| Home | E-Submission | Sitemap | Editorial Office |  
top_img
Research in Vestibular Science > Volume 10(0); 2011 > Article
Research in Vestibular Science 2011;10(0): 19-23.
중추성 체위성 현훈
이태경
순천향대학교 부천병원 신경과학교실
Central Positional Vertigo
Tae-Kyeong Lee, MD, PhD
Department of Neurology, College of Medicine, Soonchunhyang University, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
ABSTRACT
Positional and positioning vertigo and nystagmus syndromes are usually caused by benign paroxysmal positional vertigo (BPPV). However, it has been recognized sinister central disorders can also lead to positional vertigo and nystagmus in rare occasions. Central positional vertigo (CPV) and nystagmus (CPN) can be caused by cerebellar dorsal vermis lesion, tumors or hemorrhage on the dorsolateral region of the fourth ventricle, degenerative disorders involving cerebellum, and sometimes in migraine. Therefore, the differentiation of benign positional vertigo from sinister central one is important in clinical practice. In the presence of accompanying signs and symptoms suggesting cerebellar or brainstem involvement, the differentiation is straightforward. However, some cases of CPV show only positional vertigo syndrome without accompanying signs or with subtle abnormalities. Efforts have been made to distinguish central from peripheral positional vertigo by clinical features, but only the direction of nystagmus during an attack could allow differentiation. The mechanism of CPN from case-series and animal studies has been postulated the interruption of cerebellar modulation of gravitational pathways by the lesions in dorsal vermis or near the vestibular nucleus. This paper reviewed the clinical characteristics of CPV mainly focused on the differentiation from BPPV.
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
710
View
17
Download
Related articles
Central Positional Vertigo  2013 June;12(Suppl 1)
Treatment of Horizontal Canal Benign Paroxysmal Positional Vertigo  2013 June;12(Suppl 1)
Posttraumatic Peripheral Vertigo  2018 December;17(4)
Extremely Long Latency Benign Paroxysmal Positional Vertigo  2017 June;16(2)
Vestibular Paroxysmia Mimicking Benign Parxysmal Positional Vertigo  2016 December;15(4)
Editorial Office
Department of ORL-HNS, Kyung Hee University, 892
Dongnam-ro, Gangdong-gu, Seoul 05278, Korea
Tel: +82-2-440-6182, 7321   Fax: +82-2-440-6559   E-mail: otorhino512@naver.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Balance Society. All rights reserved.                 Developed in M2Community