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Vertigo can be of central or peripheral
origin
Central
Involving structures in
the central nervous
system (e.g., cerebrum,
cerebellum, brainstem)
Peripheral
Involving structures
not part of the central
nervous system, most
frequently the inner
ear
2
Perbedaan
Likely aetiology
Symptom
Peripheral Central
Vertigo episodes. Mild/ moderate Chronic and
unremitting
Symptom onset Sudden Gradual
Imbalance Mild/ mod Severe
Nausea, vomiting Severe Varying
Auditory symptoms Common Rare
Neurological symptoms Rare Common
Changes in mental status/ Infrequent Sometimes
consciousness
Compensation/ resolution Rapid Slow
Vertigo of Peripheral origin: causes
Condition Details
Benign paroxysmal Brief, position-provoked vertigo episodes
positional vertigo caused by abnormal presence of particles in
(BPPV) semicircular canal
Meniere’sdisease An excess of endolymph, causing distension
of endolymphatic system
Decreasing frequency