EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT
Dizziness, as a clinical symptom, is a subjective phenomenon, which determines the complexity of objective diagnosis. At a specialized neurovestibular reception, the doctor's task becomes to establish whether dizziness is systemic (vestibular) or not systemic, which determines the further tacti...
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The Publishing House Medicine and Enlightenment
2021-06-01
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| Reeks: | Медицина в Кузбассе |
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| _version_ | 1839596175481634816 |
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| author | Наталья Анатольевна Ивонина Константин Борисович Петров Сергей Николаевич Филимонов |
| author_facet | Наталья Анатольевна Ивонина Константин Борисович Петров Сергей Николаевич Филимонов |
| author_sort | Наталья Анатольевна Ивонина |
| collection | DOAJ |
| description | Dizziness, as a clinical symptom, is a subjective phenomenon, which determines the complexity of objective diagnosis. At a specialized neurovestibular reception, the doctor's task becomes to establish whether dizziness is systemic (vestibular) or not systemic, which determines the further tactics of patient management. The existing clinical algorithm for studies of the vestibular system, including oculomotor reactions, as well as standing and walking, can reliably establish the nature of the subjective phenomenon of dizziness. To establish the psychogenic nature of complained complaints of dizziness, it is mandatory to conduct an investigation of the emotional background on appropriate scales.
The aim of this study was to identify the incidence of persistent postural-perceptual dizziness in patients with specialized neurovestibular administration.
As a result of the study, it was found that psychogenic dizziness occurs in 20.2 % of patients, i.e. every fifth patient at the reception. In the absence of oculomotor reactions, features of violations of the statodynamic function are noted: gait changes, ataxia, easily eliminated with cognitive loading, changes in statics during vision deprivation. Conducting research on the Hospital Anxiety and Depression Scale for such patients allows timely diagnosis of PPPD and the initiation of adequate rehabilitation therapy. |
| format | Article |
| id | doaj-art-e5c5816cdf7e4ef793facbd0df92a4ff |
| institution | Matheson Library |
| issn | 1819-0901 2588-0411 |
| language | Russian |
| publishDate | 2021-06-01 |
| publisher | The Publishing House Medicine and Enlightenment |
| record_format | Article |
| series | Медицина в Кузбассе |
| spelling | doaj-art-e5c5816cdf7e4ef793facbd0df92a4ff2025-08-02T22:01:55ZrusThe Publishing House Medicine and EnlightenmentМедицина в Кузбассе1819-09012588-04112021-06-012023943523EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENTНаталья Анатольевна Ивонина0Константин Борисович Петров1Сергей Николаевич Филимонов2Новокузнецкий государственный институт усовершенствования врачей – филиал ФГБОУ ДПО РМАНПО Минздрава РоссииНовокузнецкий государственный институт усовершенствования врачей – филиал ФГБОУ ДПО РМАНПО Минздрава России, г. НовокузнецкФГБНУ «НИИ КПГПЗ», г. НовокузнецкDizziness, as a clinical symptom, is a subjective phenomenon, which determines the complexity of objective diagnosis. At a specialized neurovestibular reception, the doctor's task becomes to establish whether dizziness is systemic (vestibular) or not systemic, which determines the further tactics of patient management. The existing clinical algorithm for studies of the vestibular system, including oculomotor reactions, as well as standing and walking, can reliably establish the nature of the subjective phenomenon of dizziness. To establish the psychogenic nature of complained complaints of dizziness, it is mandatory to conduct an investigation of the emotional background on appropriate scales. The aim of this study was to identify the incidence of persistent postural-perceptual dizziness in patients with specialized neurovestibular administration. As a result of the study, it was found that psychogenic dizziness occurs in 20.2 % of patients, i.e. every fifth patient at the reception. In the absence of oculomotor reactions, features of violations of the statodynamic function are noted: gait changes, ataxia, easily eliminated with cognitive loading, changes in statics during vision deprivation. Conducting research on the Hospital Anxiety and Depression Scale for such patients allows timely diagnosis of PPPD and the initiation of adequate rehabilitation therapy.https://mednauki.ru/index.php/MK/article/view/583персистирующее постурально-перцептуальное головокружениепсихогенное головокружениеглазодвигательные пробыстатокоординаторные и статодинамические пробышкала тревоги и депрессии |
| spellingShingle | Наталья Анатольевна Ивонина Константин Борисович Петров Сергей Николаевич Филимонов EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT Медицина в Кузбассе персистирующее постурально-перцептуальное головокружение психогенное головокружение глазодвигательные пробы статокоординаторные и статодинамические пробы шкала тревоги и депрессии |
| title | EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT |
| title_full | EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT |
| title_fullStr | EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT |
| title_full_unstemmed | EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT |
| title_short | EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT |
| title_sort | experience of clinical diagnosis of persistent postural perceptual vertigo at an outpatient appointment |
| topic | персистирующее постурально-перцептуальное головокружение психогенное головокружение глазодвигательные пробы статокоординаторные и статодинамические пробы шкала тревоги и депрессии |
| url | https://mednauki.ru/index.php/MK/article/view/583 |
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