This site is intended for healthcare professionals
Login | Register (NOW FREE)

Medical search

vertigo due to peripheral lesions

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

  • in peripheral vertigo (1)
    • hearing loss and tinnitus are commoner than in central vertigo
    • generally has a more sudden onset (exception-acute cerebrovascular events)
    • is highly associated with rotatory illusions (esp. nausea and vomiting)
    • nystagmus is combined horizontal and rotational, and lessens when the gaze is focussed
    • there is mild to moderate imbalance
    • nonauditory neurologic symptoms are rare
    • latency following provocative diagnostic maneuver is longer (up to 20 seconds)
  • the duration of vertiginous episodes and the presence or absence of auditory symptoms narrows the differential diagnosis (2)
    • causes of vertigo in which there are accompanying auditory symptoms:
      • Meniere's disease:
        • vertigo lasts for minutes or hours
        • episodic, associated with tinnitus and deafness
      • acute labyrinthitis - vertigo lasts for days
      • perilymphatic fistula - vertigo lasts for months/years
      • ototoxic drugs e.g. aminoglycosides
      • cholesteatoma
      • Ramsay-Hunt syndrome
    • causes of vertigo in which there is no hearing loss / tinnitus:
      • benign positional vertigo:
        • vertigo lasts for seconds
        • episodic, correlated with head position
      • vestibular neuronitis - vertigo lasts for days
      • cervical spondylosis and whiplash injury may cause vertigo by interfering with proprioception and movement of the neck



The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.