International clinical protocol of vestibular disorders (dizziness)

Abstract

Vertigo - a common symptom, which traditionally presents the results of vestibular dysfunction and non vestibular dysfunction. Vertigo refers to violations of orientation in space. The main symptoms, which produce the patients in the survey: dizziness, subjective vertigo, dizziness objective, pseudo vertigo, imbalance, kinetosis. In many cases, dizziness is functional, rather than an organic nature. Diagnosis of the causes of vertigo arises from the concept of the structure of the vestibular apparatus, the main idea of which is the formation of vertigo in the vestibular system. Morpho-physiological, vestibular system consists of four main projections: vestibular-cortical (sensory), vestibular-motor, vestibular-autonomic and vestibular-limbic. One of the main methods of research of a condition the vestibular apparatus and projections are vestibular evoked potentials (VEP). Owing to this method, have been established objective limits to the sensitivity of the movement. Research of vestibular-spinal responses are based on Romberg test, Unterberger-Fukuda test and Uemura test. Evaluation and treatment of patients with dizziness will differ significantly once the category of dizziness has been determined