Peripheral Vestibular Vertigo | Central Vestibular Vertigo | |
---|---|---|
Lesion Location | Inner ear vestibular receptors and vestibular nerve lesions | Vestibular nerve nuclei and central pathways lesions |
Severity and Duration of Vertigo | Paroxysmal, severe symptoms, short duration | Mild symptoms, long duration |
Nystagmus | Small amplitude, mostly horizontal or horizontal with rotation | Large amplitude, variable forms |
Cochlear Symptoms | Often accompanied by tinnitus, hearing loss, etc. | Not obvious |
Autonomic Symptoms | Nausea, vomiting, sweating, pale complexion | Rare and not obvious |
Vestibular Function Test | No response or reduced response | Often normal response |
Explanation
Vertigo: Vertigo is the illusion of movement, such as spinning, rising, or tilting, experienced by the patient. It is often accompanied by instability in standing and walking, nystagmus, and autonomic symptoms like nausea, vomiting, sweating, and pale complexion due to the connection between vestibular organs and the autonomic centers in the brainstem reticular formation.