VESTIBULAR NEURONITIS: A CLINICAL EXAMPLE OF THE COURSE OF THE DISEASE USING BIOFEEDBACK (BOS)

Abstract

The examination was conducted with the consent of patient P., born in 1961, who was undergoing treatment in the neurological department of the Federal State Budgetary Health Care Institution "Clinical Hospital No. 8 of the Federal Medical and Biological Agency" (FGBUZ KB No. 8 FMBA of Russia). The patient was examined for viral and bacterial infections: Herpes simplex virus 1,2 IgM, herpes simplex virus 1,2 IgG, cytomegalovirus IgM, Epstein-Barr virus IgM to AG capsid, SARS-CoV-2 coronavirus, IgM antibodies, meningococcus, haemophilus bacillus, streptococcus (Neisseria meningitidis, heamophilus influenzae, streptococcus pneumoniae, PCR), influenza type B virus. It should be noted that all analyses were performed with quantitative evaluation in order to observe the course of the disease in dynamics. This list of analyses was determined not only to monitor the dynamics of the disease, but also to perform differential diagnosis (e.g. with labyrinthitis, as this disease has a similar clinical picture). In the course of the study, as a result of a rational evaluation, it was identified and decided to focus the study on herpes simplex virus 1, 2 IgG analyses in the dynamics - accordingly, the analyses were taken on day 5 of the disease, on day 14, and then on day 21. The patient underwent instrumental diagnostics: audiometry, SCT study, MRI study to exclude other similar pathological phenomena. In addition to laboratory tests, the patient underwent diagnostic and rehabilitation tests on a stabilisation platform with biofeedback based on StabMed 2-"Stabilan-01-2" software, both at the beginning of treatment and at the end (the main diagnostic test performed was a stabilography test. Various variants of the Romberg test are a standard tool in the arsenal of a modern doctor, for example, clinical recommendations on differential diagnosis of peripheral vertigo include it in the list of mandatory procedures during physical examination of a patient with complaints of dysfunction of the vestibular apparatus ).