Vestibular vertigo in emergency neurology
https://doi.org/10.30629/2658-7947-2021-26-4-50-59
Abstract
The review deals with approaches to the differential diagnosis of the causes of vertigo in emergency neurology. The main causes of episodic and acute vestibular syndrome are discussed. Clinical diagnostic methods for acute vestibular syndrome (evaluation of nystagmus, test of skew, head-impulse test and neurological status) are considered. Clinical signs of “benign” acute vestibular syndrome and symptoms indicating a stroke in the vertebrobasilar system are presented. Differential diagnostic criteria for peripheral and central vestibular disorders are presented. Transient ischemic attacks, features of the otoneurologic status in vestibular neuronitis and different localizations of cerebral infarction focus are considered. Errors in the diagnosis of the vertigo causes are discussed.
About the Authors
A. A. Kulesh
FSBEI HE “Perm State Medical University named after the Academician Vagner E.A.”
Russian Federation
Russian Federation
Alexey A. Kulesh
Perm
D. A. Dyomin
FSBI “Federal Cardiovascular Surgery Center” of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Astrakhan
A. L. Guseva
FSBI “Pirogov National Medical and Surgical Center” of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Moscow
O. I. Vinogradov
FSBEI HE “Russian National Research Medical University named after Pirogov N.I.” of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Moscow
V. A. Parfyonov
FSBEI HE “First Moscow State Medical University named after Sechenov I.M. (Sechenov University)” of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Moscow
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Review
For citations:
Kulesh A.A., Dyomin D.A., Guseva A.L., Vinogradov O.I., Parfyonov V.A. Vestibular vertigo in emergency neurology. Russian neurological journal. 2021;26(4):50-59. (In Russ.) https://doi.org/10.30629/2658-7947-2021-26-4-50-59
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