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Related Concept Videos

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Equilibrium and Balance

The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
The Vestibular System01:29

The Vestibular System

The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
Pathophysiology of Vomiting01:22

Pathophysiology of Vomiting

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Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

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Major Somatic Sensory Pathways

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Dysrhythmias II: Classification of Tachyarrhythmias

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Related Experiment Video

Updated: May 15, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
07:24

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane

Published on: August 22, 2025

[Vertigo and dizziness: the neurologist's perspective].

M Strupp1

  • 1Neurologische Klinik und Deutsches Schwindelzentrum, Klinikum der Universität München, Campus Großhadern, Marchionistr. 15, 81377 München. Michael.Strupp@med.uni-muenchen.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 5, 2013
PubMed
Summary

Neurologists can accurately distinguish central from peripheral vertigo in most cases through patient history and physical exams. A five-step diagnostic approach aids in identifying acute vertigo causes, with recent treatment advances improving outcomes.

More Related Videos

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
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Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

Published on: April 28, 2020

Related Experiment Videos

Last Updated: May 15, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
07:24

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane

Published on: August 22, 2025

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
06:30

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

Published on: April 28, 2020

Area of Science:

  • Neurology
  • Otolaryngology
  • General Practice

Context:

  • Dizziness is a common symptom across various medical specialties, including neurology, ENT, and general practice.
  • The diagnostic spectrum for dizziness largely overlaps between these specialties.
  • Distinguishing central from peripheral vertigo is a primary concern for neurologists.

Purpose:

  • To outline the diagnostic approach for vertigo patients presenting to neurologists.
  • To highlight the key diagnostic steps and differential diagnoses for vertigo.
  • To review recent therapeutic advancements in vertigo management.

Summary:

  • The most common vertigo diagnoses include benign paroxysmal positioning vertigo (BPPV), phobic postural vertigo, central vertigo, Menière's disease, vestibular neuritis, and bilateral vestibulopathy.
  • Patient history and physical examination are crucial for differentiating central and peripheral vertigo, achieving over 90% accuracy.
  • A five-step examination protocol (cover test, nystagmus assessment with Frenzel's goggles, smooth pursuit/gaze-holding, and head-impulse test) is effective for acute vertigo diagnosis.
  • Recent treatment advances include cortisone for vestibular neuritis, betahistine for Menière's disease, carbamazepine for vestibular paroxysmia, and aminopyridine for specific nystagmus and ataxia types.

Impact:

  • Accurate and timely diagnosis of vertigo subtypes is essential for effective treatment.
  • Improved diagnostic strategies enhance patient care and outcomes for vertigo disorders.
  • Recent therapeutic innovations offer better management options for various vertigo conditions.