Central vestibular disorders

  title={Central vestibular disorders},
  author={Marianne Dieterich},
  journal={Journal of Neurology},
  • M. Dieterich
  • Published 6 April 2007
  • Medicine
  • Journal of Neurology
Dizziness or vertigo is an erroneous perception of selfmotion or object-motion as well as an unpleasant distortion of static gravitational orientation. It is caused by a mismatch between the vestibular, visual, and somatosensory systems. Thanks to their functional overlap, the three systems are able to compensate, in part, for each other's deficiencies. Thus, vertigo is not a well-defined disease entity, but rather a multisensory syndrome that results when there is a pathological dysfunction of… 

Epilepsy and the cortical vestibular system: tales of dizziness and recent concepts

The cortical origin of these symptoms will be discussed and compared with the known “vestibular” cortical representations, and the existence of a specific “ vestibular epilepsy" has been suggested in some publications.

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

Epidemiologic studies indicate that central causes are responsible for almost one-fourth of the dizziness experience by patients, differentiating between central and peripheral vertigo, and central causes of dizziness.

Diagnosis of Vestibular Migraine

Recent international efforts have resulted in newly proposed criteria for diagnosing vestibular migraine, which can be used as references in the clinical reasoning toward diagnosing this common neurological disorder.

Nystagmus and central vestibular disorders

The spectrum of central vestibular disorders has expanded markedly over the years and integrated approach based on the symptoms and neurotologic signs enhances the diagnostic accuracy of acute vascular vertigo.

Rebalancing the commissural system: mechanisms of vestibular compensation.

A fuller understanding of the role of the commissural system in compensation and the effects of GABAergic neuromodulators is likely to reveal the mechanisms of action of histamine in the vestibular system and the interactions between stress, anxiety and Vestibular dysfunction.

Persistent static imbalance among acute unilateral vestibulopathy patients could be related to a damaged velocity storage system

The phase lead was higher in the PSI group compared to the CV group, suggesting the possible role of phase as a parameter to predict the delayed compensation of static imbalance.

Vestibular Rehabilitation for Children.

  • R. Rine
  • Medicine, Psychology
    Seminars in hearing
  • 2018
The selection and provision of exercises to be included in the VR protocol for children vary, depending on the nature of the lesion, impairments identified, age at the time of lesions, and developmental factors such as critical periods of development and intermodality interdependence.

Central vertigo

Central vertigo is a heterogeneous group of disorders with diverse clinical spectrums and an integrated approach based on understanding of clinical features, laboratory findings, speculated mechanisms, and limitations of current diagnostic tests will lead to better clinical practice.

Out-of-body experience and autoscopy of neurological origin.

It is argued that both disintegrations (personal; personal-extrapersonal) are necessary for the occurrence of OBE and AS, and that they are due to a paroxysmal cerebral dysfunction of the TPJ in a state of partially and briefly impaired consciousness.

Vascular Vertigo: Epidemiology and Clinical Syndromes

Migraine, cerebrovascular disorders especially involving the vertebrobasilar territory, cardiocirculatory diseases, neurovascular compression of the eighth nerve, and vasculitis are vascular causes of vertigo syndromes.



Central vestibular syndromes in roll, pitch, and yaw planes: Topographic diagnosis of brainstem disorders

Evidence is presented for a clinical classification of central vestibular syndromes according to the three major planes of action of the vestibulo-ocular reflex (VOR): yaw, pitch, and roll. The

Vestibular syndromes in the roll plane: Topographic diagnosis from brainstem to cortex

Central vestibular syndromes may be classified according to the three major planes of action of the vestibuloocular reflex, secondary to a lesional tone imbalance in either the horizontal yaw plane

Migraine and Vertigo: Classification, Clinical Features, and Special Treatment Considerations

Vestibular migraine is a recognized medical entity in most dizziness units. It accounts for approximately 10% of these ‘dizzy’ patients and is the most common cause of spontaneous episodic vestibular

[Migraine and the vestibular apparatus (author's transl)].

The incidence of vestibular disturbances, particularly sensitivity differences of the labyrinths, was significantly greater in the group of patients with migraine than in a control group of 30 healthy persons.

The localizing value of nystagmus in brainstem disorders

The authors investigated anatomically brainstem lesions of patients with downbeat, upbeat, torsional and horizontal nystagmus, finding that although relatively common, downbeat nyStagmus is only rarely seen with brainstem lesion sites, in these instances it is localized in midline medullary structures.

Vestibular cortex lesions affect the perception of verticality

Although electrophysiological and cytoarchitectonic data in animals demonstrate several multisensory areas rather than a single primary vestibular cortex, the parieto‐insular vestibul cortex seems to represent the integration center of the multisENSory vestIBular cortex areas within the parietal lobe.

Vertical nystagmus: clinical facts and hypotheses.

The pathophysiology of spontaneous upbeat (UBN) and downbeat (DBN) nystagmus is reviewed in the light of several instructive clinical findings and experimental data to suggest that the excitatory SVN-VTT pathway, along with its specific floccular inhibition, has developed to counteract the gravity pull.

Wallenberg's syndrome: Lateropulsion, cyclorotation, and subjective visual vertical in thirty‐six patients

It is hypothesized that deviation of subjective visual vertical, lateropulsion of the body, and cyclorotation of the eyes are the perceptual, the ocular motor, and the postural consequences of a common lesion of central vestibular pathways that subserve the vestibuloocular reflex in the roll plane.

Acute migrainous vertigo: clinical and oculographic findings.

Migrainous vertigo should be considered in the differential diagnosis of vertigo with spontaneous and positional nystagmus and can present both as a central and a peripheral vestibular disorder.

Vertigo in cerebrovascular disease.

  • C. Fisher
  • Medicine
    Archives of otolaryngology
  • 1967
A personal series of cerebrovascular cases is reviewed, and the frequency and type of dizziness associated with occlusion of each of the cerebral arteries—internal carotid, middle cerebral, basilar, etc.