Vertigo pp 291-299 | Cite as

Central positional vertigo

  • Thomas Brandt


When the head is brought into an off-vertical, lateral or head-hanging position, there is a change in graviceptive (otolithic) input. This change is the precipitating factor for central positional vertigo. The most likely explanation for this response is that a vestibular tone imbalance occurs which manifests as directional positional nystagmus and rotatory/linear vertigo. It is probably caused by disinhibition of the vestibular reflexes to perception, eye, head or body position (Brandt 1990).


Vertebral Artery Posterior Inferior Cerebellar Artery Benign Paroxysmal Positional Vertigo Head Extension Positional Nystagmus 
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Copyright information

© Springer-Verlag London 2003

Authors and Affiliations

  • Thomas Brandt
    • 1
  1. 1.Neurologische Klinik, Klinikum GroßhadernLudwig-Maximillians-UniversitätMunichGermany

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