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Peripheral Vestibular Forms of Vertigo

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Abstract

Three forms of peripheral vestibular disorders, each with its typical symptoms and clinical signs, can be differentiated:
  • Bilateral peripheral loss of vestibular function (bilateral vestibulopathy). The main symptoms are oscillopsia during head movements (failure of the vestibulo-ocular reflex) and instability of gait and posture. The latter two symptoms increase in darkness and on uneven ground (due to reduced or absent visual or somatosensory information).

  • Acute/subacute unilateral failure of vestibular function (labyrinth and/or vestibular nerve), which causes a vestibular tonus imbalance. Main symptoms are rotatory vertigo (for a few days or weeks), nausea, oscillopsia and a tendency to fall in a certain direction.

  • Inadequate paroxysmal stimulation of the peripheral vestibular system of the labyrinth (e.g., during benign paroxysmal positioning vertigo) or of the vestibular nerve (e.g., during vestibular paroxysmia due to ectopic discharges). The main symptoms are attacks of rotatory or postural vertigo.

Keywords

Benign Paroxysmal Positional Vertigo Vestibular Nerve Vestibular Neuritis Vestibular Migraine Posterior Canal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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