Issue N# 4 - 2005
OTONEUROLOGY
Vertigo and pathology of the cerebellospinal system
Authors : I. Ayerbe, M. Négrevergne (Bilbao, Bordeaux)
Ref. : Rev Laryngol Otol Rhinol. 2005;126,4:227-233.
Article published in french 
Downloadable PDF document french
Summary :
Central vertigo is most often expressed by a feeling of dizziness, non or badly systematized, but it can also appear, more seldom, like an isolated accute vertigo or associated to other neurological signs. A precise clinical exam can lead to evidence essential clinical informations (important ataxy, neurological signs, gaze nystagmus, pursuit anomaly,…). Almost all acute lesions of central vestibular pathways, as for the peripheral ones, lead to a harmonious vestibular syndrom. The vascular lesion of the vertebro-basilar territory and multiple sclerosis are two main causes to it. The pseudo-labyrinthical forms are essentially described in occlusion infarcts of the AICA and PICA, but a hematoma can lead to the same picture; the diagnosic of pauci- or monosymptomatic forms with a peripheral lesion is often very difficult, the classical classification of the central and peripheral vestibular syndromes has become obsolete and should be abandoned.
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