Central Vertigo and Dizziness: Epidemiology, Differential Diagnosis, and Common Causes

@article{Karata2008CentralVA,
  title={Central Vertigo and Dizziness: Epidemiology, Differential Diagnosis, and Common Causes},
  author={Mehmet Baran Karataş},
  journal={The Neurologist},
  year={2008},
  volume={14},
  pages={355-364}
}
  • M. Karataş
  • Published 1 November 2008
  • Medicine
  • The Neurologist
Background:Dizziness is a common complaint among patients seen by primary care physicians, neurologists, and otolaryngologists. The most common causes of dizziness are peripheral vestibular disorders, but central nervous system disorders must be excluded. This article provides an overview of the epidemiology of dizziness, differentiating between central and peripheral vertigo, and central causes of dizziness. Review Summary:Dizziness is among the most common complaints in medicine, affecting… 
Diagnosing the cause of vertigo: a practical approach.
  • Alex T H Lee
  • Medicine
    Hong Kong medical journal = Xianggang yi xue za zhi
  • 2012
TLDR
The first question in approaching patients with dizziness is to categorise dizziness into one of the four groups: lightheadedness, pre-syncope, disequilibrium, and vertigo.
Clinical and Therapeutic Aspects of Vertigo
TLDR
The aim of this review is to provide an update on the main differential diagnoses of dizziness, with particular attention to the different otologic, neurologic and neurologic causes of vertigo, covering epidemiology, pathophysiology, clinical presentation, and therapy.
Differential diagnosis of peripheral vertigo
TLDR
Information is provided on the differential diagnosis of peripheral vertigo in BPPV, AVN, and Meniere’s disease.
Differential diagnosis of dizziness
  • Y. Chan
  • Medicine
    Current opinion in otolaryngology & head and neck surgery
  • 2009
TLDR
The distinction between central and peripheral vertigo will be emphasized and the various causes of each type of vertigowill be presented.
Differential Diagnosis and Treatment of Dizziness
TLDR
A careful and systematic approach to dizzy patients is the key to making a correct diagnosis and fi nding the optimal treatment and the various causes of each type of vertigo will be presented.
Vascular Vertigo: Epidemiology and Clinical Syndromes
TLDR
Migraine, cerebrovascular disorders especially involving the vertebrobasilar territory, cardiocirculatory diseases, neurovascular compression of the eighth nerve, and vasculitis are vascular causes of vertigo syndromes.
Vertigo/dizziness as a Drugs’ adverse reaction
TLDR
Analysis of the data extracted from the reporting cards of the ADRs (adverse drug reactions), received at the Pharmacovigilance Regional Center (Calabria, Italy) in 2012, shows that, among the side-effects of different classes of drugs such as anti-convulsants, anti-hypertensives, antibiotics, pro-depressants,Anti-psychotics, and anti-inflammatory, also vertigo or dizziness are included.
Dizziness, Postural Hypotension and Postural Blackouts: Two Cases Suggesting Multiple System Atrophy
TLDR
A detailed history, neurological examination, bedside autonomic function testing, and follow-up is necessary in all patients presenting with dizziness, and Clarification of the term dizziness is necessary for a correct etiological diagnosis.
Predictors of central vestibular disorders from videonystagmography tests
TLDR
Assessment of the usefulness of different VNG tests as predictors of central vestibular disorders, to determine the criteria that differentiate central positional nystagmus from the peripheral type, and to attempt to relate the abnormality in different V NG tests to certain central nervous system (CNS) levels.
Potential use of dimensionhydrinate/cinnarizine combination in the treatment of vertigo
Vertigo is a fairly common complaint with which patients present to physicians of various profiles, and especially to general practitioners, neurologists, and otorhinolaryngologists. Vertigo is a
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 100 REFERENCES
Vertigo and dizziness--a clinical approach.
TLDR
The majority of dizzy patients belong to Types II, III and IV, collectively called the non-vestibular system disorders, and some special bedside tests--the dizziness simulation battery--are often required for properly distinguishing the various types of dizziness.
[Statistical observation of vertigo and dizziness patients].
TLDR
BPPV was most frequent and diagnosed by typical positioning nystagmus, and other peripheral vestibular disorders, and disorders of other origins should be differentiated from the first screening.
Dizziness and vertigo in vertebrobasilar disease. Part II. Central causes and vertebrobasilar disease.
TLDR
Central causes of vertigo are less common than peripheral or "systemic" etiologies, the vertiginous symptomatology is usually less prominent, and additional neurological signs are usually present on examination.
How Common Are Various Causes of Dizziness?: A Critical Review
TLDR
Dizziness is due to vestibular or psychiatric causes in more than 70% of cases, and serious treatable causes appear uncommon, so diagnostic testing can probably be reserved for a small subset of patients.
[Incidence of vertigo and dizziness disorders at a university hospital].
TLDR
This research and the past 2 reports based on diagnostic criteria prescribed by the Japan Society for Equilibrium Research showed almost the same incidence of vertigo, i.e., BPPV of 30-40%, Meniere's disease of 7-10%, other peripheral vestibular disorders of 15-20%, and central Vestibular disorder of 6-8%.
[Vertigo and pathology of the cerebellospinal system].
TLDR
The classical classification of the central and peripheral vestibular syndromes has become obsolete and should be abandoned.
Vertigo and Dizziness Related to Migraine: A Diagnostic Challenge
TLDR
Migrainous vertigo (MV) is a vestibular syndrome caused by migraine and presents with attacks of spontaneous or positional vertigo lasting seconds to days and migrainous symptoms during the attack.
Vertigo as a Symptom of Migraine
TLDR
Vestibular migraine presents with attacks of spontaneous or positional vertigo lasting seconds to days, and the pathogenesis of VM is uncertain, but migraine mechanisms may interfere with the vestibular system at the labyrinth, brainstem, and cerebral cortex.
Central vestibular disorders
TLDR
The most important and frequent forms of central vestibular vertigo syndromes, including basilar/vestibular migraine, are provided, which are characterized by ocular motor, postural, and perceptual signs.
Phobic postural vertigo: a new proposed entity.
TLDR
Patients diagnosed with phobic postural vertigo presented with complaints of unsteadiness with or without dizziness, and attacks of sudden veering that caused them to grasp for support that led to effective treatment.
...
1
2
3
4
5
...