Affiliation:
1. I. M. Sechenov First Moscow State Medical University
2. Pirogov Russian National Research Medical University
Abstract
The article describes vertigo diagnostic algorithm. Acute, paroxysmal, and chronic vestibular syndromes determination, attacks duration assessment, provoking factors and comorbid diseases are described. The otoneurologic examination main tests and their interpretation in assessing of spontaneous nystagmus, the results of stato-coordination tests, the head rotation test and positional tests are presented. Diagnostic criteria and basic approach to the most common disorders manifested by vertigo treatment are discussed, including benign paroxysmal positional vertigo, vestibular neuronitis, Meniere's disease, vestibular migraine, persistent postural-perceptual vertigo, bilateral vestibulopathy and others.
Subject
Materials Chemistry,Economics and Econometrics,Media Technology,Forestry
Reference58 articles.
1. López-Gentili LI, Kremenchutzky M, Salgado P. A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes. Rev Neurol. 36 (5): 417–420. http://www.ncbi.nlm.nih.gov/pubmed/12640592
2. Post RE, Dickerson LM. Dizziness: A diagnostic approach. Am Fam Physician. 2010; 82 (4): 361–368.
3. Staab JP, Ruckenstein MJ. Expanding the Differential Diagnosis of Chronic Dizziness. Arch Otolaryngol Head Neck Surg. 2007; 133 (2): 170. Doi: 10.1001/archotol.133.2.170.
4. Pan Q, Zhang Y, Long T, et al. Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic. Eur Neurol. 2018; 79 (5–6): 287–294. DOI: 10.1159/000489639.
5. Maryenko I. P. Chronic dizziness: Modern approaches to diagnosis and treatment. Medical News. 2021. No. 11 (326). Pp. 54–57.