Головокружение после черепно-мозговой травмы: диагностика и лечение

Крюков А.И., Кунельская Н.Л., Гусева А.Л. Головокружение после черепно-мозговой травмы: диагностика и лечение. Consilium Medicum. 2018; 20 (2): 151–155. DOI: 10.26442/2075-1753_2018.2.151-155

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Kryukov A.I., Kunelskaya N.L., Guseva A.L. Vertigo after traumatic brain injury: diagnostics and treatment. Consilium Medicum. 2018; 20 (2): 151–155. DOI: 10.26442/2075-1753_2018.2.151-155

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Аннотация

В статье рассматриваются этиология и патогенез головокружения после черепно-мозговой травмы. Представлена характерная клиническая картина, особенности диагностики и лечения при таких видах заболеваний, вызывающих посттравматическое головокружение, как доброкачественное пароксизмальное позиционное головокружение, перилимфатическая фистула, дегисценция верхнего полукружного канала, перелом лабиринта, посттравматическая вестибулярная мигрень, постконтузионный синдром и др.

Ключевые слова: посттравматическое головокружение, травма головы, доброкачественное пароксизмальное позиционное головокружение, перилимфатическая фистула, посттравматическая вестибулярная мигрень, постконтузионный синдром.

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The article considers vertigo after traumatic brain injury etiology and pathogenesis. A typical clinical performance, diagnostics and treatment aspects in such conditions causing post traumatic vertigo as benign paroxysmal positional vertigo, perilymphatic fistula, superior semicircular canal dehiscence, labyrinth fracture post traumatic vestibular migraine, postconcussional syndrome, and other reasons are described.

Key words: post traumatic vertigo, head injury, benign paroxysmal positional vertigo, perilymphatic fistula, post traumatic vestibular migraine, postconcussional syndrome.

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1. Likhterman L.B. Cherepno-mozgovaia travma. Handbook for Practitioners Doctors. 2013; 5: 53–7. [in Russian]

4. Hoffer ME, Szczupak M, Kiderman A et al. Neurosensory Symptom Complexes after Acute Mild Traumatic Brain Injury. PLoS One 2016; 11 (1): e0146039. DOI: 10.1371/journal.pone.0146039

5. Pal'chun V.T., Kunel'skaia N.L., Poliakova E.M. Sostoianie slukhovogo i vestibuliarnogo analizatorov u bol'nykh s minno-vzryvnoi travmoi. Vestn. otorinolaringologii. 2006; 4: 24–6. [in Russian]

6. Pal'chun V.T., Guseva A.L., Chistov S.D., Levina Iu.V. Otonevrologicheskoe obsledovanie patsienta s golovokruzheniem. Vestn. otorinolaringologii. 2015; 5: 60–6. [in Russian]

8. Johnson VE, Stewart W, Smith DH. Axonal pathology in traumatic brain injury. Exp Neurol 2013; 246: 35–43. DOI: 10.1016/j.expneurol.2012.01.013

9. Boiko A.N., Batysheva T.T., Kostenko E.V., Zaitsev K.A. Cherepno-mozgovaia travma. Consilium Medicum. 2007; 8: 5–10. [in Russian]

10. Likhterman L.B. Diffuse axonal injury. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2016; 1: 44–51. [in Russian]