Keywords:Central vertigo, central nervous system, vestibulo-ocular reflex, VOR.
Central vertigo is a symptom characterized by a feeling of changes in body position or environment as a result of diseases originating from the central nervous system. Central vertigo is caused by a disease that extend from vestibular nuclei in medulla oblongata to ocular motor nuclei and integration system in mesencephalon to vestibulocerebellum, thalamus and vestibular cortex in temporoparietal and the neuronal pathway which mediate VOR (vestibulo-ocular reflex). The diseases can be vestibular migrain, TIA (Transient Ischemic Attack), Vertebrobasilar ischemic stroke, multiple sclerosis, tumor in cerebelopontine angle and congenital malformation like Dandy Walker Syndrome. Central vertigo can be diagnosed by performing several special tests. This examination can also distinguish central vertigo from its differential diagnosis, namely peripheral vertigo. Management of central vertigo can be in the form of acute attack management and specific management according to the cause.
Gnerre, P, Casati C, Frualdo M., Cavalleri M, & Guizzetti S. Management of vertigo: From evidence to clinical practice. Italian Journal of Medicine; 2015. 9(2), 180â€“192. DOI:
Brandt T, & DIeterich M. The dizzy patient: Donâ€™t forget disorders of the central vestibular system. Nature Reviews Neurology; 2017. 13(6):352â€“362.
Thompson TL, & Amedee R. Vertigo: A review of common peripheral and central vestibular disorders. Ochsner Journal; 2009. 9(1), 20â€“26. Avalaible from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096243/
Sunitha M, Asokan L, & Sambandan AP. Vertigo: Incidences, diagnosis and its relations with hearing loss. Indian Journal of Otolaryngology and Head and Neck Surgery; 2019. 71:1282â€“1286.
Fedorowicz JP, BieliÅ„ska M, & Olszewski J. Posturography studies in patients with central and mixed vertigo summary. Otolaryngologia Polska; 2018. 72(3):6â€“11.
Quimby AE, Kwok ESH, Lelli D, Johns P, & Tse D. (2018). Usage of the HINTS exam and neuroimaging in the assessment of peripheral vertigo in the emergency department. Journal of Otolaryngology - Head and Neck Surgery; 2018. 47(1):1â€“9.
Das S, Chakraborty S, & Shekar S. Dizziness in a tertiary care centre in sikkim: Our experience and limitations. Indian Journal of Otolaryngology and Head and Neck Surgery; 2017. 69(4):443â€“448.
Eber AM. La rÃ©Ã©ducation des vertigineux. In Revue du Praticien; 1994. Vol. 44, Issue 3.
Kuo CH, Pang L, & Chang R. Vertigo: Part 1 - Assessment in general practice. Australian Family Physician; 2008. 37(5), 341â€“347. DOI:
Bronsteiin Adolfo. Oxford Textbook of Vertigo and Imbalance; 2013.
Kanegaonkar R, & Tysome J. Dizziness and Vertigo : an Introduction and Practical Guide; 2014.
Kuo CH, Pang L, & Chang R. Vertigo: Part 2 - Management in general practice. Australian Family Physician; 2008. 37(6), 409â€“413. Avalaible from: https://pubmed.ncbi.nlm.nih.gov/18523693/
Alpini DC, Cesarani A, & Brugnoni G. Vertigo rehabilitation protocols. In Vertigo Rehabilitation Protocols. DOI: https://doi.org/10.1007/978-3-319-05482-7
Millennie HE, Munir B, Afif Z, Damayanti R, & Kurniawan SN. Meniere â€™ s disease. Journal Pain Headache and Vertigo; 2021. 18â€“21.
Damayanti R, Welly Dafif M, Nandar Kurniawan S, Munir B, & Afif Z. Dandy-Walker Variant (DWV) in 70 years old woman with disequilibrium and central vertigo : A case report. JPHV (Journal of Pain, Vertigo and Headache); 2020. 1(1):4â€“9.
How to Cite
This work is licensed under aÂ
Creative Commons Attribution-NonCommercial 4.0 International License