Updated guide: This older central-causes article has been consolidated into the reviewed guide: Upbeat Nystagmus: What This Vertical Pattern Can Mean .
The main guide now covers central causes, red flags, VNG, Frenzel goggles, HINTS context, and urgent-care triggers with safer wording.
About this article
Who wrote this? Written and medically reviewed by Dr. Prateek Kumar Porwal — DNB ENT, CAMVD-certified ENT and vestibular specialist at Prime ENT Center, Hardoi.
How was this page created? Based on clinical experience treating vertigo and BPPV patients at Prime ENT Center, standard vestibular medicine references (Bárány Society criteria, AAO-HNS guidelines), and questions patients commonly ask in OPD. It is reviewed periodically for accuracy.
Why was this page created? To help patients understand vertigo and inner-ear conditions safely before consultation. It is patient education, not a substitute for personalised medical advice or in-person evaluation.
Last medically reviewed: June 14, 2026 .
Find the cause of your vertigo
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Dr. Prateek Porwal
Dr. Prateek Porwal (MBBS, DNB ENT, CAMVD) is a vertigo and BPPV specialist at Prime ENT Center, Nagheta Road, Hardoi, UP 241001. Inventor of the Bangalore Maneuver. Only VNG + Stabilometry setup in Central UP. Online consultations available across India — call/WhatsApp 7393062200.
