title: [Acute vertigo of neurological origin].
abstract: Acute vertigo of neurological origin may be caused by haemorrhages and tumours in the posterior fossa and, most frequently, by ischaemic infarction in the vertebrobasilar circulation. Urgent diagnosis is necessary to avoid further ischaemic episodes, herniation due to cerebellar oedema and/or fatal brainstem infarction. The history should focus on accompanying neurological symptoms. However, vertigo with cerebellar lesions may be monosymptomatic and then bedside evaluation of oculomotor function is the key to correct diagnosis. This paper discusses the pathophysiology, symptomatology and clinical evaluation of acute vertigo of neurological origin.
authors.affiliation: Neurologisk Klinik, Afsnit 2082, Rigshospitalet, Blegdamsvej 9, 2100 København Ø. daniel_kondziella@yahoo.com.
authors.forename: Marie
authors.initials: M
authors.lastname: Bruun
authors.forename: Joan L Sunnleyg
authors.initials: JL
authors.lastname: Højgaard
authors.forename: Daniel
authors.initials: D
authors.lastname: Kondziella
mesh_terms: D000208:Acute Disease; D000328:Adult; D002493:Central Nervous System Diseases / Q000150:complications / Q000175:diagnosis; D004244:Dizziness / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D020767:Intracranial Thrombosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination / Q000379:methods; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000175:diagnosis; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology*