NEURO-OPHTHALMOLOGY AND NEURO-OTOLOGY: Edited by James Acheson and Thomas BrandtNystagmus and central vestibular disordersChoi, Jeong-Yoon; Kim, Ji-Soo Author Information Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Republic of Korea Correspondence to Dr Ji-Soo Kim, MD, PhD, Professor, Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, Republic of Korea. Tel: +82 31 787 7463; fax: +82 31 719-6828; e-mail: [email protected] Current Opinion in Neurology: February 2017 - Volume 30 - Issue 1 - p 98-106 doi: 10.1097/WCO.0000000000000416 Buy Metrics Abstract Purpose of review This review will cover the recent advances in clinical and laboratory features, pathophysiology, and treatment of central vestibular disorders. Recent findings Several features and mechanisms of central nystagmus have been identified over the years. Application of head impulse tests and vestibular evoked myogenic potentials has expanded our understanding of altered processing of canal-driven and otolith-driven vestibular signals in lesions involving the central vestibular structures. Integrated approach based on the symptoms and neurotologic signs enhances the diagnostic accuracy of acute vascular vertigo. Identification of isolated central vestibular syndromes has improved the diagnosis of central vertigo and our understanding of anatomic and functional organization of the central vestibular structures. Summary With the developments of clinical and laboratory neurotology, the spectrum of central vestibular disorders has expanded markedly over the years. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.