Atypical Positional Vertigo: Definition, Causes, and Mechanisms

Abstract

Paroxysmal positional vertigo is a frequent cause for consultation. When approaching these patients, we try to differentiate central from peripheral causes, but sometimes we find manifestations that generate diagnostic doubts. In this review, we address atypical paroxysmal positional vertigo, reviewing the literature on the subject and giving a provisional definition of atypical positional vertigo as well as outlining its causes and pathophysiological mechanisms.

Keywords

• APV (atypical positional vertigo)
• heavy cupula
• light cupula
• vestibular migraine
• apogeotropic PV
• vertigo in childhood