Distinguishing and treating causes of central vertigo

D. Solomon

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Because the membranous labyrinth and the central nervous system contents of the posterior fossa are nourished by the vertebrobasilar circulation, localization of a lesion as central or peripheral in a vasculopathic patient may have little consequence in terms of his or her future risk for stroke. Distinguishing a gaze evoked direction changing nystagmus from a unidirectional spontaneous nystagmus accentuated with gaze in the quick phase direction may be the only key to properly diagnosing a cerebellar infarction presenting as an acute labyrinthine condition. Progression of cerebellar ataxia over weeks should prompt an aggressive evaluation for neoplastic disease, especially in women.

Original languageEnglish (US)
Pages (from-to)579-601
Number of pages23
JournalOtolaryngologic Clinics of North America
Issue number3
StatePublished - 2000
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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