Identifying central positional vertigo to prevent diagnostic pitfalls: A case series and review of literature.

This case series highlights the importance of distinguishing central positional vertigo (CPV) from the more common benign paroxysmal positional vertigo (BPPV), as misdiagnosis can lead to delayed detection of serious neurological conditions. The authors review clinical red flags and imaging findings that help differentiate central from peripheral causes of positional vertigo. For physical therapists who perform vestibular assessments and repositioning maneuvers, recognizing features suggestive of central pathology is essential to ensure appropriate referral.

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