Journal
JOURNAL OF NEUROLOGY
Volume 267, Issue 6, Pages 1864-1869Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s00415-020-09748-w
Keywords
Dizziness; Vestibular; Small vessel disease cerebral; Vestibular migraine; Persistent postural perceptual dizziness (PPPD)
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The diagnosis and management of vertigo remains a challenge for clinicians, including general neurology. In recent years there have been advances in the understanding of established vestibular syndromes, and the development of treatments for existing vestibular diagnoses. In this 'update' I will review how our understanding of previously unexplained dizziness in the elderly is changing, explore novel insights into the pathophysiology of vestibular migraine, and its relationship to the newly coined term 'persistent postural perceptual dizziness', and finally discuss how a simple bedside oculomotor assessment may help identify vestibular presentations of stroke.
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