Vestibular vertigo treatment in a polymorbid patient
Abstract
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.
About the Authors
O. V. Kosivtsova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery,
11, Rossolimo St., Moscow 119021
S. A. Yavorskaya
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery,
11, Rossolimo St., Moscow 119021
T. G. Fateeva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery,
11, Rossolimo St., Moscow 119021
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For citation:
Kosivtsova O.V., Yavorskaya S.A., Fateeva T.G. Vestibular vertigo treatment in a polymorbid patient. Neurology, Neuropsychiatry, Psychosomatics. 2018;10(1):96-101. (In Russ.) https://doi.org/10.14412/2074-2711-2018-1-96-101
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