Clinical bedside evaluation of dizzy patients

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Abstract

Primary clinical examination of the patient with dizziness conducted in a short time does not require special equipment and can quickly reveal the supposed cause of vestibular disorders, which is necessary to determine the subsequent examination and treatment algorithm. The article presents a sample of the methods used in otoneurologist practice, which, according to the authors, are sufficient for initial diagnosis, and being the simplest in execution, do not require time-consuming and complex equipment, in other words, are available for any specialty physician during the examination of the patient with dizziness in the conditions of outpatient visits. The detailed review of the methodology and evaluation of such tests as the study of spontaneous nystagmus when looking straight and abduction sight, saccades, smooth pursuit, optokinetic test of the head rotation, dynamic visual acuity, head shaking test, the positional tests for benign paroxysmal positional vertigo, Romberg test, Unterberger test, demonstrative tests and others.

About the authors

V. T Palchun

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: orrsmu@mail.ru
д-р мед. наук, проф. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

A. L Guseva

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: alexandra.guseva@gmail.com
канд. мед. наук, доц. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

Yu. V Levina

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: jlevina@mail.ru
канд. мед. наук, доц. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

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