Differential diagnosis and treatment of vestibular vertigo
Abstract
Vertigo is a common complaint that leads patients to visit physicians of various specialties. Diseases resulting in vestibular vertigo are very diverse and may be caused by lesion of both the central parts of the vestibular system and the peripheral vestibular apparatus. In many cases, its diagnosis can be made from complaints and a history of disease and special bedside tests requiring no sophisticated equipment. Management of vestibular vertigo should aim at treating the underlying disease; vestibular dilators as symptomatic therapy can be effective for several days. Vestibular exercises the efficiency of which can be enhanced by betahistine and other drugs accelerating vestibular compensation should be further needed. Data on the efficacy of betaver (betahistine) in patients with vestibular vertigo are given.
About the Authors
V. A. Parfenov
I.M. Semenov Moscow Medical Academy
Russian Federation
Russian Federation
O. V. Abdulina
I.M. Semenov Moscow Medical Academy
Russian Federation
Russian Federation
M. V. Zamergrad
Guta Clinic
Russian Federation
Moscow
Russian Federation
Moscow
References
1. <div><p>Вейс Г. Головокружение. В кн.: Неврология. Под ред. М. Самуэльса. М., 1997; 9-120.</p><p>Hanley K., O'Dowd T. Symptoms of vertigo in general practice: a prospective study of diagnosis. Br J Gen Pract 2002; 52: 809-12.</p><p>Hoffman R.M., Einstadter D., Kroenke K. Evaluating dizziness. Am J Med 1999; 107: 468-78.</p><p>Baloh R.W. Vertigo. Lancet 1998; 352: 1841-6.</p><p>Labuguen R.H. Initial evaluation of vertigo. Am Fam Phys 2006; 73(2): 244-51.</p><p>Brandt T., Dieterich M. Vertigo and dizziness: common complains. L.: Springer, 2004.</p><p>Дифференциальный диагноз в неврологии. Под ред. М. Мументалера, К. Бассетти, К. Дэтвайлера. М., 2009.</p><p>Brandt T. Vertigo. Its multicensory syndromes. L.: Springer, 2000.</p><p>Baloh R.W. Differentiating between peripheral and central causes of vertigo. Otolaryngol Head Neck Surg 1998; 119: 55-9.</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>Oosterveld W.J. Betahistine dihydrochloride in the treatment of vertigo of peripheral vestibular origin. A double-blind placebo-controlled study. J Laryngol Otol 1984; 98: 37-41.</p><p>Парфенов В.А., Абдулина О.В. Вестибулярное головокружение. Опыт применения бетавера. Неврол. нейропсихиатр. и психосомат. 2009; 2: 57-61.</p></div><br />
For citation:
Parfenov V.A., Abdulina O.V., Zamergrad M.V. Differential diagnosis and treatment of vestibular vertigo. Neurology, Neuropsychiatry, Psychosomatics. 2010;2(2):49-54. (In Russ.) https://doi.org/10.14412/2074-2711-2010-84
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