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Central Conditions Mimicking Benign Paroxysmal Positional Vertigo: A Case Series
Laura Power1, Kate Murray, Kristian Bullus
1Balance Disorders and Ataxia Service, The Royal Victorian Eye and Ear Hospital, Melbourne, Australia (L.P., D.J.S.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (L.P., D.J.S.); Dizzy Day Clinics, Melbourne, Australia (L.P., K.M.); Department of Neurosurgery (K.B.) and Medical Imaging Department (N.T.), St Vincents Hospital, Melbourne, Australia; Department of Neurosurgery, Royal Melbourne Hospital, and Department of Surgery, University of Melbourne, Australia (K.J.D.); and Neuroscience Department, Cerebellar Ataxia Clinic, Alfred Health, Melbourne, Australia (D.J.S.).
Positional vertigo can rarely signal serious central nervous system conditions like cerebellar tumors. Careful examination for central positioning nystagmus is crucial for accurate diagnosis and timely intervention.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular System
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disorder.
- However, central nervous system (CNS) pathology can cause positional vertigo in 12-20% of cases, including cerebellar tumors.
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