STABILOMETRIC DIAGNOSIS OF VERTIGO IN ELDERLY PATIENTS WITH VESTIBULAR MIGRAINE

2021 ◽  
pp. 771-774
Author(s):  
Е.М. Илларионова ◽  
Н.П. Грибова ◽  
Е.Д. Голованова
Keyword(s):  
Elderly Patients ◽  
Quantitative Assessment ◽  
Vestibular Dysfunction ◽  
Vestibular Migraine ◽  
Vestibular Vertigo

Цель исследования - изучение возможности компьютерной стабилометрической диагностики для объективизации головокружения у пожилых пациентов с вестибулярной мигренью. В исследование были включены 57 пожилых пациентов с вестибулярной мигренью и 57 пожилых пациентов с центральным вестибулярным головокружением без мигрени. Для объективизации головокружения применяли специализированные тесты функциональной компьютерной стабилометрии. Проведенное исследование позволило выявить особенности базовых стабилометрических параметров в специализированных тестах у пожилых пациентов, которые можно использовать для получения количественной оценки вестибулярной дисфункции и объективизации головокружения. The purpose of the study was to study the possibility of computer stabilometric diagnostics for the objectification of vertigo in elderly patients with vestibular migraine. The study included 57 elderly patients with vestibular migraine and 57 elderly patients with central vestibular vertigo, without migraine. Specialized tests of functional computer stabilometry were used to objectify vertigo. The study revealed the features of the basic stabilometric parameters in specialized tests in elderly patients, which can be used to obtain a quantitative assessment of vestibular dysfunction and objectification of vertigo.

scholarly journals Vestibular rehabilitation in elderly patients with central vestibular dysfunction: a prospective, randomized pilot study

AGE ◽  
2012 ◽  
Vol 35 (6) ◽  
pp. 2315-2327 ◽  
Author(s):  
Gino Marioni ◽  
Salvatore Fermo ◽  
Marco Lionello ◽  
Elena Fasanaro ◽  
Luciano Giacomelli ◽  
...  
Keyword(s):  
Pilot Study ◽  
Elderly Patients ◽  
Vestibular Rehabilitation ◽  
Vestibular Dysfunction

Epidemiology of vestibular vertigo in a neuro-otology clinic population in Thailand

2014 ◽  
Vol 128 (S2) ◽  
pp. S31-S38 ◽  
Author(s):  
V Tungvachirakul ◽  
H Lisnichuk ◽  
S J O'Leary
Keyword(s):  
Public Hospital ◽  
Benign Paroxysmal Positional Vertigo ◽  
Current Data ◽  
Vestibular Migraine ◽  
Positional Vertigo ◽  
Vestibular Vertigo ◽  
A Prospective Study ◽  
Clinic Population ◽  
Inadequate Sleep ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To assess the epidemiology of vestibular vertigo, including the new entity of vestibular migraine, in a neuro-otology clinic population in the biggest public hospital in Thailand.Study design and setting:A prospective study involving all patients presenting to the neuro-otology clinic in the Rajavithi Hospital in Bangkok between November 2007 and November 2008.Subjects and methods:The population studied consisted of adults referred to the neuro-otology clinic. Accepted international criteria and standardised otological and, when necessary, psychiatric assessment were applied to establish each diagnosis. The association between diagnoses and potential triggers was explored.Results:Of the 167 patients assessed, the most prevalent conditions encountered were benign paroxysmal positional vertigo and vestibular migraine. The prevalence of vestibular migraine was 29.3 per cent. No cases of Ménière's disease were encountered. An association was found between vestibular migraine and inadequate sleep, insomnia and changes of head position.Conclusion:This study provides current data on the epidemiology of vestibular vertigo in a Thai neuro-otology out-patient population. The results include data on the prevalence of the new diagnostic entity of vestibular migraine, and on its association with potential triggers.

scholarly journals Dynamic control of vestibular dysfunction in elderly patients as a prognostic criterion for changing the cerebral bloodstream

2020 ◽  
Vol 3 (2) ◽  
pp. 130-136
Author(s):  
Margarita Dosina ◽  
Sergey Hubkin ◽  
Algimantas Bubulis ◽  
Valentina Rubakhova ◽  
Vladimir Minchenya ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Dynamic Control ◽  
Vestibular Dysfunction ◽  
Prognostic Criterion

scholarly journals Author Correction: Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hiroki Yoshikawa ◽  
Kosaku Komiya ◽  
Takashi Yamamoto ◽  
Naoko Fujita ◽  
Hiroaki Oka ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Quantitative Assessment ◽  
Erector Spinae

scholarly journals Quantitative Assessment of Anti-Gravity Reflexes to Evaluate Vestibular Dysfunction in Rats

2019 ◽  
Vol 20 (6) ◽  
pp. 553-563 ◽  
Author(s):  
Vanessa Martins-Lopes ◽  
Anna Bellmunt ◽  
Erin A. Greguske ◽  
Alberto F. Maroto ◽  
Pere Boadas-Vaello ◽  
...  
Keyword(s):  
Quantitative Assessment ◽  
Vestibular Dysfunction

Sensory organization test in elderly patients with and without vestibular dysfunction

2009 ◽  
Vol 129 (9) ◽  
pp. 962-965 ◽  
Author(s):  
Maria Elisabete Bovino Pedalini ◽  
Oswaldo Laércio Mendonça Cruz ◽  
Roseli Saraiva Moreira Bittar ◽  
Maria Cecília Lorenzi ◽  
Signe Schuster Grasel
Keyword(s):  
Elderly Patients ◽  
Vestibular Dysfunction ◽  
Sensory Organization Test ◽  
Sensory Organization

scholarly journals Vestibular migraine- a dilemma no more

2017 ◽  
Vol 3 (2) ◽  
pp. 312
Author(s):  
Renu Rajguru ◽  
Inderdeep Singh ◽  
Abhishek Gupta
Keyword(s):  
Vestibular System ◽  
International Headache Society ◽  
Clinical History ◽  
Clinical Findings ◽  
Vestibular Dysfunction ◽  
Vestibular Migraine ◽  
Vestibular Disorder ◽  
Episodic Vertigo ◽  
Vestibular Pathology ◽  
Asymptomatic Phase

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Vestibular migraine (VM) is an increasingly recognized cause of episodic vertigo. However, the pathophysiology of VM is still a matter of speculation and it is not known to what extent the dysfunction is located in the central or peripheral vestibular system. Though in its earlier version International Headache Society recognized only adult onset VM in the setting of basilar migraine, but in its latest 3rd edition beta version in consensus with Barany Society (2013), VM is included in the International Headache Society classification of migraine in appendix 1. It does not figure in the main list because it is yet to be validated by scientific research. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The purpose of this study is to record and describe the spectrum of clinical findings of VM patients, to study the vestibular system and find out the site of vestibular dysfunction. In this study we studied 20 patients with acute VM in the symptomatic and asymptomatic phase.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Abnormal findings in the vestibular work up were present in all 20 VM patients (100%). Central pathology in the vestibular system was seen in 10 patients (50%), 6 patients had peripheral vestibular pathology (30%), and in 4 patients (20%) the site of vestibular dysfunction was indeterminate as they had features of both central and peripheral dysfunction and the exact site of dysfunction could not be determined with certainty. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Acute VM should be considered in the differential diagnosis of vertigo. It can present both as a central and a peripheral vestibular disorder. However there are no definitive signs to pin-point the diagnosis. A careful clinical history combined with clinical findings and exclusion of other causes of vertigo, is fundamental for assessing the profile of patients with vestibular migraine.</span></p>

scholarly journals The effect of external trigeminal nerve stimulation on the vestibular component correction in patients with vestibular migraine

2021 ◽  
Vol 5 (10) ◽  
pp. 683-686
Author(s):  
E.M. Illarionova ◽  
◽  
N.P. Gribova ◽  
Keyword(s):  
Trigeminal Nerve ◽  
Nerve Stimulation ◽  
Life Quality ◽  
Vestibular Rehabilitation ◽  
Vestibular Dysfunction ◽  
Vestibular Migraine ◽  
External Stimulation ◽  
Trigeminal Nerve Stimulation ◽  
Vestibular Assessment ◽  
Pharmacological Method

Aim: to study the possibilities of vestibular component correction in patients with vestibular migraine using external trigeminal nerve stimulation. Patients and Methods: the study included 42 patients (32 of them women) aged 18 to 50 y.o., with established vestibular migraine. All patients underwent external trigeminal nerve stimulation. The duration of each therapeutic course was 20 minutes, the frequency was 3 times a week for 3 months. The assessment of the condition dynamics was conducted using the Dizziness Handicap Inventory (DHI), Subjective Vestibular Assessment on a 5-point scale and Vestibular Rehabilitation Benefit Questionnaire. Results: at the first visit, the majority (77%) of patients suffered from severe dizziness, 23% of patients experienced moderate symptoms. After treatment, most patients experienced only mild symptoms of dizziness, while 31% of patients had no symptoms of dizziness. The total score for DHI before treatment was 58 (95% CI 54–63), after treatment — 19 (95% CI 16–24) (p<0,05). The median indicator of life quality deficiency according to the Vestibular Rehabilitation Benefit Questionnaire before correction of vestibular dysfunction was 57 (95% CI 51.3–64.8), after external stimulation course — 38 (95% CI 32.7–44.6) (p<0.05). Conclusion: external trigeminal nerve stimulation can be considered as an actual non-pharmacological method of vestibular dysfunction correction in patients with vestibular migraine. KEYWORDS: vestibular dysfunction, dizziness, vestibular migraine, external trigeminal nerve stimulation, life quality. FOR CITATION: Illarionova E.M., Gribova N.P. The effect of external trigeminal nerve stimulation on the vestibular component correction in patients with vestibular migraine. Russian Medical Inquiry. 2021;5(10):683–686 (in Russ.). DOI: 10.32364/2587-6821-2021-5-10-683-686.

scholarly journals The Use of Computer-Assisted Home Exercises to Preserve Physical Function after a Vestibular Rehabilitation Program: A Randomized Controlled Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Michael Smaerup ◽  
Uffe Laessoe ◽  
Eric Grönvall ◽  
Jens-Jacob Henriksen ◽  
Else Marie Damsgaard
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Outpatient Clinic ◽  
Vestibular Dysfunction ◽  
Controlled Study ◽  
Computer Assisted ◽  
Functional Level ◽  
Randomized Controlled ◽  
Significant Difference

Objective.The purpose of this study was to evaluate whether elderly patients with vestibular dysfunction are able to preserve physical functional level, reduction in dizziness, and the patient’s quality of life when assistive computer technology is used in comparison with printed instructions.Materials and Methods. Single-blind, randomized, controlled follow-up study. Fifty-seven elderly patients with chronic dizziness were randomly assigned to a computer-assisted home exercise program or to home exercises as described in printed instructions and followed for tree month after discharge from an outpatient clinic.Results. Both groups had maintained their high functional levels three months after finishing the outpatient rehabilitation. No statistically significant difference was found in outcome scores between the two groups. In spite of moderate compliance levels, the patients maintained their high functional level indicating that the elderly should not necessarily exercise for the first three months after termination of the training in the outpatient clinic.Conclusion. Elderly vestibular dysfunction patients exercising at home seem to maintain their functional level, level of dizziness, and quality of life three months following discharge from hospital. In this specific setup, no greater effect was found by introducing a computer-assisted training program, when compared to standard home training guided by printed instructions. This trial is registered withNCT01344408.

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