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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-2-7-13</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4244</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕВРОЛОГИЯ И ПСИХИАТРИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEUROLOGY AND PSYCHIATRY</subject></subj-group></article-categories><title-group><article-title>Алгоритм диагностики и лечения головокружения.  Помощь практикующему врачу</article-title><trans-title-group xml:lang="en"><trans-title>Algorithm for diagnosis and treatment of dizziness.  Assistance for practicing physicians</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5663-6628</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макаров</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makarov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Макаров Сергей Антонович, к. м. н., доцент кафедры нервных болезней Института профессионального образования</p><p>Москва</p></bio><bio xml:lang="en"><p> Makarov Sergey A., PhD Med, associate professor at Dept of Nervous Diseases of Institute of Professional Education</p><p>Moscow</p></bio><email xlink:type="simple">makarovmed@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7988-4229</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гусева</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Guseva</surname><given-names>A. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Гусева Александра Леонидовна, д. м. н., доцент кафедры оториноларингологии им. акад. Б. С. Преображенского; врач-оториноларинголог</p><p>Москва</p></bio><bio xml:lang="en"><p> Guseva Alexandra L., DM Sci (habil.), associate professor at Otolaryngology Dept named after academician B. S. Preobrazhensky; otorhinolaryngologist</p><p> Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова» Минздрава России (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I. M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава России (Пироговский университет);  ГБУЗ «Городская клиническая больница № 1 им. Н. И. Пирогова» ДЗМ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. I. Pirogov Russian National Research Medical University (Pirogov University); N. I. Pirogov Moscow City Clinical Hospital No.1</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>03</month><year>2025</year></pub-date><volume>0</volume><issue>2</issue><issue-title>«Неврология и психиатрия» (1)</issue-title><fpage>7</fpage><lpage>13</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Макаров С.А., Гусева А.Л., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Макаров С.А., Гусева А.Л.</copyright-holder><copyright-holder xml:lang="en">Makarov S.A., Guseva A.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4244">https://www.med-alphabet.com/jour/article/view/4244</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Целью данной статьи являются систематизация основных сведений о наиболее частых причинах головокружения и представление алгоритма диагностики и лечения, который может быть использован врачами различных специальностей.</p></sec><sec><title> Материалы и методы</title><p> Материалы и методы. Статья выполнена в виде нарративного обзора. Включает анализ современных научных публикаций о головокружении.</p></sec><sec><title> Результаты</title><p> Результаты. Систематизированы данные о наиболее распространенных причинах головокружения. Представлен алгоритм диагностики и лечения головокружения, который может быть использован специалистами практического звена здравоохранения. Даны практические рекомендации по осмотру и сбору анамнеза у пациентов с головокружением. Представлены данные о мультимодальном подходе к ведению пациентов.</p></sec><sec><title> Выводы</title><p> Выводы. Использование четкого алгоритма позволяет оптимизировать диагностику и лечение головокружения, что способствует улучшению качества медицинской помощи.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective. The aim of this article is to systematize the main information on the most common causes of dizziness and to present a diagnostic and treatment algorithm that can be used by doctors from various specialties.</p></sec><sec><title> Materials and Methods</title><p> Materials and Methods. The article is presented as a narrative review and includes an analysis of contemporary scientific publications on dizziness.</p></sec><sec><title> Results</title><p> Results. Data on the most common causes of dizziness have been systematized. A diagnostic and treatment algorithm for dizziness is presented, which can be used by healthcare practitioners. Practical recommendations are provided for the examination and medical history collection of patients with dizziness. Information on a multimodal approach to patient management is also presented.</p></sec><sec><title> Conclusions</title><p> Conclusions. The use of a clear algorithm optimizes the diagnosis and treatment of dizziness, thereby improving the quality of medical care.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>головокружение</kwd><kwd>алгоритм</kwd><kwd>ДППГ</kwd><kwd>вестибулярный нейронит</kwd><kwd>инсульт</kwd><kwd>Вертигохель®</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dizziness</kwd><kwd>vertigo</kwd><kwd>algorithm</kwd><kwd>BPPV</kwd><kwd>vestibular neuritis</kwd><kwd>stroke</kwd><kwd>Vertigoheel®</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Edlow JA, Gurley KL, Newman-Toker DE. 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