nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2025-6-127-134nnp-2748Research ArticleREVIEWSОБЗОРЫAcute isolated vestibular vertigo accompanied by hearing loss: stroke or peripheral vestibulopathyОстрое изолированное вестибулярное головокружение, сопровождающееся потерей слуха: инсульт или периферическая вестибулопатияhttps://orcid.org/0000-0001-5827-9428КосивцоваО. В.KosivtsovaO. V.

Ольга Владимировна Косивцова - Кафедра нервных болезней Института клинической медицины им. Н.В. Склифосовского.

119021, Москва, ул. Россолимо, 11

Olga Vladimirovna Kosivtsova - Department of Nervous Diseases, N.V. Sklifosovsky Institute of Clinical Medicine.

11, Rossolimo St., Build. 1, Moscow 119021

kosivtsova_o_v@staff.sechenov.ruhttps://orcid.org/0009-0002-5920-7623ЛебедеваН. В.LebedevaN. V.

Кафедра нервных болезней Института клинической медицины им. Н.В. Склифосовского.

119021, Москва, ул. Россолимо, 11

Department of Nervous Diseases, N.V. Sklifosovsky Institute of Clinical Medicine.

11, Rossolimo St., Build. 1, Moscow 119021

https://orcid.org/0000-0001-6624-5500СтарчинаЮ. А.StarchinaYu. A.

Кафедра нервных болезней Института клинической медицины им. Н.В. Склифосовского.

119021, Москва, ул. Россолимо, 11

Department of Nervous Diseases, N.V. Sklifosovsky Institute of Clinical Medicine.

11, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian Federation202520122025176127134Copyright © Kosivtsova O.V., Lebedeva N.V., Starchina Y.A., 20252025Косивцова О.В., Лебедева Н.В., Старчина Ю.А.Kosivtsova O.V., Lebedeva N.V., Starchina Y.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2748

Acute vestibular vertigo (AVV) accompanied by hearing loss may be caused by ischemic stroke in the vertebrobasilar system, labyrinthine infarction, Meniere's disease (MD) attack, labyrinthitis, and secondary hydrops. Due to the clinical similarity to the triad of symptoms characteristic of MD (AVV, hearing loss, and tinnitus), such patients, if MD is excluded, are often diagnosed with 'Meniere-like syndrome' without a full differential diagnosis. Patients with Meniere-like syndrome have an increased risk of chronic vertigo and the development of comorbid conditions such as anxiety-depressive syndrome, neck pain syndromes, tension headaches, and instability with falls. Improving physicians' knowledge of the differential diagnosis of AVV accompanied by acute hearing loss is necessary to optimise treatment and prevent the chronic course of the disease. The manifestations and diagnosis of the main causes of AVV with hearing loss are discussed.

Острое вестибулярное головокружение (ОВГ), сопровождающееся потерей слуха, может быть вызвано ишемическим инсультом в вертебробазилярной системе, инфарктом лабиринта, приступом болезни Меньера (БМ), лабиринтитом и вторичным гидропсом. Из-за клинического сходства с триадой симптомов, характерных для БМ (ОВГ, снижение слуха и шум в ушах), таким пациентам, если исключается БМ, часто устанавливается диагноз «меньероподобный синдром», при этом не проводится полноценная дифференциальная диагностика. У пациентов с меньероподобным синдромом повышается риск хронического течения головокружения и развития коморбидных состояний, таких как тревожно-депрессивный синдром, болевые синдромы в области шеи, головная боль напряжения, неустойчивость с падениями. Повышение знаний врачей в области дифференциальной диагностики ОВГ, сопровождающегося острой потерей слуха, необходимо для оптимизации лечения и профилактики хронического течения заболевания. Обсуждаются проявления и диагностика основных причин развития ОВГ с потерей слуха.

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The authors declare that there are no conflicts of interest present.