Central Vertigo

  • The vertigo usually develops gradually.
  • Except in: an acute central vertigo is probably vascular in origin, e.g. CVA.
  • Central lesions usually cause neurological signs in addition to the vertigo.
  • Auditory features tend to be uncommon.
  • Causes severe imbalance.
  • Nystagmus is purely vertical, horizontal, or torsional and is not inhibited by fixation of eyes onto an object.