‘Otolithic’ dizziness
https://doi.org/10.33667/2078-5631-2022-10-40-44
Abstract
Labyrinth of the inner ear consists of two parts: semicircular canals and vestibulum. Vestibular disorders predominantly associated with vertigo – the feeling of moving of the surrounding objects and oscillopsia. However, vertigo is a result of the damage of ampullar receptors in semicircular canals and their connections with vestibular nuclei in brainstem. At the same time the dysfunction of otoliths system is much more mysterious and unpredictable. Elaboration of new methods of objective assessment of vestibular system provides a wonderful opportunity of the analysis of different components of the peripheral vestibular system including saccular and utricular parts. As a result of such analysis, it was demonstrated that otolithic dysfunction is a common consequence of the most frequent vestibular disorders like Meniere’s disease, benign paroxysmal positional vertigo and vestibular neuritis. It is not clear yet what is the clinical presentation of otolithic dysfunction and how otolithic dysfunction influence the prognosis of common vestibular disorders. It is unknown whether isolated otolithic dysfunction exists, for example in patients with unspecific disequilibrium or dizziness.
About the Authors
M. V. Zamergrad
Russian Medical Academy for Continuing Professional Education; City Clinical Hospital n.a. I. V. Davydovsky
Russian Federation
Russian Federation
Zamergrad Maxim V., DM Sci (habil.), professor at Dept of Neurology with a course of reflexology and manual therapy, Russian Medical Academy for Continuing Professional Education
Moscow
S. S. Masueva
Russian Medical Academy for Continuing Professional Education; City Clinical Hospital n.a. I. V. Davydovsky
Russian Federation
Russian Federation
Masueva Seda S., postgraduate student of Dept of Neurology with a course of reflexology and manual therapy, Russian Medical Academy for Continuing Professional Education; neurologist, City Clinical Hospital n.a. I. V. Davydovsky
Moscow
A. L. Guseva
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Guseva Aleksandra L., PhD Med, associate professor at Dept of Otorhinolaryngology, Faculty of Medicine
Moscow
S. P. Grachev
City Clinical Hospital n.a. I. V. Davydovsky; A. I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Grachev Sergey P., DM Sci (habil.), professor at Dept of Cardiology
Moscow
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For citations:
Zamergrad M.V., Masueva S.S., Guseva A.L., Grachev S.P. ‘Otolithic’ dizziness. Medical alphabet. 2022;(10):40-44. (In Russ.) https://doi.org/10.33667/2078-5631-2022-10-40-44
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