15 Causes of Vertigo

11. Central vertigo: beyond the inner ear

Central vertigo is a condition that stems from issues within the brain, such as the brainstem or cerebellum, rather than the inner ear. Unlike peripheral vertigo, which is more common and often less serious, central vertigo can indicate underlying brain disorders, including stroke or multiple sclerosis. Symptoms might be similar to those of peripheral vertigo but are often accompanied by more severe neurological deficits, such as difficulty walking or slurred speech. Treatment focuses on the underlying condition and may involve medication, physical therapy, or surgery.