The etiology, pathophysiology and differential diagnosis of benign paroxysmal positional vertigo

Kunelskaya, N. L.; Mel’nikov, O. A.; Baybakova, E V

doi:10.17116/jnevro20161164179-84

Cited by 12 publications

(1 citation statement)

References 29 publications

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“…Суть этой патологии в «механической поломке» анализатора при полной сохранности функции нейроэпителиальных клеток рецептора. Следовательно, основное лечение заключается в определенной последовательности поворотов головы, получивших название лечебных репозиционных маневров, способствующих возвращению отолитов в преддверие и прекращению генерации ими нефизиологичного раздражения купул ампулярных рецепторов [6]. Медикаментозная терапия, как правило, не требуется, однако у части пациентов позиционные тесты и репозиционные лечебные маневры могут вызывать выраженные вегетативные реакции в виде тошноты и рвоты.…”

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Modern Concepts of Pharmacological Treatment of Vertigo and Dizziness

Замерград

2020

РНЖ

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The aim of the article is to review the main conditions associated with vertigo and dizziness, modern approaches to their diagnosis and medical treatment. The review presents the update approach to etiology, pathogenesis, diagnostic strategies of benign paroxysmal positional vertigo, Meniere’s disease, vestibular neuritis, functional dizziness, vestibular migraine, bilateral vestibylopathy, vestibular paroxysmia and etc. Diagnostic criteria and basic treatment of these conditions are discussed.

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Modern Concepts of Pharmacological Treatment of Vertigo and Dizziness

Замерград

2020

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Benign paroxysmal positional vertigo: diagnosis, treatment, rehabilitation. Current concepts on the role of betahistine in the complex treatment of patients with benign paroxysmal positional vertigo

Parfenov,

Zamergrad,

Zaitseva

et al. 2024

RJTAO

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The treatment of patients with benign paroxysmal positional vertigo (BPPV) is an urgent issue in modern medicine.Expert Council on the diagnosis and treatment of BPPV was held in Moscow on June 1, 2024. Timely diagnosis and effective treatment play a key role in the management of patients with BPPV, reduce the risk of falls and related injuries, prevent the development of emotional disorders and impairment of daily activities. Accurate patient routing and selection of appropriate treatment can significantly reduce the duration of disability and the burden on the healthcare system. Relatively simple positional tests aimed at detecting involvement of various semicircular canals have been found to be of paramount importance in the diagnosis of BPPV. Repositioning maneuvers are of paramount importance in the treatment of patients with BPPV. They vary depending on the canal affected and aim to move the otoliths out of the semicircular canals to the vestibule of the labyrinth. If repositioning maneuvers can not be performed, effective methods of vestibular gymnastics can be used. When discussing drug therapy, it was found that the use of betahistine in addition to repositioning maneuvers or vestibular gymnastics increases the efficacy of therapy, accelerates the recovery process and prevents the development of residual non-positional vertigo.

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The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo

Pal'chun¹,

Mel’nikov²,

Levina³

2018

Vestn. otorinolaringol.

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The frequency of association of MD and BPPV was estimated at 14.4%. Such association of MD was more frequently observed in the elderly patients (older than 60 years) (p<0.05). The clinical manifestations of the vertigo spells in the patients having MD associated with BPPV occurred with an enhanced frequency; their mean duration was relatively short due to the presence of both long and short positional vertigo attacks characterized by the absence of hearing changes during the spells and the equal severity of vertigo (p < 0,05).

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The etiology, pathophysiology and differential diagnosis of benign paroxysmal positional vertigo

Cited by 12 publications

References 29 publications

Modern Concepts of Pharmacological Treatment of Vertigo and Dizziness

Modern Concepts of Pharmacological Treatment of Vertigo and Dizziness

Benign paroxysmal positional vertigo: diagnosis, treatment, rehabilitation. Current concepts on the role of betahistine in the complex treatment of patients with benign paroxysmal positional vertigo

The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo

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