Lesion localisation - Vestibular

Question 1

Are vestibular signs central or peripheral?

Answer 1

• can be either
• i.e. can affect the vestibulocochlear organ (peripheral) or the vestibular nuclei in the brainstem (central) or higher connections in the brain (central)

Question 2

What is central vestibular basically the same as?

Answer 2

• brainstem

Question 3

CS of vestibular lesions

Answer 3

• head tilt
• circling
• nystagmus
• asymmetric ataxia and nausea

Question 4

What should all vestibular cases be considered unless you see signs of central?

Answer 4

• peripheral

Question 5

CS of central vs peripheral lesion

Answer 5

• central lesions will show the same signs + other neurological signs e.g. proprioceptive deficits or other central nerve involvement (except VII facial)