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RESEARCH PRODUCT
Vertigo and multiple sclerosis: aspects of differential diagnosis.
Dario AlpiniDavide Antonio GiulianoLuigi PugnettiA. CesaraniDomenico Caputosubject
medicine.medical_specialtyNeurologyBenign paroxysmal positional vertigoMultiple SclerosisVestibular evoked myogenic potentialDiagnostic Techniques NeurologicalDermatologyAudiologyDiagnosis DifferentialVertigootorhinolaryngologic diseasesmedicineEvoked Potentials Auditory Brain StemHumansNeuroradiologyDiagnostic Techniques Otologicalbiologybusiness.industryElectromyographyMultiple sclerosisPosturographyGeneral Medicinebiology.organism_classificationmedicine.diseasePsychiatry and Mental healthVertigoAtaxiasense organsNeurology (clinical)Differential diagnosisbusinessdescription
Equilibrium disorders caused by involvement of brainstem and cerebellar structures are common in patients with multiple sclerosis (MS), but peripheral conditions such as benign paroxysmal positional vertigo (BPPV) can be sometimes confused with those of a central origin. Therefore, an accurate otoneurologic investigation paying attention to differential diagnosis aspects should be performed in these subjects. Among available diagnostic tools, electro-oculography, posturography and vestibular evoked myogenic potentials (VEMPs) are especially suited to assess vestibulo-oculomotor and vestibulospinal systems. This paper briefly describes the most recent otoneurologic diagnostic strategies for MS patients and the results of initial clinical experiences, and finally provides suggestions for differentiating MS-related vestibular disorders from other common otoneurological conditions.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2002-01-17 | Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology |