Search results

1

Rehabilitation in elderly patients with dizziness and balance unsteadiness

100%

Krajewski K., Rosiak O., Szczepanik M., Walak J., Woszczak M., Gawrońska A., Józefowicz-Korczyńska M.

Otolaryngologia Polska

|

2018

|

vol. 72(1)

5-10

EN

Introduction: In elderly patients the dizziness and balance disorders may be elicited by the central nervous system dysfunction on various levels, caused be aging process and the coexisting diseases. The aim of the study was to assess the efficiency of rehabilitation in elderly patients with dizziness and balance unsteadiness.Material and methods: Out of the 84 patients over 65 years, with central vestibular impairment diagnosed in videonystagmography VNG, 31 with dizziness and balance unsteadiness, were enrolled to the study. Otolaryngological examination, Tinetti test, Time and Go test (TUG) and Functional Reach (FR) tests were conducted in all patients. They were assessed twice before and after 2 weeks of vestibular rehabilitation (VR). Training sessions took place five times a week.Results: Statistically significant improvement in total DHI and 3 subscale were observed after therapy. As many as 70% of patients presented better outcome in the gait and stability tests - in Time and Go test (TUG) an average score of 15.3 seconds, in Tinetti test an average of 22 points (low chance to fall) and in the FR test 27 cm were observed.Conclusion: In elderly patients, vestibular rehabilitation is a method that significantly improves posture and gait stability. In ageing patients with dizziness and unsteadiness clinical, functional and objective tests could confirm diagnosis and monitor VR therapy.

2

Rehabilitation in elderly patients with dizziness and balance unsteadiness

100%

Krajewski K., Rosiak O., Szczepanik M., Walak J., Woszczak M., Gawrońska A., Józefowicz-Korczyńska M.

Polish Journal of Otolaryngology

|

2018

|

vol. 72

|

issue 1

5-10

EN

Introduction: In elderly patients the dizziness and balance disorders may be elicited by the central nervous system dysfunction on various levels, caused be aging process and the coexisting diseases. The aim of the study was to assess the efficiency of rehabilitation in elderly patients with dizziness and balance unsteadiness.Material and methods: Out of the 84 patients over 65 years, with central vestibular impairment diagnosed in videonystagmography VNG, 31 with dizziness and balance unsteadiness, were enrolled to the study. Otolaryngological examination, Tinetti test, Time and Go test (TUG) and Functional Reach (FR) tests were conducted in all patients. They were assessed twice before and after 2 weeks of vestibular rehabilitation (VR). Training sessions took place five times a week.Results: Statistically significant improvement in total DHI and 3 subscale were observed after therapy. As many as 70% of patients presented better outcome in the gait and stability tests - in Time and Go test (TUG) an average score of 15.3 seconds, in Tinetti test an average of 22 points (low chance to fall) and in the FR test 27 cm were observed.Conclusion: In elderly patients, vestibular rehabilitation is a method that significantly improves posture and gait stability. In ageing patients with dizziness and unsteadiness clinical, functional and objective tests could confirm diagnosis and monitor VR therapy.

3

Benign paroxysmal vertigo of childhood

88%

Mierzwiński J., Polak M., Dalke K., Burduk P., Kaźmierczak H., Modrzyński M.

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vol. 61(3)

307-310

EN

Objective. To relate the authors’ experience to the diagnosis and follow-up of patients with benign paroxysmal vertigo of childhood (BPV) who were followed-up at the Children’s Hospital of Bydgoszcz between 1999 and 2004, and to review and discuss controversial issues regarding the disease. Methods. Among 124 children suffering from vertigo 14 were classified as having BPV. All the children were submitted to differential diagnosis protocol which consisted of meticulous history, otolaryngological, ophthalmological, psychological, neurological examination, biochemical tests and standard neurootological examination including caloric tests. The children were followed-up and the tests were repeated if no improvement was observed. Results. All the children suffered from episodic vertigo of variable intensity and frequency. All of them were neurologically intact. In 8 patients pathologic ENG results were found, only 1 patient with canal paresis could be considered as having peripheral lesion, 7 patients had central/mixed pathology. The follow-up was favorable in majority of patients. Six of them recovered completely, in 6 an improvement was noted and in 2 no improvement was observed. Three patients after remission of BPV attacks developed migraine. One child before development of BPV attacks suffered from paroxysmal torticollis of infancy. Conclusions. Childhood BPV is a disorder of vestibular system with the onset occurring mainly in preschoolers aged 1–7. Older children with the onset of BPV - like symptoms should be suspected for functional background of the disease. There are no typical ENG features for BPV. The only objective evidence of vestibular dysfunction is the presence of nystagmus during the attack. The disease is probably of vascular origin and there is strong evidence for close relationship between spasmodic torticollis, BPV and migraine.

4

Łagodne napadowe zawroty głowy typu dziecięcego

88%

Mierzwiński J., Polak M., Dalke K., Burduk P., Kaźmierczak H., Modrzyński M.

|

vol. 61(3)

307-310

PL

Objective. To relate the authors’ experience to the diagnosis and follow-up of patients with benign paroxysmal vertigo of childhood (BPV) who were followed-up at the Children’s Hospital of Bydgoszcz between 1999 and 2004, and to review and discuss controversial issues regarding the disease. Methods. Among 124 children suffering from vertigo 14 were classified as having BPV. All the children were submitted to differential diagnosis protocol which consisted of meticulous history, otolaryngological, ophthalmological, psychological, neurological examination, biochemical tests and standard neurootological examination including caloric tests. The children were followed-up and the tests were repeated if no improvement was observed. Results. All the children suffered from episodic vertigo of variable intensity and frequency. All of them were neurologically intact. In 8 patients pathologic ENG results were found, only 1 patient with canal paresis could be considered as having peripheral lesion, 7 patients had central/mixed pathology. The follow-up was favorable in majority of patients. Six of them recovered completely, in 6 an improvement was noted and in 2 no improvement was observed. Three patients after remission of BPV attacks developed migraine. One child before development of BPV attacks suffered from paroxysmal torticollis of infancy. Conclusions. Childhood BPV is a disorder of vestibular system with the onset occurring mainly in preschoolers aged 1–7. Older children with the onset of BPV - like symptoms should be suspected for functional background of the disease. There are no typical ENG features for BPV. The only objective evidence of vestibular dysfunction is the presence of nystagmus during the attack. The disease is probably of vascular origin and there is strong evidence for close relationship between spasmodic torticollis, BPV and migraine.

5

Benign paroxysmal vertigo of childhood

88%

Mierzwiński J., Polak M., Dalke K., Burduk P., Kaźmierczak H., Modrzyński M.

Polish Journal of Otolaryngology

|

2007

|

vol. 61

|

issue 3

307-310

EN

Objective. To relate the authors’ experience to the diagnosis and follow-up of patients with benign paroxysmal vertigo of childhood (BPV) who were followed-up at the Children’s Hospital of Bydgoszcz between 1999 and 2004, and to review and discuss controversial issues regarding the disease. Methods. Among 124 children suffering from vertigo 14 were classified as having BPV. All the children were submitted to differential diagnosis protocol which consisted of meticulous history, otolaryngological, ophthalmological, psychological, neurological examination, biochemical tests and standard neurootological examination including caloric tests. The children were followed-up and the tests were repeated if no improvement was observed. Results. All the children suffered from episodic vertigo of variable intensity and frequency. All of them were neurologically intact. In 8 patients pathologic ENG results were found, only 1 patient with canal paresis could be considered as having peripheral lesion, 7 patients had central/mixed pathology. The follow-up was favorable in majority of patients. Six of them recovered completely, in 6 an improvement was noted and in 2 no improvement was observed. Three patients after remission of BPV attacks developed migraine. One child before development of BPV attacks suffered from paroxysmal torticollis of infancy. Conclusions. Childhood BPV is a disorder of vestibular system with the onset occurring mainly in preschoolers aged 1–7. Older children with the onset of BPV - like symptoms should be suspected for functional background of the disease. There are no typical ENG features for BPV. The only objective evidence of vestibular dysfunction is the presence of nystagmus during the attack. The disease is probably of vascular origin and there is strong evidence for close relationship between spasmodic torticollis, BPV and migraine.

6

HINTS in the er – case report

75%

Zasadzińska K. J., Kukwa A.

Polski Przegląd Otorynolaryngologiczny

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2019

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vol. 8(4)

15-18

EN

Vertigo is a false sense of motion of either the environment or self and is diagnosed in approximately half of the patients with dizziness. Acute spontaneous onset of vertigo is called acute vestibular neuritis (AVN). It is caused by peripheral lesion and requires symptomatic treatment. The symptoms of AVN can mimic a central pathology like cerebellar or brainstem infarction with no concomitant red-flag manifestation. Magnetic Resonance Neuroimaging with Diffusion-weighted imaging (MRI-DWI) as well as Computed Tomography (CT) scan delivers false negatives results what significantly delays stroke treatment. HINTS is an acronym for the battery of three bedside tests of ocular motor physiology. The method is more sensitive in diagnosing posterior circulation infarct than MRI-DWI with specificity -96 %. We present a case of a patient with vertigo who underwent two cranial CT scans and neurological examination. HINTS was worrisome. The brainstem infarct diagnosis was confirmed by MRI-DWI.

7

Magnetic resonance imaging of the inner ear in the diagnostics of Ménière’s disease

75%

Jasińska A., Lachowska M., Wnuk E., Niemczyk K.

Polish Journal of Otolaryngology

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2021

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vol. 75

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issue 2

1-8

EN

Ménière’s disease is characterized by sudden episodes of vertigo accompanied by tinnitus and/or feeling of fullness in the ear as well as fluctuating sensorineural hearing loss. Despite numerous studies, the etiology of this disease remains unknown. However, the enlargement of the inner ear’s endolymphatic spaces, referred to as endolymphatic hydrops, is considered the underlying condition. Thanks to recent advances in magnetic resonance (MR) technology, it is now possible to obtain in vivo imaging of endolymphatic hydrops in patients presenting with Ménière’s disease symptoms. Visualization of the inner ear fluid compartments is achieved after gadolinium contrast is administered into the tympanic cavity or via the intravenous route. Evaluation of endolymphatic hydrops is possible as the contrast agent selectively penetrates the perilymph, and endolymph is visualized as contrast defects. The currently used radiological hydrops grading systems include qualitative, semi-quantitative, and volumetric scales. The methods are subject to ongoing modifications to increase their sensitivity and specificity. Numerous studies describe correlations between clinical symptoms and audiological and otoneurological examination results with the endolymphatic hydrops grade. MRI is also applicable in patients’ diagnostics with an incomplete or atypical course of the Ménière’s disease. In the course of the treatment, follow-up MRI scans enable assessing individual treatment modalities’ efficacy in terms of the severity of lesions and the further course of the disease within the inner ear.

8

Magnetic resonance imaging of the inner ear in the diagnostics of Ménière’s disease

75%

Jasińska A., Lachowska M., Wnuk E., Niemczyk K.

Otolaryngologia Polska

|

2021

|

vol. 75(2)

1-8

EN

Ménière’s disease is characterized by sudden episodes of vertigo accompanied by tinnitus and/or feeling of fullness in the ear as well as fluctuating sensorineural hearing loss. Despite numerous studies, the etiology of this disease remains unknown. However, the enlargement of the inner ear’s endolymphatic spaces, referred to as endolymphatic hydrops, is considered the underlying condition. Thanks to recent advances in magnetic resonance (MR) technology, it is now possible to obtain in vivo imaging of endolymphatic hydrops in patients presenting with Ménière’s disease symptoms. Visualization of the inner ear fluid compartments is achieved after gadolinium contrast is administered into the tympanic cavity or via the intravenous route. Evaluation of endolymphatic hydrops is possible as the contrast agent selectively penetrates the perilymph, and endolymph is visualized as contrast defects. The currently used radiological hydrops grading systems include qualitative, semi-quantitative, and volumetric scales. The methods are subject to ongoing modifications to increase their sensitivity and specificity. Numerous studies describe correlations between clinical symptoms and audiological and otoneurological examination results with the endolymphatic hydrops grade. MRI is also applicable in patients’ diagnostics with an incomplete or atypical course of the Ménière’s disease. In the course of the treatment, follow-up MRI scans enable assessing individual treatment modalities’ efficacy in terms of the severity of lesions and the further course of the disease within the inner ear.

9

Innovative System for Evaluation and Rehabilitation of Human Imbalance

63%

Gawrońska A., Zamysłowska-Szmytke E., Janc M., Kotas R., Kamiński M., Marciniak P., Tylman W., Woźniak S., Napieralski J., Sakowicz B., Pajor A., Rosiak O., Puzio A., Lucas-Brot W., Józefowicz-Korczyńska M.

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vol. 76

|

issue 3

7-11

PL

Wstęp: Posturografia mobilna, oparta o czujniki sensoryczne montowane na tułowiu, pozwala na badanie stabilności statycznej (posturografia statyczna), a także na rejestracje zaburzeń podczas chodu. Cel: Celem tej pracy było przedstawienie wyników badań z zastosowaniem nowatorskiego systemu MEDIPOST, wykorzystanego do diagnostyki i rehabilitacji zaburzeń układu równowagi. Materiał i metody: Przedstawiono i omówiono 14 artykułów opublikowanych w zagranicznych czasopismach. Opracowanie i skonstruowanie urządzenia poprzedził przegląd literatury oraz prace metodyczne. Przetłumaczono i zwalidowano kwestionariusz niepełnosprawności Dizziness Handicap Inventory (DHI). Opracowano również metodykę posturografii z ruchami głowy o częstotliwości 0,3 Hz w grupie osób z przewlekłymi zawrotami głowy. Przeprowadzono jednoczasowo pomiary przy użyciu posturografii mobilnej ME-DIPOT i postruografii statycznej w teście MCTSIB (ang. Modified Clinical Test of Sensory Interaction in Balance) u osób zdrowych i chorych z jednostronną dysfunkcją obwodową układu równowagi. Wyniki: W badaniu posturografii z ruchami głowy stwierdzono poprawę czułości (z 67 do 74%) oraz swoistości (z 65 do 71%). W teście MCTSIB współczynniki korelacji wewnątrzklasowej dla obu metod (posturografia mobilna MEDIPOST vs statyczna) wynosiły 0,9. Największe różnice między badaniami zaobserwowano dla średniej prędkości kątowej środka ciężkości w próbach na piance (próba 3. i 4.), w szczególności zaś w próbach na piance z oczami zamkniętymi (próba 4. – czułość 86,4%, swoistość 87,7%). Dwa testy funkcjonalne poddano szczegółowej analizie: test przesiadania się między krzesłami (ang. Swap Seats) oraz test obrotu o 360 stopni. W pierwszym wyniki odczytywane są z 6 czujników – 86% wyników prawdziwie dodatnich i 73% wyników prawdziwie ujemnych dla klasyfikacji grup upadający/nieupadający. Drugi test pozwala różnicować osoby z uszkodzeniami przedsionkowymi i zdrowymi. Wynik może być analizowany z 1 (czułość 80%) i 6 czujników (czułość 86%, swoistość 84%). Aktualnie urządzenie MEDIPOST jest w fazie opracowywania i certyfikacji.

EN

Introduction: Mobile posturography is based on wearable inertial sensors; it allows to test static stability (static posturography) and gait disturbances. Aim: The aim of this work was to present the results of research on the innovative MEDIPOST system used for diagnosis and rehabilitation of balance disorders. Material and methods: Fourteen articles published in influenced foreign journals were presented and discussed. The deve-lopment and construction of the device was preceded by a literature review and methodological work. The Dizziness Handi-cap Inventory (DHI) questionnaire was translated and validated. The methodology of posturography with head movements with a frequency of 0.3 Hz was also developed in the group with chronic vestibular disorders. Simultaneous measurements were performed (static posturogrphy vs. MEDIPOST) in the CTSIB-M (Modified Clinical Test of Sensory Interaction in Balance) test in healthy subjects and patients with unilateral peripheral dysfunction. Results: In the posturography with head movements the improvement of sensitivity (67 to 74%) and specificity (65 to 71%) was noted. In the CTSIB-M test the intraclass correlation coefficients for both methods were 0.9. The greatest differences between examinations were observed for the mean angular velocity in the tests on the foam (trials no. 3 and 4), in particular on the foam with eyes closed (trial no. 4 – sensitivity 86.4%, specificity 87.7%). Two functional tests were analyzed: the Swap Seats test and the 360 degree turn test. In the former, the results are studied from 6 sensors – 86% of the true positives and 73% of the true negatives for the fall/ no-fall group classification. The second test differentiates people with vestibular impairment and healthy people. It can be analyzed with 1 (sensitivity 80%) and 6 sensors (sensitivity 86%, specificity 84%). Currently, the MEDIPOST device is in the development and certification phase

10

Zaburzenia lipidowe u pacjentów z zawrotami głowy

63%

Zielińska-Bliźniewska H., Urbaniak J., Jałocha-Kaczka A., Michalska J., Olszewski J.

Aktualności Neurologiczne

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2012

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vol. 12

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issue 3

143-148

EN

Introduction: The aim of this work was to evaluate lipid disorders in patients with vertigo. Material and methods: Study population included a group of 918 patients, thereof 598 women and 320 men, aged 18–83 (mean age 55±0.5 years), treated for vertigo at the Department of Otolaryngology and Laryngological Oncology, Military Medical Academy, University Teaching Hospital in Lodz since 2009 thru 2011. Each patient underwent a detailed interview with otolaryngological, otoneurological, neurological and ophthalmological examination as well as transcranial ultrasound and computed tomography of cervical spine and head to exclude organic diseases of central nervous system. Laboratory tests included serum total cholesterol, serum triglyceride, serum HDL and LDL, and serum glucose levels. Results: Among 918 vertigo patients,539 cases (58.71%) had central vertigo whereas 379 (41.28%) – mixed vertigo, thereof 366 women (67.90%) with central vertigo and 232 (61.21%) with mixed vertigo. Among 320 men (34.78%), 173 (32.09%) had central vertigo and 147 (38.78%) – mixed vertigo. Lipid fraction analysis in patients with vertigo revealed elevated total cholesterol levels in 67.03% of patients studied, thereof 71.34% men and 64.76% women. Higher LDL cholesterol levels were found in 51.57% of the patients, thereof 54.83% men and 49.83% women. HDL cholesterol levels were normal in most of the patients (61.99%). Triglyceride (69.45%) and glucose (59.25% men and 67.78% women) levels were within normal limits. Conclusions: Lipid disorders, particularly those expressed by elevated total cholesterol and LDL fraction, can be considered as risk factors in vertigo.

PL

Wprowadzenie: Celem pracy była ocena zaburzeń lipidowych u pacjentów z zawrotami głowy. Materiał i metody: Badania przeprowadzono na grupie 918 chorych, w tym 598 kobiet i 320 mężczyzn, w wieku 18–83 lat (średnia wieku 55±0,5), leczonych w latach 2009–2011 w Klinice Otolaryngologii i Onkologii Laryngologicznej z Zespołem Pracowni Audiologicznych i Foniatrycznych Uniwersyteckiego Szpitala Klinicznego im. WAM w Łodzi z powodu zawrotów głowy. U wszystkich chorych przeprowadzono szczegółowy wywiad, badanie przedmiotowe otolaryngologiczne, otoneurologiczne. Każdy pacjent był konsultowany neurologicznie, okulistycznie i internistycznie oraz miał wykonywane USG naczyń doczaszkowych, tomografię komputerową odcinka szyjnego kręgosłupa i głowy w celu wykluczenia schorzeń organicznych ośrodkowego układu nerwowego. Przeprowadzono także badania laboratoryjne, takie jak stężenie cholesterolu całkowitego, triglicerydy, frakcję cholesterolu LDL i HDL oraz stężenie glukozy w surowicy krwi. Wyniki: W grupie 18 pacjentów z zawrotami głowy u 539 (58,71%) miały one pochodzenie ośrodkowe, a u 379 chorych (41,28%) charakter mieszany, w tym u 366 kobiet (67,90%) rozpoznano zawroty pochodzenia ośrodkowego, a u 232 (61,21%) typu mieszanego. Spośród 320 mężczyzn (34,78%) z zawrotami głowy u 173 (32,09%) stwierdzono zawroty pochodzenia ośrodkowego, a u 147 (38,78%) typu mieszanego. Analizując stężenia frakcji lipidów u badanych, odnotowano podwyższone wartości cholesterolu całkowitego u 67,03% z nich, w tym u 71,34% mężczyzn i 64,76% kobiet. Podwyższone stężenia frakcji cholesterolu LDL zaobserwowano u 51,57% pacjentów, w tym u 54,83% mężczyzn i 49,83% kobiet. Frakcja HDL cholesterolu u większości chorych (61,99%) była w normie. Również stężenie triglicerydów u większości badanych (u 69,45%) nie odbiegało od normy, podobnie jak stężenie glukozy (u 59,25% mężczyzn oraz 67,78% kobiet). Wnioski: Zaburzenia lipidowe, zwłaszcza cholesterolu całkowitego i frakcji LDL w surowicy krwi, mogą być jedną z przyczyn zawrotów głowy.

11

THE NEUROLOGICAL CONSEQUENCES OF CONTRACTING COVID-19

51%

Aknin L. B., De Neve J. E., Dunn E. W., Fancourt D. E., Goldberg E., Helliwell J. F., Jones S. P., Karam E., Layard R., Lyubomirsky S., Rzepa A., Saxena S., Thornton E. M., VanderWeele T. J., Whillans A. V., Zaki J., Caman O., Amor Y. B.

Acta Neuropsychologica

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2021

|

vol. 19(3)

301-305

EN

Since the first confirmed case in Wuhan, China on December 31, 2019, the novel coronavirus (SARS-CoV-2) has spread quickly, infecting 165 million people as of May 2021. Since this first detection, research has indicated that people contracting the virus may suffer neurological and mental disorders and deficits, in addition to the respiratory and other organ challenges caused by COVID-19. Specifically, early evidence suggests that COVID-19 has both mild (e.g., loss of smell (anosmia), loss of taste (ageusia), latent blinks (heterophila), headaches, dizziness, confusion) and more severe outcomes (e.g., cognitive impairments, seizures, delirium, psychosis, strokes). Longer-term neurological challenges or damage may also occur. This knowledge should inform clinical guidelines, assessment, and public health planning while more systematic research using biological, clinical, and longitudinal methods provides further insights.

12

Dysfunkcje narządu przedsionkowego u dzieci

51%

Śpiewak P., Zamysłowska-Szmytke E., Śpiewak M.

|

2020

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vol. 29

|

issue 58

45-56

EN

The aim of the article is an attempt to find a parallel relationship between injuries of the congenital inner ear (vestibular) disorder in children and the occurrence of symptoms in the form of dizziness and vertigo. Balance requires efficient reflexes: vestibule- ocular reflex and vestibule-spinal reflex. At developmental age the symptomatology of vestibular damage depends on the stage of development at which such damage occurs. Patients with congenital vestibular disorder usually do not report any dizziness. Their dominant symptom is manifested in delayed motor skills development which is usually not associated by the doctors with vestibular disorder. Spontaneous nystagmus as a symptom of acute vestibular damage occurs less frequently in infants and young children than in older patients. Nystagmus in younger children, in most cases, is latent. However, the incidence of dizziness and vertigo in children and adolescents, depending on the adopted definitions of these symptoms, is estimated at 0.4% to 5.7% of the studied population. The main cause of paroxysmal dizziness and vertigo in children is migraine associated symptoms (MAS). The vestibule’s functional efficiency can be estimated with the following tests: Damped rotational chair test, Caloric nystagmus test, VHIT- Video Head Impulse Test, and VEMP – Vestibular Evoked Myogenic Potentials test. All the vestibular tests, with the exception of rotational test, require minimum cooperation from the patient. In extremely rare cases it is possible to confirm that the symptom described by the child as dizziness is caused by permanent vestibular disorder.

PL

Celem pracy jest próba znalezienia zależności pomiędzy uszkodzeniami narządu przedsionkowego u dzieci, a występowaniem objawów w postaci: zawrotów głowy i zaburzeń równowagi. Zachowanie równowagi wymaga sprawnych odruchów: przedsionkowo –ocznego i przedsionkowo-rdzeniowego. W wieku rozwojowym symptomatologia uszkodzeń błędnika będzie zależała od tego na jakim etapie rozwoju do takiego uszkodzenia dojdzie. Pacjenci z wrodzoną wadą przedsionka z reguły nie uskarżają się na zawroty głowy. Dominującym objawem u nich jest opóźnienie rozwoju sprawności motorycznych, co zazwyczaj nie jest wiązane przez lekarzy z dysfunkcją błędnika. Oczopląs samoistny jako objaw ostrego uszkodzenia przedsionka pojawia się u niemowląt i małych dzieci rzadziej niż u pacjentów starszych. Oczopląs u młodszych dzieci ma w większości przypadków charakter ukryty. Natomiast częstość występowania zawrotów głowy i zaburzeń równowagi u dzieci i młodzieży, w zależności od przyjętych definicji tych objawów, szacuje się na poziomie od 0,4% do 5,7% badanej populacji. Główną przyczyną napadowych zawrotów głowy u dzieci jest migrena i zespoły z nią związane. Sprawność błędnika można szacować próbami: fotela obrotowego, dwukaloryczną, VHIT oraz VEMP. Wszystkie testy przedsionkowe, za wyjątkiem obrotowej, wymagają minimum współpracy ze strony pacjenta. Wniosek: Niezmiernie rzadko udaje się potwierdzić, że objaw określany przez dziecko jako zawrót głowy jest spowodowany trwałym uszkodzeniem błędnika.

Refine search results

Rehabilitation in elderly patients with dizziness and balance unsteadiness

Rehabilitation in elderly patients with dizziness and balance unsteadiness

Benign paroxysmal vertigo of childhood

Łagodne napadowe zawroty głowy typu dziecięcego

Benign paroxysmal vertigo of childhood

HINTS in the er – case report

Magnetic resonance imaging of the inner ear in the diagnostics of Ménière’s disease

Magnetic resonance imaging of the inner ear in the diagnostics of Ménière’s disease

Innovative System for Evaluation and Rehabilitation of Human Imbalance

Zaburzenia lipidowe u pacjentów z zawrotami głowy

THE NEUROLOGICAL CONSEQUENCES OF CONTRACTING COVID-19

Dysfunkcje narządu przedsionkowego u dzieci