NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)

The analysis of contemporary literature data considering main reason and mechanisms of vestibular vertigo development in neurological patients has been carried out. The method of clinical and device-based investigation of spontaneous and induced nystagmus, differential-diagnostic signs of internal e...

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Main Authors: S. Y. Lavrik, A. S. Borisov, V. V. Shprakh
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2019-02-01
Series:Сибирский научный медицинский журнал
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Online Access:https://sibmed.elpub.ru/jour/article/view/13
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author S. Y. Lavrik
A. S. Borisov
V. V. Shprakh
author_facet S. Y. Lavrik
A. S. Borisov
V. V. Shprakh
author_sort S. Y. Lavrik
collection DOAJ
description The analysis of contemporary literature data considering main reason and mechanisms of vestibular vertigo development in neurological patients has been carried out. The method of clinical and device-based investigation of spontaneous and induced nystagmus, differential-diagnostic signs of internal ear diseases, and main neurologic syndromes of vestibular system irritation and damage have been reported. The clinical peculiarities in patients with psychogenic vertigo and postural instability have been presented; the demand of deep analysis of pharmacologic interaction between the taken drugs in light of possible undesirable effects of conducted treatment has been demonstrated. According to majority of literature researches, the sharp and chronic cerebrovascular diseases matched by incidence with vestibular migraine have predominated among the neurological reasons of central vestibular vertigo. The neurinoma of vestibulocochlear nerve (among newgrowth) the most frequently leads to vertigo, however the awareness concerning brain space-occupying lesion is as well important in case of cerebellar or brainstem localization of the process. The relevance of screening otoneurologic examination and videonystagmography conduction has been demonstrated in differential diagnostics of vertigo different types. The modern effective and secure methods of the patients’ treatment and rehabilitation have been reported in the review. The role of vestibular trainings, as well as the use of simulators based on biological feedback principles have been emphasized.
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institution Kabale University
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language Russian
publishDate 2019-02-01
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record_format Article
series Сибирский научный медицинский журнал
spelling doaj-art-eef6fa712e5b40159808a8c56c0bb1792025-08-20T03:50:44ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202019-02-01381596410.15372/SSMJ2018010913NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)S. Y. Lavrik0A. S. Borisov1V. V. Shprakh2Irkutsk State Medical Academy of Postgraduate Education - Branch of Russian Medical Academy of Continuing Professional Education of Minzdrav of RussiaClinics of Irkutsk State Medical University of Minzdrav of RussiaIrkutsk State Medical Academy of Postgraduate Education - Branch of Russian Medical Academy of Continuing Professional Education of Minzdrav of RussiaThe analysis of contemporary literature data considering main reason and mechanisms of vestibular vertigo development in neurological patients has been carried out. The method of clinical and device-based investigation of spontaneous and induced nystagmus, differential-diagnostic signs of internal ear diseases, and main neurologic syndromes of vestibular system irritation and damage have been reported. The clinical peculiarities in patients with psychogenic vertigo and postural instability have been presented; the demand of deep analysis of pharmacologic interaction between the taken drugs in light of possible undesirable effects of conducted treatment has been demonstrated. According to majority of literature researches, the sharp and chronic cerebrovascular diseases matched by incidence with vestibular migraine have predominated among the neurological reasons of central vestibular vertigo. The neurinoma of vestibulocochlear nerve (among newgrowth) the most frequently leads to vertigo, however the awareness concerning brain space-occupying lesion is as well important in case of cerebellar or brainstem localization of the process. The relevance of screening otoneurologic examination and videonystagmography conduction has been demonstrated in differential diagnostics of vertigo different types. The modern effective and secure methods of the patients’ treatment and rehabilitation have been reported in the review. The role of vestibular trainings, as well as the use of simulators based on biological feedback principles have been emphasized.https://sibmed.elpub.ru/jour/article/view/13vertigopostural instabilityotoneurology
spellingShingle S. Y. Lavrik
A. S. Borisov
V. V. Shprakh
NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
Сибирский научный медицинский журнал
vertigo
postural instability
otoneurology
title NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
title_full NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
title_fullStr NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
title_full_unstemmed NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
title_short NEUROLOGICAL ASPECTS OF vertigo DIAGNOSTICS AND TREATMENT (REVIEW)
title_sort neurological aspects of vertigo diagnostics and treatment review
topic vertigo
postural instability
otoneurology
url https://sibmed.elpub.ru/jour/article/view/13
work_keys_str_mv AT sylavrik neurologicalaspectsofvertigodiagnosticsandtreatmentreview
AT asborisov neurologicalaspectsofvertigodiagnosticsandtreatmentreview
AT vvshprakh neurologicalaspectsofvertigodiagnosticsandtreatmentreview