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Medical Treatment of Nonvascular Central Vertigo
Seo-Young Choi, Kwang-Dong Choi
Res Vestib Sci. 2021;20(3):75-80.   Published online September 15, 2021
DOI: https://doi.org/10.21790/rvs.2021.20.3.75
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AbstractAbstract PDF
Central vertigo is the common symptom resulting from abnormalities in the central nervous system, caused by various diseases, which include neurodegenerative, vascular, inflammation, infection, tumor, paraneoplastic, toxic, or metabolic disorders. Since the treatment of central vertigo depends on the causes, an accurate diagnosis should be preceded the treatment through a detailed neurotologic examination and laboratory evaluation. Also, it is important to identify and document the neurologic findings accompanied by central vertigo, because some medication focuses on the ocular motor abnormalities as nystagmus or saccadic intrusion. Here, we will review the medical treatment for central vertigo.
Vascular Origin of Central Vertigo: Brainstem
Sun-Uk Lee
Res Vestib Sci. 2021;20(1):1-6.   Published online March 11, 2021
DOI: https://doi.org/10.21790/rvs.2021.20.1.1
  • 5,276 View
  • 238 Download
  • 1 Crossref
AbstractAbstract PDF
Various neurotologic findings can be observed in stroke involving the brainstem. Analyses of the neurotologic findings are important in brainstem stroke since it can have negative diffusion-weighted image, as well as, presenting with acute vestibular syndrome in isolation without any associated neurologic deficits. In this review we discuss the neurotologic findings from lesion involving (1) the medial vestibular nucleus, (2) nucleus prepositus hypoglossi, (3) inferior cerebellar peduncle, (4) medial longitudinal fasciculus, (5) rostral interstitial nucleus of the medial longitudinal fasciculus, (6) interstitial nucleus of Cajal, and (7) middle and (8) superior cerebellar peduncles. It is important to recognize these specific neurotologic findings depending on the neural structures involved that may guide early detection and proper management.

Citations

Citations to this article as recorded by  
  • A Case of Ramsay Hunt Syndrome Showing Central Findings due to Brainstem Involvement
    Min Hyuk Lee, Min-Beom Kim
    Research in Vestibular Science.2023; 22(4): 120.     CrossRef

Res Vestib Sci : Research in Vestibular Science