Central Vestibular Forms of Vertigo

  • Thomas Brandt
  • Marianne Dieterich
  • Michael Strupp


Neurological disorders of central vestibular pathways extending from the vestibular nuclei in the medulla oblongata to the ocular motor nuclei and integration centers in the rostral midbrain and to the vestibular cerebellum, the thalamus, and multisensory temporoparietal vestibular cortex areas are described. They include not only focal lesions due to lacunar infarctions or MS plaques but also degenerative disorders, especially of the cerebellum.

Central vestibular syndromes can be classified according to the three major planes of action of the vestibulo-ocular reflex: the horizontal yaw plane, the sagittal pitch plane, and the frontal roll plane. Disorders of higher vestibular function involve attention, orientation, and spatial memory.

A clinically relevant central vestibular syndrome is vestibular migraine, the most frequent cause of spontaneous episodic vertigo.


Vestibular Nucleus Migraine Without Aura Ocular Motor Vestibular Neuritis Vestibular Migraine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Thomas Brandt
    • 1
  • Marianne Dieterich
    • 2
  • Michael Strupp
    • 2
  1. 1.Clinical Neurosciences and Center for Vertigo & Balance DisordersUniversity of MunichMunichGermany
  2. 2.Department of Neurology and Center for Vertigo & Balance DisordersUniversity of MunichMunichGermany

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