebellar infarct/bleed''|E04=Meniere’s disease<br>Vertebrobasilar transient ischemic attack (TIA)''<br>Migraine Headache''<br>Perilymph fistula|E05=Benign paroxysmal positional vertigo''}} | |||
{{familytree/end}} | {{familytree/end}} | ||
{{familytree/start}}{{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/start}}{{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>}} |
Revision as of 18:05, 11 December 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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 can also occur after long flights or boat journeys where the mind gets used to turbulence, resulting in a person feeling as if they are moving up and down. This usually subsides after a few days.
Classification
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 | ||||||||||||||||||||||||||||||||||||
Meniere’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 Brain-stem stroke Inferior cerebellar infarct/bleed | Meniere’s disease Vertebrobasilar transient ischemic attack (TIA) Migraine Headache Perilymph fistula | Benign paroxysmal positional vertigo | |||||||||||||||||||||||||||||||||
Classification of Vertigo[1][2][3] | |||||||||||||||||||||||||||||||
Based on Location of Dysfunction | |||||||||||||||||||||||||||||||
Peripheral Accounts for over 90% of all causes of vertigo | Central | ||||||||||||||||||||||||||||||
Lesion in inner ear or vestibulocochlear nerve | Lesion in brainstem or cerebellum | ||||||||||||||||||||||||||||||
Meniere’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 | ||||||||||||||||||||||||||||||
References
- ↑ 1.0 1.1 Dieterich, Marianne (2007). "Central vestibular disorders". Journal of Neurology. 254 (5): 559–568. doi:10.1007/s00415-006-0340-7. ISSN 0340-5354.
- ↑ 2.0 2.1 Karatas, Mehmet (2008). "Central Vertigo and Dizziness". The Neurologist. 14 (6): 355–364. doi:10.1097/NRL.0b013e31817533a3. ISSN 1074-7931.
- ↑ 3.0 3.1 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.