Skip to main content
eScholarship
Open Access Publications from the University of California

The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes

  • Author(s): Nelson, James A
  • Viirre, Erik
  • et al.
Abstract

This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo, Meniere’s disease, migrainous vertigo, and vestibular neuritis is summarized. Confirmation of a peripheral vertigo syndrome substantially lowers the likelihood of cerebellar infarction, as do indicators of a peripheral disorder such as an abnormal head impulse test. Approximately 10% of patients with cerebellar infarction present with vertigo and no localizing neurologic deficits. The majority of these may have other signs of central vertigo, specifically direction-changing nystagmus and severe ataxia.

[West J Emerg Med. 2009;10(4):273-277.]

Main Content
Current View