Zamergrad M V, Parfenov V A, Morozova S V, Mel'nikov O A, Antonenko L M
I.M. Sechenov First Moscow State Medical University, Moscow, Russia, 119991; Medical Centre Guta Clinic, Moscow, Russia, 125047.
I.M. Sechenov First Moscow State Medical University, Moscow, Russia, 119991.
Vestn Otorinolaringol. 2017;82(1):30-33. doi: 10.17116/otorino201782130-33.
The objective of the present study was to elucidate the frequency of causes underlying the development of dizziness and vertigo in the patients seeking advice and care at an outpatient healthcare facility. A total of 590 patients with complaints of dizziness and vertigo were examined. It was found out that the peripheral disorders of the vestibular analyzer were the most frequent causes of dizziness and vertigo in the majority of the examined patients. These conditions were documented to occur in more than 65% of the patients. The most common forms of peripheral vestibular disorders were benign paroxysmal positional vertigo, Meniere's disease, and vestibular neuronitis. The central vestibular disorders occurred considerably less frequently than peripheral ones and were diagnosed only in 10.9% of the patients. The results of the study provided a basis for the development of the algorithm forthe bedside examination of the patients presenting with vertigo and dizziness associated with peripheral vestibular disorders. It is emphasized that such examination should include, besides the standard neurological studies, the neuro-otological tests making it possible to detect the most common forms of peripheral vestibular disorders.
本研究的目的是阐明在门诊医疗设施寻求咨询和护理的患者中，头晕和眩晕发生的潜在原因的频率。总共检查了590例有头晕和眩晕症状的患者。结果发现，在前庭分析仪的外周疾病是大多数受检患者头晕和眩晕的最常见原因。这些情况在超过65%的患者中被记录到。外周前庭疾病最常见的形式是良性阵发性位置性眩晕、梅尼埃病和前庭神经炎。中枢前庭疾病的发生频率明显低于外周疾病，仅在10.9%的患者中被诊断出来。该研究结果为制定针对伴有外周前庭疾病的眩晕和头晕患者的床边检查算法提供了依据。需要强调的是，除了标准的神经学检查外，这种检查还应包括神经耳科学测试，以便能够检测外周前庭疾病的最常见形式。
