Vertigo in neurological practice (common problems of diagnosis and treatment)
https://doi.org/10.14412/2074-2711-2012-361
Abstract
Most patients with vertigo seek neurological advice. In spite of the availability of current examination techniques, a differential diagnosis of vertigo is not frequently made. The paper discusses the terminology and classification of vertigo and clinical methods for diagnosing central and peripheral vestibulopathies. It considers the common problems of management of patients with diseases of the central and peripheral vestibular systems, the use of piracetam and other drugs to stimulate rehabilitation.
About the Authors
Olga Vladimirovna KosivtsovaDepartment of Nervous Diseases, Faculty of Therapeutics
M V Zamergrad
Department of Nervous Diseases, Faculty of Therapeutics
References
1. <div><p>Baloh R.W., Kerber K. Clinical Neurophysiology of the Vestibular System. Oxford University Press, 2011;353—66.</p><p>Brandt T. Vertigo. Its Multicensory Syndromes. London: Springer, 2000;503 p.</p><p>Вейс Г. Головокружение. Неврология. Под ред. М. Самуэльса. М., 1997;9—120.</p><p>Baloh R.W. Vertigo. Lancet 1998;352:1841-6.</p><p>Парфенов В.А., Абдулина О.В. Дифференциальная диагностика острого вестибулярного головокружения. Врач 2006;5:60-2.</p><p>Delaney K.A. Bedside diagnosis of vertigo: value of the history and neurological examination. Acad Emerg Med 2003;10:1388-95.</p><p>Brandt T., Dieterich M. Vertigo and dizziness: common complains. London: Springer, 2004;208 p.</p><p>Labuguen R.H. Initial evaluation of vertigo. Am Family Physician 2006;73(2):244-51.</p><p>Brandt T., Strupp M. General vestibular testing. Clin Neurophysiol 2005;116(2):406—26.</p><p>Парфенов В.А., Абдулина О.В., Замерград М.В. Периферическая вестибулопатия под маской инсульта. Неврол журн 2005;6:28-32.</p><p>Tilikete C., Pеlisson D. Ocular motor syndromes of the brainstem and cerebellum. Curr Opin Neurol 2008;21(1):22—8.</p><p>Seemungal B.M., Bronstein A.M. A practical approach to acute vertigo. Pract Neurol 2008;8(4):211—21.</p><p>Newman-Toker D.E., Kattah J.C. Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology 2008;70(2):2378—85.</p><p>Kattah J., Talkad A.V., Wang D.Z. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009;40(11):3504—10.</p><p>Pech A., Cannoni M., Appaix M. Experimental study of vestibular neurectomy. Ann Otolaryngol Chir Cervicofac 1976;93(6):367—92.</p><p>Fernandes C.M., Samuel. J. The use of piracetam in vertigo. S Afr Med J 1985;68:806-8.</p><p>Hamann K.F. Special ginkgo extract in cases of vertigo: a systematic review of randomised, double-blind, placebo controlled clinical examinations. HNO 2007;55:258-63.</p><p>Mira E., Guidetti G., Ghilardi L. et al. Betahistine dihydrochloride in the treatment of peripheral vestibular vertigo. Eur Arch Otorhinolaryngol 2003;260:73-7.</p><p>Haugenauer J.P. Clinical study of piracetam in the treatment of vertigo. Les Cahiers d'O.R.L. 1986;21(6):460—6.</p><p>Rosenhall U., Deberdt W., Friberg U. Piracetam in Patients with Chronic Vertigo: Results of a Double-Blind, Placebo-Controlled Study. Clin Drug Invest 1996;11(5):251—60.</p></div><br />
Review
For citations:
Kosivtsova OV, Zamergrad MV. Vertigo in neurological practice (common problems of diagnosis and treatment). Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2012;4(1):48-51. (In Russ.) https://doi.org/10.14412/2074-2711-2012-361
Views:
935
Email this article 