CluesPeripheral vertigoCentral vertigo
Findings on Dix-Hallpike maneuver
Latency of symptoms and nystagmus2 to 40 secondsNone
Severity of vertigoSevereMild
Duration of nystagmusUsually less than 1 minuteUsually more than 1 minute
Fatigability*YesNo
HabituationYesNo
Other findings
Postural instabilityAble to walk; unidirectional instabilityFalls while walking; severe instability
Hearing loss or tinnitusCan be presentUsually absent
Other neurologic symptomsAbsentUsually present