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KMID : 1024720150050010014
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Geriatric Rehabilitation
2015 Volume.5 No. 1 p.14 ~ p.18
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Diagnosis and treatment of central vertigo
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Kim Chang-Hwan
Jo Yun-Hee
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Abstract
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Vertigo and dizziness are common symptoms in the acute care setting and have a wide diagnostic range. Dizziness is among the commonest of chief complaints. It often presents a significant challenge to the attending physician, because the symptoms and signs are often vague and non-specific. However, a robust systematic approach can usually arrive at
the diagnosis. Maintaining balance requires sensory inputs from the vestibular, visual, and somatosensory systems and the cerebellum fine-tunes inaccurate motor outputs. Causes of vertigo are most commonly otological, followed by central, somatosensory, and visual. The first question in approaching patients with dizziness is to categorise dizziness into one of the four groups: lightheadedness, pre-syncope, disequilibrium, and vertigo. Secondly, central vertigo has to be differentiated with peripheral vertigo. Central vertigo could be induced by migraine, cerebrovascular disorders especially involving the vertebrobasilar territory, cardiocirculatory diseases, neurovascular compression of the eighth nerve, and vasculitis are vascular causes of vertigo syndromes.
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KEYWORD
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Central vertigo, Diagnosis, Treatment
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