nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2018-1-96-101nnp-839Research ArticleREVIEWSОБЗОРЫVestibular vertigo treatment in a polymorbid patientЛечение вестибулярного головокружения у полиморбидного пациентаКосивцоваО. В.KosivtsovaO. V.

Кафедра нервных болезней и нейрохирургии,

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery, 

11, Rossolimo St., Moscow 119021

o.kosivtsova@gmail.comЯворскаяС. А.YavorskayaS. A.

Кафедра нервных болезней и нейрохирургии,

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery, 

11, Rossolimo St., Moscow 119021

ФатееваТ. Г.FateevaT. G.

Кафедра нервных болезней и нейрохирургии,

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery, 

11, Rossolimo St., Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation20180204201810196101Copyright © Kosivtsova O.V., Yavorskaya S.A., Fateeva T.G., 20182018Косивцова О.В., Яворская С.А., Фатеева Т.Г.Kosivtsova O.V., Yavorskaya S.A., Fateeva T.G.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/839

Many physicians have difficulty managing patients with vertigo. Incorrect routine diagnoses are frequently made in patients with peripheral vestibulopathy, which makes therapy fail. Most cases of vestibular vertigo are caused by peripheral vestibular disorders (otolithiasis, hydrops, neuronitis). Rehabilitation maneuvers are effective in the treatment of benign paroxysmal positional dizziness; salt-free diet, diuretics, and betahistine dihydrochloride are for MОniПre’s disease (syndrome); vestibular rehabilitation is for vestibular neuronitis. Betahistine dihydrochloride is most effective among all the medicines used in different causes of vestibular vertigo, including that of unclear origin. The paper gives the positive experience with betahistine made in Russia for vestibular vertigo.

Ведение пациентов с головокружением вызывает трудности у многих врачей. Часто пациентам с периферической вестибулопатией устанавливают неверные «шаблонные» диагнозы, что приводит к назначению неэффективной терапии. Вестибулярное головокружение в большинстве случаев вызвано патологией периферического вестибулярного аппарата (отолитиаз, гидропс, нейронит). При лечении доброкачественного пароксизмального позиционного головокружения эффективны реабилитационные маневры; при болезни (синдром) Меньера – бессолевая диета, диуретики, бетагистина дигидрохлорид; при вестибулярном нейроните – вестибулярная реабилитация. Из всех лекарственных средств, применяемых при различных причинах вестибулярного головокружения, в том числе при неясном головокружении, наиболее эффективен бетагистина дигидрохлорид. Приведен положительный опыт применения отечественного бетагистина при вестибулярном головокружении.

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