Kutlubaev M A, Pal'chun V T, Guseva A L, Zamergrad M V
Bashkir State Medical University, Ufa, Russia.
Pirogov Russian National Research Medical University, Moscow, Russia.
Vestn Otorinolaringol. 2021;86(1):90-95. doi: 10.17116/otorino20218601190.
Vertigo and balance disorders in Meniere's disease (MD) may have various etiology. The aim of the review is discussing pathogenetic mechanisms of the typical vertiginous paroxysms in MD, resulting from endolymphatic hydrops as well as analysis of etiology, pathogenesis, clinical course and basic treatment of paroxysmal and permanent forms of vertigo and balance disorders, caused by other conditions, associated with MD. We discussed the course of MD complicated by vestibular migraine, benign positional paroxysmal vertigo, functional dizziness, bilateral vestibulopathy and vestibular drop-attacks.
梅尼埃病(MD)中的眩晕和平衡障碍可能有多种病因。本综述的目的是探讨MD中典型眩晕发作的发病机制,其由内淋巴积水引起,同时分析由其他与MD相关的病症导致的阵发性和永久性眩晕及平衡障碍的病因、发病机制、临床病程和基础治疗。我们讨论了并发前庭性偏头痛、良性阵发性位置性眩晕、功能性头晕、双侧前庭病和前庭性跌倒发作的MD病程。