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vertigo An illusion of movement, either of the external world revolving around the individual or of the individual revolving in space. Vertigo may be associated with disorders of
the inner ear; vestibular nerve; brainstem; or cerebral cortex.
Lesions in the temporal lobe and parietal lobe may be associated with focal seizures that may feature vertigo as an ictal manifestation. (From Adams et al., Principles
of Neurology, 6th ed, pp300-1)


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Additional comments :
(Positional Vertigo, Spinning Sensation, BrainStem Vertigo, Vertigo, Intermittant Vertigo, Paroxysmal Vertigo)


See also:
Dizziness, Vestibular Neuronitis, Syncope, Meniere's Disease,


Vertigo is usually defined as a hallucination of movement secondary to a vestibular disturbance.


T Brandt, RB Daroff - Annals of Neurology, 1980


Benign paroxysmal positional vertigo is a common disorder, with an estimated incidence
of 160,000 new cases per year in the United States. Among patients seen in a general internal medicine outpatient clinic and in 2 sub-specialty dizziness clinics, vertigo was the most frequent category of dizziness, and benign paroxysmal positional vertigo was the most common cause of vertigo.


DA Froehling, JM Bowen, DN Mohr, RH Brey, CW … - Mayo Clin Proc, 2000


Benign paroxysmal positional vertigo (BPPV) is the most common and most treatable cause of vertigo. In most cases, a simple maneuver that takes less than a few minutes to do resolves the problem. BPPV is caused by misplaced calcium carbonate crystals
(otoconia) in the semicircular canal of the inner ear that have broken free from the utricle. When these crystals break free, they either remain loose in one of three different semicircular canals or attach to the hair cells within a canal.


Ronald J. Tusa, MD, PhD Current Neurology and Neuroscience Reports 2001, 1:478-485


Positional vertigo is a common symptom characterized by sudden onset of brief episodes
of intense vertigo triggered by rapid changes of head and body position.


A Casani, V Giovanni, F Bruno, GP Luigi - Laryngoscope, 1997

Articles




PubmedBenign paroxysmal positional vertigo of the anterior semicircular canal: Atypical clinical findings and possible underlying mechanisms.
Authors:  Korres S, Riga M, Balatsouras D, Sandris V
Journal: Int J Audiol

PubmedVertigo - Part 1 - Assessment in general practice.
Authors:  Kuo CH, Pang L, Chang R
Journal: Aust Fam Physician

PubmedVertiginous syndrome.
Authors:  Charles J, Fahridin S, Britt H
Journal: Aust Fam Physician

PubmedVisual Symptoms and Compliance with Spectacle Wear in Myopic Children: Double-Masked Comparison between Progressive Addition Lenses and Single Vision Lenses.
Authors:  Suemaru J, Hasebe S, Ohtsuki H
Journal: Acta Med Okayama

PubmedChiari Malformation Type I.
Authors:  James HE
Journal: J Neurosurg

PubmedGiant arachnoid granulation in a patient with benign intracranial hypertension.
Authors:  Kiroglu Y, Yaqci B, Cirak B, Karabulut N
Journal: Eur Radiol

Pubmed[Cognitive disturbances in patients with arterial hypertension.]
Authors:  Starchina IA, Parfenov VA, Chazova IE, Pustovitova TS, Iakhno NN
Journal: Zh Nevrol Psikhiatr Im S S Korsakova

PubmedSequential bilateral hearing loss in multiple sclerosis.
Authors:  Oh YM, Oh DH, Jeong SH, Koo JW, Kim JS
Journal: Ann Otol Rhinol Laryngol

PubmedScreening for vestibular disorders: A study of clinicians' compliance with recommended practices.
Authors:  Polensek SH, Sterk CE, Tusa RJ
Journal: Med Sci Monit

Pubmed[A case of herpetic facial paralysis in which cochleovestibular symptoms outweigh facial nerve symptoms.]
Authors:  Avc? S, Kansu L, Akkuzu B, Ozgirgin N, Ozlüo?lu L
Journal: Kulak Burun Bogaz Ihtis Derg

PubmedPotassium channel blocker 4-aminopyridine is effective in interictal cerebellar symptoms in episodic ataxia type 2 - A video case report.
Authors:  Löhle M, Schrempf W, Wolz M, Reichmann H, Storch A
Journal: Mov Disord

PubmedVestibular evoked myogenic potentials in patients with benign paroxysmal positional vertigo involving each semicircular canal.
Authors:  Hong SM, Park DC, Yeo SG, Cha CI
Journal: Am J Otolaryngol

PubmedNeuroendocrine carcinoma of the jugular foramen.
Authors:  Leonetti JP, Shirazi MA, Marzo S, Anderson D
Journal: Ear Nose Throat J

PubmedPrognostic Model for Predicting Hearing Recovery in Idiopathic Sudden Sensorineural Hearing Loss.
Authors:  Cvorovi? L, Deric D, Probst R, Hegemann S
Journal: Otol Neurotol

PubmedIdentification of predictors and development of a screening protocol for cerebello-pontine lesions in patients presenting with audio-vestibular dysfunction.
Authors:  Chatrath P, Frosh A, Gore A, Nouraei R, Harcourt J
Journal: Clin Otolaryngol

PubmedHeadaches related to triptans therapy in patients of migrainous vertigo.
Authors:  Prakash S, Chavda BV, Mandalia H, Dhawan R, Padmanabhan D
Journal: J Headache Pain

Pubmed[Vertigo in children]
Authors:  Erazo Torricelli R
Journal: Medicina (B Aires)

PubmedLong-term prophylactic treatment of attacks of vertigo in Meničre's disease - comparison of a high with a low dosage of betahistine in an open trial.
Authors:  Strupp M, Hupert D, Frenzel C, Wagner J, Hahn A, Jahn K, Zingler VC, Mansmann U, Brandt T
Journal: Acta Otolaryngol

PubmedMedical Management Of Méničre's Disease.
Authors:  Coelho DH, Lalwani AK
Journal: Laryngoscope

PubmedBenign paroxysmal vertigo secondary to placement of maxillary implants using the alveolar expansion technique with osteotomes: a study of 4 cases.
Authors:  Peńarrocha-Diago M, Rambla-Ferrer J, Perez V, Pérez-Garrigues H
Journal: Int J Oral Maxillofac Implants

PubmedSuperior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning.
Authors:  Cloutier JF, Bélair M, Saliba I
Journal: Eur Arch Otorhinolaryngol

Pubmed[Results of control MRI examinations performed due to radiological indication--preliminary report]
Authors:  Herman-Sucharska I, Gergont A, Weso?owska E, Zajac A
Journal: Przegl Lek

Pubmed[Expression patterns of non-viral transfection with GFP in the organ of Corti in vitro and in vivo. Gene therapy of the inner ear with non-viral vectors]
Authors:  Praetorius M, Pfannenstiel S, Klingmann C, Baumann I, Plinkert PK, Staecker H
Journal: HNO

PubmedClinical features of benign paroxysmal positional vertigo in Western Turkey.
Authors:  Celebisoy N, Polat F, Akyurekli O
Journal: Eur Neurol

PubmedNeuro-otological findings in patients with very small (border zone) cerebellar infarcts.
Authors:  Kikuchi S, Yamasoba T
Journal: Acta Otolaryngol Suppl

PubmedMigraine-associated vertigo: clinical characteristics of Japanese patients and effect of lomerizine, a calcium channel antagonist.
Authors:  Iwasaki S, Ushio M, Chihara Y, Ito K, Sugasawa K, Murofushi T
Journal: Acta Otolaryngol Suppl

PubmedCombination Therapy (Intratympanic Dexamethasone + High-Dose Prednisone Taper) for the Treatment of Idiopathic Sudden Sensorineural Hearing Loss.
Authors:  Battaglia A, Burchette R, Cueva R
Journal: Otol Neurotol

PubmedThe toxic effects of toluene on the optokinetic nystagmus in pigmented rats.
Authors:  Hogie M, Guerbet M, Reber A
Journal: Ecotoxicol Environ Saf

PubmedForeign body in the Eustachian tube: case presentation and technique used for removal.
Authors:  Ribeiro Fde A
Journal: Rev Bras Otorrinolaringol (Engl Ed)

PubmedUltrastructural Changes in Otoconia of Osteoporotic Rats.
Authors:  Vibert D, Sans A, Kompis M, Travo C, Muhlbauer RC, Tschudi I, Boukhaddaoui H, Hausler R
Journal: Audiol Neurootol

PubmedBalance improvement in patients with benign paroxysmal positional vertigo.
Authors:  Chang WC, Yang YR, Hsu LC, Chern CM, Wang RY
Journal: Clin Rehabil

PubmedMicrovascular decompression of cochleovestibular nerve.
Authors:  Yap L, Pothula VB, Lesser T
Journal: Eur Arch Otorhinolaryngol

PubmedSleep position and laterality of benign paroxysmal positional vertigo.
Authors:  Korres SG, Papadakis CE, Riga MG, Balatsouras DG, Dikeos DG, Soldatos CR
Journal: J Laryngol Otol

PubmedParoxysmal positional vertigo: the role of age as a prognostic factor.
Authors:  Faralli M, Ricci G, Molini E, Bressi T, Simoncelli C, Frenguelli A
Journal: Acta Otorhinolaryngol Ital

PubmedBilateral osteomas arising from the internal auditory canal: case report.
Authors:  Gerganov VM, Samii A, Paterno V, Stan AC, Samii M
Journal: Neurosurgery

PubmedCerebellar metastasis in squamous cell vulvar carcinoma.
Authors:  Dursun P, Ayhan A, Tarhan NC, Coban G, Kuscu E
Journal: Arch Gynecol Obstet

PubmedCerebral venous thrombosis mimicking acute unilateral vestibulopathy.
Authors:  Kim HA, Sohn SI, Lee H
Journal: Neurol Sci

PubmedRecovery of otolith function in patients with benign paroxysmal positional vertigo evaluated by sinusoidal off-vertical axis rotation.
Authors:  Sugita-Kitajima A, Koizuka I
Journal: Neurosci Lett

PubmedBenign paroxysmal positional vertigo after radiologic scanning: a case series.
Authors:  Aydin E, Akman K, Yerli H, Ozluoglu LN
Journal: J Med Case Reports

PubmedPsychometric properties of the Vertigo symptom scale - Short form.
Authors:  Wilhelmsen K, Strand LI, Nordahl SH, Eide GE, Ljunggren AE
Journal: BMC Ear Nose Throat Disord

Pubmed[Survey of risks related to static magnetic fields in ultra high field MRI.]
Authors:  Möller HE, von Cramon DY
Journal: Rofo

PubmedHuman herpesvirus-6 and -7 DNA in cerebrospinal fluid of facial palsy patients.
Authors:  Kanerva M, Jääskeläinen AJ, Suvela M, Piiparinen H, Vaheri A, Pitkäranta A
Journal: Acta Otolaryngol

PubmedManagement of complications in cochlear implantation.
Authors:  Kim CS, Oh SH, Chang SO, Kim HM, Hur DG
Journal: Acta Otolaryngol

PubmedEpley maneuver and the head autorotation test in benign paroxysmal positional vertigo.
Authors:  Ozgirgin ON, Tarhan E
Journal: Eur Arch Otorhinolaryngol

PubmedVestibular evoked myogenic potentials in Behcet's disease.
Authors:  Erbek S, Erbek SS, Yilmaz S, Yucel E, Ozluoglu LN
Journal: Eur Arch Otorhinolaryngol

Pubmed[Experience With Epley's Manoeuvre and Vestibular Habituation Training in Benign Paroxysmal Positional Vertigo.]
Authors:  Roa Castro FM, Durán de Alba LM, Roa Castro VH
Journal: Acta Otorrinolaringol Esp

PubmedBody balance in patients with systemic vertigo after rehabilitation exercise.
Authors:  Mraz M, Curzytek M, Mraz MA, Gawron W, Czerwosz L, Skolimowski T
Journal: J Physiol Pharmacol

PubmedPetrous apex cholesterol granuloma aeration: does it matter?
Authors:  Castillo MP, Samy RN, Isaacson B, Roland PS
Journal: Otolaryngol Head Neck Surg

PubmedErbium: yttrium-aluminum-garnet laser stapedotomy--a safe technique.
Authors:  Parrilla C, Galli J, Fetoni AR, Rigante M, Paludetti G
Journal: Otolaryngol Head Neck Surg

PubmedGiant mastoid osteoma with postoperative high-frequency sensorineural hearing loss.
Authors:  Lee RE, Balkany TJ
Journal: Ear Nose Throat J

Pubmed[Panic disorder and vestibular/equilibrium dysfunctions: state of the art]
Authors:  Vaillancourt L, Bélanger C
Journal: Encephale

Pubmed[Diagnosis of superior semicircular canal dehiscence syndrome]
Authors:  Dai CF, Sha Y, Chi FL, Wang ZM
Journal: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

Pubmed[Otological symptoms among patients with temporomandibular joint disorders]
Authors:  Ramírez LM, Ballesteros LE, Sandoval GP
Journal: Rev Med Chil

PubmedBedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis".
Authors:  Cnyrim CD, Newman-Toker D, Karch C, Brandt T, Strupp M
Journal: J Neurol Neurosurg Psychiatry

PubmedOpen-label, long-term safety study of zonisamide administered to children and adolescents with epilepsy.
Authors:  Shinnar S, Pellock JM, Conry JA
Journal: Eur J Paediatr Neurol

Pubmed[Peripheral vertigo classification. Consensus document. Otoneurology committee of the spanish otorhinolaryngology society (2003-2006).]
Authors:  Morera C, Pérez H, Pérez N, Soto A
Journal: Acta Otorrinolaringol Esp

Pubmed[The changes in vestibular function in patients with diabetes mellitus and its clinical significance]
Authors:  Li J, Zhang T, Shen J, Gong J, Wang H, Zhang J, Pang Y
Journal: Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

PubmedPsychiatric comorbidity in different organic vertigo syndromes.
Authors:  Eckhardt-Henn A, Best C, Bense S, Breuer P, Diener G, Tschan R, Dieterich M
Journal: J Neurol

PubmedPlasma antidiuretic hormone in cases with the early onset of profound unilateral deafness.
Authors:  Takeda T, Kakigi A, Nishioka R, Taguchi D, Nishimura M
Journal: Auris Nasus Larynx

PubmedHearing preservation after translabyrinthine approach performed to remove a large vestibular schwannoma.
Authors:  Tringali S, Ferber-Viart C, Gallégo S, Dubreuil C
Journal: Eur Arch Otorhinolaryngol

PubmedTreatment of Susac's Syndrome.
Authors:  Rennebohm RM, Egan RA, Susac JO
Journal: Curr Treat Options Neurol

PubmedSpontaneous intracranial hypotension: the syndrome and its complications.
Authors:  Couch JR
Journal: Curr Treat Options Neurol

Pubmed[Primary cerebral lymphoma in an immunocompetent patient]
Authors:  García ME, García AM, Catalán MJ
Journal: Neurologia

PubmedClimacteric symptom control after the addition of low-dose esterified conjugated estrogens to raloxifene standard doses.
Authors:  Carranza-Lira S, Gooch AL, Saldivar N, Osterwalder MS
Journal: Int J Fertil Womens Med

PubmedFluid-particle dynamics in canalithiasis.
Authors:  Obrist D, Hegemann S
Journal: J R Soc Interface

PubmedSome aspects of balance disorder in patients with multiple sclerosis.
Authors:  Burina A, Sinanovi? O, Smajlovi? D, Vidovi? M, Brki? F
Journal: Bosn J Basic Med Sci

PubmedThe effect of piracetam on ataxia: clinical observations in a group of autosomal dominant cerebellar ataxia patients.
Authors:  Ince Gunal D, Agan K, Afsar N, Borucu D, Us O
Journal: J Clin Pharm Ther

PubmedPost-dural puncture postural vertigo.
Authors:  Zetlaoui PJ, Gibert S, Lambotte O
Journal: Can J Anaesth

PubmedA case of bilateral parietal cortical laminar necrosis with a loss of vertiginous sensation.
Authors:  Sugiura Y, Hoshi A, Matsuura Y, Yamamoto T, Ugawa Y
Journal: Acta Neurol Scand

PubmedWrong-Way nystagmus in the AICA syndrome.
Authors:  Newman-Toker DE, Reich SG
Journal: Laryngoscope

PubmedAbnormal diffusion-weighted imaging findings in an adult patient with acute cerebellitis presenting with a normal magnetic resonance imaging.
Authors:  Donmez FY, Agildere AM, Tore HG, Ure S, Benli S
Journal: J Comput Assist Tomogr

Pubmed[Benign paroxysmal positioning vertigo related to inner ear disorders]
Authors:  Wu ZM, Zhang SZ, Liu XJ, Chen X, Ji F, Chen AT, Yang WY, Han DY
Journal: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

PubmedMechanism of dynamic visual acuity recovery with vestibular rehabilitation.
Authors:  Schubert MC, Migliaccio AA, Clendaniel RA, Allak A, Carey JP
Journal: Arch Phys Med Rehabil

Pubmed[Acoustic neurinoma shown as a facial palsy]
Authors:  Sánchez-Legaza E, Meléndez Guerrero B, Sánchez Legaza B, Idelfonso Miranda J
Journal: An Otorrinolaringol Ibero Am

PubmedHistamine H1 receptors are expressed in mouse and frog semicircular canal sensory epithelia.
Authors:  Botta L, Tritto S, Perin P, Laforenza U, Gastaldi G, Zampini V, Zucca G, Valli S, Masetto S, Valli P
Journal: Neuroreport

PubmedEffectiveness of careful bedside examination in assessment, diagnosis, and prognosis of vestibular neuritis.
Authors:  Mandalŕ M, Nuti D, Broman AT, Zee DS
Journal: Arch Otolaryngol Head Neck Surg

PubmedCochlear implant and inner ear malformation. Proposal for an hyperosmolar therapy at surgery.
Authors:  Loundon N, Leboulanger N, Maillet J, Riggouzzo A, Richard P, Marlin S, Garabedian EN
Journal: Int J Pediatr Otorhinolaryngol

PubmedTemporal bone fractures: a review for the oral and maxillofacial surgeon.
Authors:  Gladwell M, Viozzi C
Journal: J Oral Maxillofac Surg

PubmedEffect of blood donation on well-being of blood donors.
Authors:  Hinrichs A, Picker SM, Schneider A, Lefering R, Neugebauer EA, Gathof BS
Journal: Transfus Med

PubmedFalls among dizzy patients in primary healthcare: an intervention study with control group.
Authors:  Hansson EE, Mĺnsson NO, Ringsberg KA, Hĺkansson A
Journal: Int J Rehabil Res

PubmedInternational survey of emergency physicians' priorities for clinical decision rules.
Authors:  Eagles D, Stiell IG, Clement CM, Brehaut J, Kelly AM, Mason S, Kellermann A, Perry JJ
Journal: Acad Emerg Med

PubmedPrognosis of low-tone sudden deafness - does it inevitably progress to Meniere's disease?
Authors:  Junicho M, Aso S, Fujisaka M, Watanabe Y
Journal: Acta Otolaryngol

PubmedScreening for Meničre's disease in the general population - the needle in the haystack.
Authors:  Radtke A, von Brevern M, Feldmann M, Lezius F, Ziese T, Lempert T, Neuhauser H
Journal: Acta Otolaryngol

PubmedRotational vertebral artery syndrome : 3D kinematics of nystagmus suggest bilateral labyrinthine dysfunction.
Authors:  Marti S, Hegemann S, von Büdingen HC, Baumgartner RW, Straumann D
Journal: J Neurol

PubmedOtoneurological findings in human immunodeficiency virus positive patients.
Authors:  Teggi R, Ceserani N, Luce FL, Lazzarin A, Bussi M
Journal: J Laryngol Otol

PubmedCavernous angioma of the vestibular nerve: case report and literature review.
Authors:  Adachi K, Yoshida K, Akiyama T, Kawase T
Journal: Surg Neurol

Pubmed[Vestibulo-cochlear disturbances in the course of vaso-neural conflict of vestibule-cochlear nerve--diagnostic and therapeutic problems]
Authors:  Orendorz-Fraczkowska K, Jaworska M, Gawron W, Badowski R, Nadolska B
Journal: Otolaryngol Pol

Pubmed[Clinical application of "eight acupoints at the head" by Professor QIN Liang-fu]
Authors:  Zhao HY, Li J
Journal: Zhongguo Zhen Jiu

PubmedSteroid responsive fluctuating sensorineural hearing loss due to juvenile pilocytic astrocytoma involving the cerebellopontine angle.
Authors:  Mallur PS, Wisoff JH, Lalwani AK
Journal: Int J Pediatr Otorhinolaryngol

Pubmed[Health effects of occupational exposure to static magnetic fields used in magnetic resonance imaging: a review]
Authors:  Franco G, Perduri R, Murolo A
Journal: Med Lav

PubmedCerebral lateral ventricular asymmetry on CT: how much asymmetry is representing pathology?
Authors:  Kiro?lu Y, Karabulut N, Oncel C, Yagci B, Sabir N, Ozdemir B
Journal: Surg Radiol Anat

PubmedEvaluation of a particle repositioning maneuver Web-based teaching module.
Authors:  Beyea JA, Wong E, Bromwich M, Weston WW, Fung K
Journal: Laryngoscope

PubmedVestibular-evoked myogenic potential thresholds normalize on plugging superior canal dehiscence.
Authors:  Welgampola MS, Myrie OA, Minor LB, Carey JP
Journal: Neurology

PubmedSimultaneous translabyrinthine removal of acoustic neuroma and cochlear implantation.
Authors:  Zanetti D, Campovecchi CB, Pasini S, Nassif N
Journal: Auris Nasus Larynx

Pubmed[Percutaneous laser disc decompression for cervical vertigo]
Authors:  Yang YG, Ren XS, Yang C, Cheng JP
Journal: Zhonghua Wai Ke Za Zhi

PubmedBetahistine in the treatment of vertiginous syndromes: a meta-analysis.
Authors:  Della Pepa C, Guidetti G, Eandi M
Journal: Acta Otorhinolaryngol Ital

PubmedDo viruses cause inner ear disturbances?
Authors:  Pyykko I, Zou J
Journal: ORL J Otorhinolaryngol Relat Spec

PubmedHerpes virus and Méničre's disease.
Authors:  Gartner M, Bossart W, Linder T
Journal: ORL J Otorhinolaryngol Relat Spec

PubmedIntratympanic application of an antiviral agent for the treatment of Méničre's disease.
Authors:  Guyot JP, Maire R, Delaspre O
Journal: ORL J Otorhinolaryngol Relat Spec

PubmedEvidence for a viral neuropathy in recurrent vertigo.
Authors:  Gacek RR
Journal: ORL J Otorhinolaryngol Relat Spec





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