Современные подходы к диагностике и лечению головокружения
Современные подходы к диагностике и лечению головокружения
Крюков А.И., Кунельская Н.Л., Гусева А.Л. Современные подходы к диагностике и лечению головокружения. Справочник поликлинического врача. 2018; 6: 75–81.
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Kryukov A.I., Kunelskaya N.L., Guseva A.L. Modern approaches to diagnosis and treatment of dizziness. Handbook for Practitioners Doctors. 2018; 6: 75–81.
Современные подходы к диагностике и лечению головокружения
Крюков А.И., Кунельская Н.Л., Гусева А.Л. Современные подходы к диагностике и лечению головокружения. Справочник поликлинического врача. 2018; 6: 75–81.
________________________________________________
Kryukov A.I., Kunelskaya N.L., Guseva A.L. Modern approaches to diagnosis and treatment of dizziness. Handbook for Practitioners Doctors. 2018; 6: 75–81.
В статье представлен дифферециально-диагностический алгоритм обследования пациента с головокружением. Рассматриваются заболевания периферического и центрального отдела нервной системы, вызывающие головокружения, приведены методы диагностики и основные направления лечения и профилактики.
The article deals with differential diagnostic algorithm for examining a patient with dizziness. The peripheral and central nervous system diseases causing dizziness are discussed. It also presents diagnostic methods and the main directions of dizziness treatment and prevention.
1. Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010; 82 (4): 361–8, 369.
2. Kroenke K, Jackson JL. Outcome in general medical patients presenting with common symptoms: a prospective study with a 2-week and a 3-month follow-up. Fam Pract 1998; 15 (5): 398Y403. DOI: 10.1093/fampra/15.5.398
3. Hoffman RM, Einstadter D, Kroenke K. Evaluating dizziness. Am J Med 1999; 107 (5): 468–78.
4. Newman-Toker DE, Cannon LM, Stofferahn ME et al. Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clin Proc 2007; 82 (11): 1329–40.
5. Kerber KA, Newman-Toker DE. Misdiagnosing dizzy patients. Common pitfalls in clinical practice. Neurol Clin 2015; 33 (3): 565–75.
6. Newman-Toker DE, Edlow JA. TiTrATE. A novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurol Clin 2015; 33 (3): 577–99.
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8. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary. Otolaryngol Head Neck Surg 2017; 156 (3): 403–16. DOI: 10.1177/0194599816689660
9. Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.
10. Colledge NR, Barr-Hamilton RM, Lewis SJ et al. Evaluation of investigations to diagnose the cause of dizziness in elderly people: a community based controlled study. BMJ 1996; 313 (7060): 788–92.
11. Shoair OA, Nyandege AN, Slattum PW. Medication-related dizziness in the older adult. Otolaryngol Clin North Am 2011; 44 (2): 455–71.
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19. Parell GJ, Becker GD. Conservative management of inner ear barotrauma resulting from scuba diving. Otolaryngol Head Neck Surg 1985; 93: 393.
20. Ishman SL, Friedland DR. Temporal bone fractures: traditional classification and clinical relevance. Laryngoscope 2004; 114: 1734.
21. Maarsingh OR, Dros J, Schellevis FG et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med 2010; 8 (3): 196–205.
22. Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: a possible geriatric syndrome. Ann Intern Med 2000; 132 (5): 337–44.
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28. Kattah JC, Talkad AV, Wang DZ et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009; 40 (11): 3504–10. DOI: 10.1161/STROKEAHA.109.551234
29. Гусев Е.И., Мартынов М.Ю., Камчатнов П.Р. и др. Церебральный инсульт. Consilium Medicum. 2014; 16 (12): 13–7. / Gusev E.I., Martynov M.Iu., Kamchatnov P.R. i dr. Tserebral'nyi insul't. Consilium Medicum. 2014; 16 (12): 13–7. [in Russian]
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________________________________________________
1. Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010; 82 (4): 361–8, 369.
2. Kroenke K, Jackson JL. Outcome in general medical patients presenting with common symptoms: a prospective study with a 2-week and a 3-month follow-up. Fam Pract 1998; 15 (5): 398Y403. DOI: 10.1093/fampra/15.5.398
3. Hoffman RM, Einstadter D, Kroenke K. Evaluating dizziness. Am J Med 1999; 107 (5): 468–78.
4. Newman-Toker DE, Cannon LM, Stofferahn ME et al. Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clin Proc 2007; 82 (11): 1329–40.
5. Kerber KA, Newman-Toker DE. Misdiagnosing dizzy patients. Common pitfalls in clinical practice. Neurol Clin 2015; 33 (3): 565–75.
6. Newman-Toker DE, Edlow JA. TiTrATE. A novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurol Clin 2015; 33 (3): 577–99.
7. Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007; 78: 710–5.
8. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary. Otolaryngol Head Neck Surg 2017; 156 (3): 403–16. DOI: 10.1177/0194599816689660
9. Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.
10. Colledge NR, Barr-Hamilton RM, Lewis SJ et al. Evaluation of investigations to diagnose the cause of dizziness in elderly people: a community based controlled study. BMJ 1996; 313 (7060): 788–92.
11. Shoair OA, Nyandege AN, Slattum PW. Medication-related dizziness in the older adult. Otolaryngol Clin North Am 2011; 44 (2): 455–71.
12. Lopez-Escamez JA, Carey J, Chung WH et al; Classification Committee of the Barany Society; Japan Society for Equilibrium Research; European Academy of Otology and Neurotology (EAONO); Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS); Korean Balance Society. Diagnostic criteria for Menière's disease. J Vestib Res 2015; 25 (1): 1–7. DOI: 10.3233/VES-150549
13. Palchun V.T., Guseva A.L., Levina Y.V. Ménière's disease: epidemiology, etiology, diagnostics, management. Consilium Medicum. 2016; 18 (3): 107–16. [in Russian]
14. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33 (9): 629–808. https://doi.org/10.1177/0333102413485658
15. Osipova V.V., Filatova E.G., Artemenko A.R. i dr. Diagnostika i lechenie migreni: rekomendatsii rossiiskikh ekspertov. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. Spetsvyp. 2017; 117 (1): 28–42. DOI: 10.17116/jnevro20171171228-42 [in Russian]
16. Diukova G.M., Zamergrad M.V., Golubev V.L. i dr. Funktsional'noe (psikhogennoe) golovokruzhenie. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2017; 117 (6): 91–8. DOI: 10.17116/jnevro20171176191-98 [in Russian]
17. Filatova E.G. Diagnostika i lechenie psikhogennogo golovokruzheniia. Lechashchii vrach. 2009; 5: 9–11. [in Russian]
18. Dieterich M, Staab JP, Brandt T. Functional (psychogenic) dizziness. Handb Clin Neurol 2016; 139: 447–68. DOI: 10.1016/B978-0-12-801772-2.00037-0
19. Parell GJ, Becker GD. Conservative management of inner ear barotrauma resulting from scuba diving. Otolaryngol Head Neck Surg 1985; 93: 393.
20. Ishman SL, Friedland DR. Temporal bone fractures: traditional classification and clinical relevance. Laryngoscope 2004; 114: 1734.
21. Maarsingh OR, Dros J, Schellevis FG et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med 2010; 8 (3): 196–205.
22. Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: a possible geriatric syndrome. Ann Intern Med 2000; 132 (5): 337–44.
23. Muncie HL, Sirmans SM, James E. Dizziness: Approach to Evaluation and Management. Am Fam Physician 2017; 95 (3): 154–62.
24. Kunelskaia N.L., Guseva A.L., Baibakova E.V. et al. Vertigo in the elderly age: the features of the course and the possibility of rehabilitation. Consilium Medicum. 2017; 19 (2.1): 94–7. [in Russian]
25. Newman-Toker DE, Hsieh YH, Camargo CAJr et al. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample. Mayo Clin Proc 2008; 83 (7): 765–5.
26. Wood KA, Drew BJ, Scheinman MM. Frequency of disabling symptoms in supraventricular tachycardia. Am J Cardiol 1997; 79 (2): 145–9.
27. Suvorov A.Iu., Samsygina O.M., Ivanova G.E., Efremova N.M. Organizatsionnye aspekty provedeniia reabilitatsionnykh meropriiatii v ostreishii period tserebral'nogo insul'ta. Lechebnaia fizkul'tura i sportivnaia meditsina. 2009; 8: 45–9. [in Russian]
28. Kattah JC, Talkad AV, Wang DZ et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009; 40 (11): 3504–10. DOI: 10.1161/STROKEAHA.109.551234
29. Gusev E.I., Martynov M.Iu., Kamchatnov P.R. i dr. Tserebral'nyi insul't. Consilium Medicum. 2014; 16 (12): 13–7. [in Russian]
30. Batysheva T.T., Kostenko E.V., Ganzhula P.A. i dr. Kompleksnaia programma vtorichnoi profilaktiki insul'ta: mesto preparata Vazobral. Consilium Medicum. 2007; 9 (2): 79–82. [in Russian]
Авторы
А.И.Крюков1,2, Н.Л.Кунельская1,2, А.Л.Гусева*1
1 ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1;
2 ГБУЗ «Научно-исследовательский клинический институт оториноларингологии им. Л.И.Свержевского» Департамента здравоохранения г. Москвы. 117152, Россия, Москва, Загородное ш., д. 18А, стр. 2 *alexandra.guseva@gmail.com
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A.I.Kryukov1,2, N.L.Kunelskaya1,2, A.L.Guseva*1
1 N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1;
2 L.I.Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Department of Health of Moscow. 117152, Russian Federation, Moscow, Zagorodnoe sh., d. 18A, str. 2
*alexandra.guseva@gmail.com