Diagnostic Criteria for Central versus Peripheral Positioning Nystagmus and Vertigo: a Review
Head positioning can lead to pathological nystagmus and vertigo. In most instances the cause is a peripheral vestibular disorder, as in benign paroxysmal positioning vertigo (BPPV). Central lesions can lead to positional nystagmus (central PN) or to paroxysmal positioning nystagmus and vertigo (cent...
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| Veröffentlicht in: | Acta oto-laryngologica 1999, Vol.119 (1), p.1-5 |
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| creator | BÜTTNER, U HELMCHEN, C BRANDT, T |
| description | Head positioning can lead to pathological nystagmus and vertigo. In most instances the cause is a peripheral vestibular disorder, as in benign paroxysmal positioning vertigo (BPPV). Central lesions can lead to positional nystagmus (central PN) or to paroxysmal positioning nystagmus and vertigo (central PPV). Lesions in central PPV are often found dorsolateral to the fourth ventricle or in the dorsal vermis. This localization, together with other clinical features (associated cerebellar and oculomotor signs), generally allows one to easily distinguish central PPV from BPPV. However, in individual cases this may prove difficult, since the two syndromes share many features. Even if only BPPV as a peripheral lesion is considered, differentiation based on such features as latency, course, and duration of nystagmus during an attack, fatigability, vertigo, vomiting, and time period during which nystagmus bouts occur, may be impossible. Only the direction of nystagmus during an attack can allow differentiation. |
| doi_str_mv | 10.1080/00016489950181855 |
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In most instances the cause is a peripheral vestibular disorder, as in benign paroxysmal positioning vertigo (BPPV). Central lesions can lead to positional nystagmus (central PN) or to paroxysmal positioning nystagmus and vertigo (central PPV). Lesions in central PPV are often found dorsolateral to the fourth ventricle or in the dorsal vermis. This localization, together with other clinical features (associated cerebellar and oculomotor signs), generally allows one to easily distinguish central PPV from BPPV. However, in individual cases this may prove difficult, since the two syndromes share many features. Even if only BPPV as a peripheral lesion is considered, differentiation based on such features as latency, course, and duration of nystagmus during an attack, fatigability, vertigo, vomiting, and time period during which nystagmus bouts occur, may be impossible. Only the direction of nystagmus during an attack can allow differentiation.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016489950181855</identifier><identifier>PMID: 10219377</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>Biological and medical sciences ; Diagnosis, Differential ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Head Movements - physiology ; Humans ; Medical sciences ; Non tumoral diseases ; Nystagmus, Pathologic - diagnosis ; Nystagmus, Pathologic - etiology ; Nystagmus, Pathologic - physiopathology ; Oculomotor disorders ; Ophthalmology ; Otorhinolaryngology. Stomatology ; Posture - physiology ; Space life sciences ; Vertigo - diagnosis ; Vertigo - etiology ; Vertigo - physiopathology ; Vestibular Diseases - complications ; Vestibular Diseases - diagnosis</subject><ispartof>Acta oto-laryngologica, 1999, Vol.119 (1), p.1-5</ispartof><rights>1999 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1999</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-73c4f9e211e27ac1a2191853a2ac06f4ef66c5873929727d2295cbe52c6c02c43</citedby><cites>FETCH-LOGICAL-c497t-73c4f9e211e27ac1a2191853a2ac06f4ef66c5873929727d2295cbe52c6c02c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00016489950181855$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00016489950181855$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1745196$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10219377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BÜTTNER, U</creatorcontrib><creatorcontrib>HELMCHEN, C</creatorcontrib><creatorcontrib>BRANDT, T</creatorcontrib><title>Diagnostic Criteria for Central versus Peripheral Positioning Nystagmus and Vertigo: a Review</title><title>Acta oto-laryngologica</title><addtitle>Acta Otolaryngol</addtitle><description>Head positioning can lead to pathological nystagmus and vertigo. In most instances the cause is a peripheral vestibular disorder, as in benign paroxysmal positioning vertigo (BPPV). Central lesions can lead to positional nystagmus (central PN) or to paroxysmal positioning nystagmus and vertigo (central PPV). Lesions in central PPV are often found dorsolateral to the fourth ventricle or in the dorsal vermis. This localization, together with other clinical features (associated cerebellar and oculomotor signs), generally allows one to easily distinguish central PPV from BPPV. However, in individual cases this may prove difficult, since the two syndromes share many features. Even if only BPPV as a peripheral lesion is considered, differentiation based on such features as latency, course, and duration of nystagmus during an attack, fatigability, vertigo, vomiting, and time period during which nystagmus bouts occur, may be impossible. Only the direction of nystagmus during an attack can allow differentiation.</description><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Head Movements - physiology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Nystagmus, Pathologic - diagnosis</subject><subject>Nystagmus, Pathologic - etiology</subject><subject>Nystagmus, Pathologic - physiopathology</subject><subject>Oculomotor disorders</subject><subject>Ophthalmology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Posture - physiology</subject><subject>Space life sciences</subject><subject>Vertigo - diagnosis</subject><subject>Vertigo - etiology</subject><subject>Vertigo - physiopathology</subject><subject>Vestibular Diseases - complications</subject><subject>Vestibular Diseases - diagnosis</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFFrFDEQx4Mo9qx-AF8kD-LbapLdJBvti5xahaJF1DdZprnZu5Td5EyyLfftm-WuaBH6FCbz-w8zP0Kec_aas5a9YYxx1bTGSMZb3kr5gCy4krwSQvKHZDH3qxk4Ik9SupxL08rH5IgzwU2t9YL8_uBg7UPKztJldBmjA9qHSJfoc4SBXmFMU6LnpbHd4PxzHpLLLnjn1_TrLmVYjwUAv6K_MGa3Dm8p0O945fD6KXnUw5Dw2eE9Jj8_ffyx_FydfTv9snx_VtnG6Fzp2ja9QcE5Cg2WQ9munFODAMtU32CvlJWtro0wWuiVEEbaC5TCKsuEbepj8mo_dxvDnwlT7kaXLA4DeAxT6pTRXLWaFZDvQRtDShH7bhvdCHHXcdbNTrv_nJbMi8Pw6WLE1T-JvcQCvDwAkCwMfQRvXfrL6UZyowp2ssecL4JHuA5xWHUZdkOIt5n6vjXe3YlvEIa8sRCxuwxT9MXvPUfcANY0o2I</recordid><startdate>1999</startdate><enddate>1999</enddate><creator>BÜTTNER, U</creator><creator>HELMCHEN, C</creator><creator>BRANDT, T</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>1999</creationdate><title>Diagnostic Criteria for Central versus Peripheral Positioning Nystagmus and Vertigo: a Review</title><author>BÜTTNER, U ; HELMCHEN, C ; BRANDT, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-73c4f9e211e27ac1a2191853a2ac06f4ef66c5873929727d2295cbe52c6c02c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Head Movements - physiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Nystagmus, Pathologic - diagnosis</topic><topic>Nystagmus, Pathologic - etiology</topic><topic>Nystagmus, Pathologic - physiopathology</topic><topic>Oculomotor disorders</topic><topic>Ophthalmology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Posture - physiology</topic><topic>Space life sciences</topic><topic>Vertigo - diagnosis</topic><topic>Vertigo - etiology</topic><topic>Vertigo - physiopathology</topic><topic>Vestibular Diseases - complications</topic><topic>Vestibular Diseases - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BÜTTNER, U</creatorcontrib><creatorcontrib>HELMCHEN, C</creatorcontrib><creatorcontrib>BRANDT, T</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BÜTTNER, U</au><au>HELMCHEN, C</au><au>BRANDT, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Criteria for Central versus Peripheral Positioning Nystagmus and Vertigo: a Review</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>1999</date><risdate>1999</risdate><volume>119</volume><issue>1</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>Head positioning can lead to pathological nystagmus and vertigo. In most instances the cause is a peripheral vestibular disorder, as in benign paroxysmal positioning vertigo (BPPV). Central lesions can lead to positional nystagmus (central PN) or to paroxysmal positioning nystagmus and vertigo (central PPV). Lesions in central PPV are often found dorsolateral to the fourth ventricle or in the dorsal vermis. This localization, together with other clinical features (associated cerebellar and oculomotor signs), generally allows one to easily distinguish central PPV from BPPV. However, in individual cases this may prove difficult, since the two syndromes share many features. Even if only BPPV as a peripheral lesion is considered, differentiation based on such features as latency, course, and duration of nystagmus during an attack, fatigability, vertigo, vomiting, and time period during which nystagmus bouts occur, may be impossible. Only the direction of nystagmus during an attack can allow differentiation.</abstract><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>10219377</pmid><doi>10.1080/00016489950181855</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta oto-laryngologica, 1999, Vol.119 (1), p.1-5 |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Biological and medical sciences Diagnosis, Differential Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Head Movements - physiology Humans Medical sciences Non tumoral diseases Nystagmus, Pathologic - diagnosis Nystagmus, Pathologic - etiology Nystagmus, Pathologic - physiopathology Oculomotor disorders Ophthalmology Otorhinolaryngology. Stomatology Posture - physiology Space life sciences Vertigo - diagnosis Vertigo - etiology Vertigo - physiopathology Vestibular Diseases - complications Vestibular Diseases - diagnosis |
| title | Diagnostic Criteria for Central versus Peripheral Positioning Nystagmus and Vertigo: a Review |
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