Que tener presente e indagar de manera propositiva las alteraciones del aparato vestibular en los pacientes con este síndrome. palabras clave: síndrome metabólico, síndrome metabólico y vértigo, vértigo, vértigo y diabetes, vértigo e hipertensión arterial, vértigo y ateroesclerosis. Vertigo can feel like the room is spinning or like you are spinning in the room, or it can be just a sense of imbalance. it may be associated with nausea, vomiting and ringing in one or both ears (tinnitus). In short, the difference between central vertigo and peripheral vertigo is the source of where the symptom of spinning sensation is coming from. central vertigo is has to do with issues within the central nervous system (cns). on the other hand, peripheral vertigo is typically due to problems in the inner ear. Vertigo perifer merupakan vertigo paling acapkali terjadi, yg ditimbulkan oleh adanya gangguan pada telinga bagian dalam. sedangkan vertigo sentral merupakan vertigo yang ditimbulkan lantaran adan