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Sri Sutarni
Universitas Muhammadiyah Surakarta
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Journal : Neurona

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VERTIGO SENTRAL: TINJAUAN TERKINI MENGENAI PATOFISIOLOGI DAN STRATEGI DIAGNOSIS Sutarni, Sri; Setyaningrum, Cempaka Thursina Srie; Ar Rochmah, Mawaddah; Bayuangga, Halwan Fuad
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 5: Edisi Suplemen Neurona Bekerjasama dengan JogjaCLAN 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i5.865

Abstract

Recent advances have fundamentally reshaped the clinical and pathophysiological landscape of central vertigo, moving beyond a simplistic brainstem model to a sophisticated understanding of a distributed central vestibular network. This network, encompassing the brainstem, cerebellum, thalamus, and cortex, provides a robust framework for explaining how disruptions from stroke, demyelination, or functional disorders produce diverse symptoms. In parallel, diagnostic paradigms have evolved dramatically. The advent of quantitative ocular motor testing, epitomized by the HINTS protocol and enhanced by video-head impulse testing (vHIT), now allows for highly sensitive bedside identification of central causes in acute settings. Furthermore, advanced neuroimaging techniques, including optimized diffusion-weighted and vessel wall MRI, have revolutionized our ability to detect subtle posterior fossa infarcts and vascular pathology. These mechanistic and technological insights have also refined our perspective on specific syndromes, solidifying vestibular migraine and persistent postural-perceptual dizziness (PPPD) as central disorders of sensory integration. Ultimately, the integration of this modern network-based pathophysiology with targeted diagnostic tools is establishing a new standard of care, significantly improving diagnostic accuracy, enabling timely intervention, and guiding future therapeutic development for patients with central vertigo. Keywords: Vestibular network, HINTS examination, neuroimaging, acute vestibular syndrome, central vertigo
Co-Authors Abdul Gofir Abidah Rohmatillah Ahmad Syafi'i Ma'arif Amelia Nur Vidyanti Anam Sutopo Anis Mahmudah Anis Mahmudah, Anis Antok Aryuana Aprilianto, Muhamad Farhan Ardelia, Berliani Aulia, Syafira Nur Azmi Bayuangga, Halwan Fuad Cahyaningtyas, Putri Charomah Sri Setianing Rahayu Damastuti, Ayun Siwi Dina Maulita Efi Maysaroh Emese Kovácsné Nagy Erlina, Diah Ayu Fafria Fari Hastuti Ferdianto, Juli Gatiniggsih, Rustiwi Harun Joko Prayitno Hasan, Titis Rohmat Hasnawati, Zakiyah Hastuti , Windi Hayati, Hanifah Fajarisna Hermawati Hermawati, Hermawati Hidayati, Miftachul Hindarto Indarwati Indarwati Irmanopaliza, Ade Ismail Setyopranoto Jasno, Jasno Khairunnisaa', Danik Martha Kurniawan Budi Santoso, Kurniawan Budi Laksmiwati, Pasttita Ayu Lestari, Enur Rara Lina Listiana Maghdhuroh, Umi Mahmudah, Mutiara Hisda Mairina, Upik Masduki Masduki Masduki Maulida, Dini Wardani Mawaddah Ar-Rochmah Muhamad Arief Rahman Muhamad Farhan Aprilianto Muhamad Toyib Muhammad Kholid Muhammad Noor Kholid Muhammad Toyib, Muhammad Nagy, Emese Kovácsné Nathania, Caroline Evanthe Nida Sri Utami Nining Setyaningsih Nuqthy Faiziyah Nur Rohman Nur Rohman Pamungkas, Haris Wahyu Pandhita S, Gea Paryono Pasttita Ayu Laksmiwati Peni Suharti Prabandari, Radha Sita Pratama, Muhammad Alif Prodjohardjono, Astuti Puteri, Mei Yunika Putri, Reni Widya Qhadhavy Putri, Iqlima Khartini Radha Sita Prabandari Rania, Nadhifa Riayuliatun, Evi Rita P Khotimah, Rita P Rita Pramujiyanti Khotimah Rita Rahmaniati Rusdijanto, Titania Alya Ruspeni Daesusi Salsabila Nur Faizzah Santosa, Yoga Tegar Satiti, Sekar Setyaningrum, Cempaka Thursina Srie Setyaningsih, Indarwati Silalahi, Lothar Matheus Manson Vanende Sri Rejeki Subagya Subagya, Subagya Subagya, Nanang Legawa Suharti, Peni Susianti, Noor Alia Sutama Toyib, Muhamad Trihapsari, Nadia Trisni, Rizka Umi S. Intansari Ida Savitri Laksanawati Wibowo, Eko Ari Widiantoro, Rulli Yolanda Ika Damayati Yulia Maftuhah Hidayati Yusuf Zakaria Zakaria, Yusuf