Vertigo classification
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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. 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
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.