Vertigo pp 117-126 | Cite as

Peripheral vestibular paroxysmia (disabling positional vertigo)

  • Thomas Brandt


Episodic vertigo and other vestibular syndromes can result from pathological excitation of various vestibular structures: the labyrinthine receptors, the vestibular nerve, the vestibular nuclei, and their ascending pathways to the thalamus and the cortex (see Paroxysmal vertigo, p. 29; Table 2.1). There is evidence that neurovascular cross-compression of the eighth nerve is the probable cause of vestibular paroxysmia (also termed disabling positional vertigo), including both paroxysmal hyperactivity and progressive functional loss. Analogously to trigeminal neuralgia, vestibular paroxysmia is diagnosed by the occurrence of short attacks and series of rotational or to-and-fro vertigo, which are precipitated or modulated by changing head position and frequently associated with hypacusis and tinnitus (Brandt and Dieterich 1994a).


Trigeminal Neuralgia Internal Auditory Canal Vestibular Nerve Hemifacial Spasm Microvascular Decompression 
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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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