Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Causes of vertigo

https://doi.org/10.14412/2074-2711-2010-111

Full Text:

Abstract

Vertigo is the second common complaint next to headache, which makes a patient seek medical care. Neurological, auricular, cardiac, mental, and other diseases may be a cause of dizziness. Since vertigo is interdisciplinary in nature, there are frequently problems of establishing its origin. Vertigo is commonly associated with vascular pathology of the head and neck, which results in the hyperdiagnosis of cerebrovascular diseases. At the same time, little attention is given to the patient's psychoemotional sphere and ENT pathology. Large-scale studies have demonstrated that vertigo most frequently results from psychogenic causes and vestibular apparatus diseases.

About the Author

V. A. Tolmacheva
Russian Cardiology Center
Russian Federation
Moscow


References

1. <div><p>Горбачева Ф.Е., Натяжкина Г.М., Замерград М.В. и др. Роль МРТ головного мозга в диагностике инсультов мозжечка, протекающих с клиникой острой вестибулопатии. Современные подходы к диагностике и лечению нервных и психических заболеваний. СПб., 2000;490 с.</p><p>Ворлоу Ч.П., Деннис М.С., Ван Гейн Ж. и др. Инсульт. Практическое руководство для ведения больных. Под ред. А.А. Скоромца, В.А. Сорокоумова. СПб.: Политехника, 1998;630 c.</p><p>Savitz S.I., Caplan L.R. Vertebrobasilar Disease. N Engl J Med 2005;352:2618-26.</p><p>Caplan L.R. Posterior circulation disease: clinical findings, diagnosis, and management. Cambridge, Mass.: Blackwell Science, 1996.</p><p>Caplan L.R. Posterior circulation ischemia: then, now, and tomorrow - the Thomas Willis Lecture-2000. Stroke 2000;31:2011-23.</p><p>Millikan C.H., Siekert R.G. Studies in cerebrovascular disease: the syndrome of intermittent insufficieмncy of the basilar arterial system. Mayo Clin Proc 1955;30:61-8.</p><p>Brandt T. Vertigo. Its Multicensory Syndromes. 2nd ed. London, 2000;251-80, 469-78.</p><p>Neuhauser H.K. Epidemiology of vertigo. Curr Opin Neurol 2007;20:40-6.</p><p>Lanska D.J., Rembler B. Benign paroxysmal positioning vertigo: classic descriptions, origins of the provocative positioning technique, and conceptual developments. Neurology 1997;48:1167-77.</p><p>Baloh R.W. Vertigo. Lancet 1998;352:1841-6.</p><p>Бабияк В.И., Ланцов А.А., Базаров В.Г. Клиническая вестибулология. СПб.: Гиппо- крат, 1996;336 с.</p><p>Venna N. Dizziness, falling, and fainting: differential diagnosis in the aged (Pt 1). Geriatr 1986;41(6):30-42.</p><p>Lacour M., Toupet M. et al. Vestibular compensation. Facts, Theories and Clinical Perspectives. Paris: Elsevier, 1989.</p><p>Вейн А.М., Колосова О.А., Яковлев Н.А. и др. Мигрень. М., 1995;180 с.</p><p>Rasmussen B.K. Epidemiology of migraine. Towards Migraine 2000. F. Clifford Rose (ed.). Elsevier Science, 1996;1-15.</p><p>Goadsby P.J. Pathophysiology of Migraine: A disease of the Brain. Headache. Goadsby P.J.,Silberstein S.D. (eds). Butterworth- Heinemann, 1997;5-25.</p><p>Szirmai A. Vestibular disorders in patients with migraine. Eur Arch Otorhinolar 1997;1:55-7.</p><p>Furman J. et al. Migraine-anxiety related dizziness (MARD): a new disorder? J Neurol Neurosurg Psychiat 2005;76:1-8.</p><p>Дамулин И.В. Дисциркуляторная энцефалопатия в пожилом и старческом возрасте. Дис. д-ра мед.наук. М., 1997.</p><p>Дамулин И.В. Сосудистая деменция. Неврол журн 1999;3(4):4-11.</p><p>Шахматов Н.Ф. Психическое старение. М.: Медицина, 1996;82-4.</p><p>Grimby A., Rosenhall U. Health-related quality of life and dizziness in old age. Gerontology 1995;41:286-98.</p><p>Sloane P., Blazer D., George L.K. Dizziness in a community elderly population. J Am Geriatr Soc 1989;37:101-8.</p><p>Kroenke K., Lucas C.A., Rosenberg M.L. Psychiatric disorders and functional impairment in patients with persistent dizziness. J Gen Intern Med 1993;8(10):530-5.</p><p>Hamilin C.L. Panic disorder, vertigo, and the protirelin (TRH) test (letter). Psychiatry Res 1988;23:349-50.</p><p>Jacob R.G., Furman J.M., Perel J.M. Panic, phobia, and vestibular dysfunction. In: Yates B.J., Miller A.D. (eds). Vestibular autonomic regulation. Boca Raton, FL: CRC Press. 1996;197-226.</p><p>Jacob R.G., Lilienfeld S.O., Furman J.M.R. et al. Panic disorder with vestibular dysfunction: further clinical observations and description of space and motion phobic stimuli. J Anxiety Disord 1989;3:117-30.</p><p>Jacob R.G., Moller M.B., Turner S.M. et al. Otoneurological examination of panic disorder and agoraphobia with panic attacks: a pilot study. Am J Psychiatry 1985;142:715-20.</p><p>Clark M.R., Sullivan M.D., Fischl M. et al. Symptoms as a clue to otologic and psychiatric diagnosis in patients with dizziness. J Psychosom Res 1994;38:461-70.</p><p>Eagger S., Luxon L.M., Davies R.A. et al. Psychiatric morbidity in patients with peripheral vestibular disorder: a clinical and neuro-otological study. J Neurol Neurosurg Psychiat 1992;55:383-7.</p><p>Page N.G., Gresty M.A. Motorist's vestibular disorientation syndrome. J Neurol Neurosurg Psychiat 1985;48:729-35.</p><p>Rudge R., Chambers B.R. Physiological basis for enduring vestibular symptoms. J Neurol Neurosurg Psychiat 1982;45:126-30.</p><p>Jacob R.G., Furman J.M., Balaban C.D. Psychiatric aspects of vestibular disorders. In: Baloh R.W., Halmagyi G.M. (eds). Disorders of the vestibular system. Oxford: Oxford University Press, 1996;509-28.</p><p>Jacob R.G., Furman J.M., Durrant J.D. et al. Panic, agoraphobia and vestibular dysfunction. Am J Psychiatry 1996;153:503-12.</p><p>Yardley L., Nazareth I., Burgneay J. et al. Neuro-otological and psychiatric abnormalities in a community sample of people with dizziness: a blind, controlled investigation. J Neurol Neurosurg Psichiat 1998;65:679-84.</p><p>Jacob R.G. Panic disorder and the vestibular system. Psychiatr Clin North Am 1988;11:361-74.</p><p>Clark D.B., Hirsch B.E., Smith M.G. et al. Panic in otolaryngology patients presenting with dizziness or hearing loss. Am J Psychiatry 1994;151:1223-5.</p><p>Sloane P.D., Hartman M., Mitchell C.M. Psychological factors associated with chronic dizziness in patients aged 60 and older. J Am Geriatr Soc 1994;42:854-3.</p><p>Yardley L., Luxon L., Bird J. et al. Vestibular and posturographic test results in people with symptoms of panic and agoraphobia. J Audiolog Med 1994;3:48-65.</p><p>Eckhardt-Henn A., Best C., Bense S. et al. Psychiatric comorbidity in different organic vertigo syndromes. J Neurol 2008;255(3):420-8</p></div><br />


Review

For citations:


Tolmacheva V.A. Causes of vertigo. Neurology, Neuropsychiatry, Psychosomatics. 2010;2(4):18-24. (In Russ.) https://doi.org/10.14412/2074-2711-2010-111

Views: 8288


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)