Abstract

Complaints of dizziness and instability are the common reason for seeking a neurologist's advice at an outpatient visit and can be the frequent reason for emergency hospitalization. Difficulty in diagnosing the causes of dizziness and instability is due to a diversity of diseases manifested by these symptoms. The list of etiological factors includes peripheral and central vestibular lesions and unrelated nervous system diseases. In a number of cases, dizziness and instability are concurrent with cognitive impairment. Complaints of poor concentration and memory, dizziness and instability can often be associated with brain degenerative and/or vascular lesions, as well as with pathological mood changes and anxiety disorder. The diagnosis of these diseases requires neurovestibular examination, cognitive testing, and assessment of the emotional status of patients. Early detection of the causes of dizziness and memory disorders ensures better treatment results. There are different approaches to therapy for dizziness and cognitive impairment: drug and non-drug correction techniques (vestibular rehabilitation and cognitive training). Biofeedback procedures were shown to be highly effective. The effect of tanakan in treating patients with involvement of the peripheral vestibular system and brain structures is discussed

Highlights

  • Complaints of dizziness and instability are the common reason for seeking a neurologist's advice at an outpatient visit and can be the frequent reason for emergency hospitalization

  • Difficulty in diagnosing the causes of dizziness and instability is due to a diversity of diseases manifested by these symptoms

  • In a number of cases, dizziness and instability are concurrent with cognitive impairment

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Summary

Introduction

Complaints of dizziness and instability are the common reason for seeking a neurologist's advice at an outpatient visit and can be the frequent reason for emergency hospitalization. Грамотная оценка результатов нейровестибулярного обследования, а также проведение дополнительных методов диагностики патологии вестибулярной системы позволяют уже на амбулаторном этапе выявить наиболее часто встречающиеся причины головокружения, такие как вестибулярный нейронит, болезнь Меньера, центральная вестибулярная дисфункция сосудистого генеза, а также психогенное головокружение. Это может быть обусловлено недостаточной осведомленностью врачей о наиболее частых причинах головокружения и неустойчивости, а также о методах диагностики основных вестибулярных заболеваний [3,4,5,6].

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