Agakhanova D G
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(9):1294-7.
In 136 patients aged 17 to 49 years the character of dizziness and the otoneurological symptoms are described. The patients were suffering from neurocirculatory dystonias of the hypo- and hypertensive types. In 124 patients (91.1% of all the cases) objective signs of a vestibular dysfunction were revealed. The greatest part of the patients showed central truncal disturbances the localization of which within the brain trunk could not be specified. In 26 patients the paradoxic phase of the vestibular analyzer excitability was discovered. In 15 patients distinct truncal disturbances (nuclear, supranuclear and combined) were diagnosed, the fact, that gives one grounds to suppose that there are microfocal changes in the central vestibular structures. The data obtained make it possible to regard dizziness as an important symptom for diagnosing initial manifestations of deficient blood supply of the brain.
描述了136例年龄在17至49岁患者的头晕特征及耳神经学症状。这些患者患有低血压型和高血压型神经循环障碍。在124例患者（占所有病例的91.1%）中发现了前庭功能障碍的客观体征。大部分患者表现为中枢性躯干障碍，但其在脑干内的定位无法明确。在26例患者中发现了前庭分析仪兴奋性的反常期。在15例患者中诊断出明显的躯干障碍（核性、核上性及混合型），这一事实使人们有理由推测中枢前庭结构存在微灶性改变。所获得的数据使我们有可能将头晕视为诊断脑供血不足初始表现的重要症状。
