Features of Vestibular Changes in Patients with Vestibular Schwannoma. Historical Background and the Current State of the Problem.

Abstract

The problem of vestibular disorders is one of the most urgent in the practice of a neurologist and otorhinolaryngologist. Dizziness patients can also ask for help specialists of any profile. Typical complaints require to conduct an appropriate examination and prescribe treatment. Due to the acute manifestation and rapid progression of symptoms, the patient's quality of life is significantly decreased and the ability to work is impaired. Vestibular disorders are even increased with age. Among the elderly, such complaints presented in about 48% of patients, almost every second one. Depends on the cause, vertigo can be of peripheral (otological), central and functional (psychological) origin. Often, the patient's condition assessed as serious and required immediate medical manipulations. For this reason, any specialist, to whom patient complains of dizziness, must be able to competently conduct an examination and perform the most complete examination. However, the lack of uniform standards for vestibular testing can lead to diagnostic errors and the choice of incorrect medical tactics. The article provides an overview of the literature data on the examination of patients with complaints of dizziness. An integral part of the diagnostic search for dizziness is the collection of complaints and anamnesis, a standard otorhinolaryngological examination, as well as audiometric and vestibular otoneurological tests. There is not much literature about vestibular testes in patients with vestibular schwannomas, here in this paper we present the literature dats and our experience in this topic.