Principles and Practice of Treatment of Vertiginous Patients based on Analysis of Possible Etiologic and Conditioning Factors

Abstract

Pathological factors contributing to the development of vertigo and dizziness, according to the authors' clinical survey, have proven to include abnomalities in Schellong's test, disturbed vertebral blood flow in Doppler's test, high serum cholesterol values, positive Wassermann's reaction, irregular menstruation, glycosuria, hyper- and hypo-tension, psychogenic stress, and anemia. Any one of factors may trigger the functional or organic impairment of circulation to the brain stem and inner ear.We have also experimentally confirmed the existence of critical levels of blood supply to the brain stem and inner ear, which are affected mainly by disturbance of baroreceptor reflexes and by impaired blood flow in the vertebral arteries. Finally, we are convinced that the treatment of choice for vertigo and dizziness consists of causative therapy for correcting pathological factors, symptomatic therapy for suppressing vertigo itself. essential therapy for improving impaired circulation, and physical therapy.