More MS news articles for Dec 2001

Vertigo and multiple sclerosis: aspects of differential diagnosis

Online publication: December 5, 2001
Neurological Sciences
Abstract Volume 22 Issue 8 (2001) pp S84-S87
D. Alpini (1), D. Caputo (1), L. Pugnetti (1), D. A. Giuliano (2), A. Cesarani (3)
(1) Scientific Institute S. Maria Nascente, Don Gnocchi Foundation, Via Capecelatro 66, I-20148 Milan, Italy
(2) ENT Institute B, University of Palermo, Palermo, Italy
(3) ENT Institute, University of Sassari, Sassari, Italy


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.

© Springer-Verlag Italia 2001