Table 6-1. Peripheral vs. central vestibular dysfunction
| DISEASE |
NYSTAGMUS |
VERTIGO |
ASSOCIATED SYMPTOMS |
PHENOMENA |
CALORIC IRRIGATION |
| Peripheral |
Horizontal or rotatory; unidriectional |
As severe as nystagmus |
Hearing loss and tinnitus frequent |
Long-tract sensory, motor involvement unusual |
Depressed response |
| Central |
Horizontal, rotatory or vertical; multi-directional |
Relatively mild or absent |
Tinnitus and hearing loss rare |
Associated sensory, motor, cerebellar, other cranial nerve involvement more common |
Variably affected and unreliable |
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