TY - JOUR

T1 - Видеонистагмография при пароксизмальном постуральном головокружении у гериатрического пациента

AU - Lilenko, S.V.

AU - Luppov, D.S.

AU - Kantemirova, R.K.

AU - Sugarova, S.B.

AU - Lilenko, A.S.

N1 - Export Date: 23 February 2026; Cited By: 0; Correspondence Address: S.B. Sugarova; Federal State Budgetary Institution St. Petersburg Research Institute of Ear, Throat, Nose and Speech, Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation; email: sima.sugarova@gmail.com

PY - 2025

Y1 - 2025

N2 - The purpose of this article is to familiarize a wide range of practicing physicians (otorhinolaryngologists/audiologists, vestibulologists/otoneurologists, neurologists/neurovascular specialists, therapists/cardiologists, geriatricians) with diagnostic approaches when consulting patients with complaints of episodes of impaired balance, which are regularly triggered by changes in the position of the head and body. The main aspects of the propaedeutics of vestibular system diseases are illustrated by the example of an elderly patient who was diagnosed with central subacute remitting vestibulopathy of vascular origin based on comprehensive vestibulometry. The high diagnostic capabilities of correct and consistent performance of postural tests during computerized videonystagmography are demonstrated. The main objective symptom confirming the involvement of the central parts of the vestibular system is the registration of positional and positioning nystagmus when gaze fixation is eliminated (in the dark with eyes open). The detection of objective videonystagmographic symptoms confirming the patient's complaints of paroxysmal positional vertigo requires (on the part of the therapist/geriatrician and neurologist/neurovascular specialist) correction of drug therapy for arterial hypertension complicated by central subacute remitting vestibulopathy. Keywords: paroxysmal positional vertigo, videonystagmography, positioning nystagmus, positional nystagmus. © 2025, All-Russian Federation of the Specialists in Head and Neck Diseases. All rights reserved.

AB - The purpose of this article is to familiarize a wide range of practicing physicians (otorhinolaryngologists/audiologists, vestibulologists/otoneurologists, neurologists/neurovascular specialists, therapists/cardiologists, geriatricians) with diagnostic approaches when consulting patients with complaints of episodes of impaired balance, which are regularly triggered by changes in the position of the head and body. The main aspects of the propaedeutics of vestibular system diseases are illustrated by the example of an elderly patient who was diagnosed with central subacute remitting vestibulopathy of vascular origin based on comprehensive vestibulometry. The high diagnostic capabilities of correct and consistent performance of postural tests during computerized videonystagmography are demonstrated. The main objective symptom confirming the involvement of the central parts of the vestibular system is the registration of positional and positioning nystagmus when gaze fixation is eliminated (in the dark with eyes open). The detection of objective videonystagmographic symptoms confirming the patient's complaints of paroxysmal positional vertigo requires (on the part of the therapist/geriatrician and neurologist/neurovascular specialist) correction of drug therapy for arterial hypertension complicated by central subacute remitting vestibulopathy. Keywords: paroxysmal positional vertigo, videonystagmography, positioning nystagmus, positional nystagmus. © 2025, All-Russian Federation of the Specialists in Head and Neck Diseases. All rights reserved.

KW - paroxysmal positional vertigo

KW - positional nystagmus

KW - positioning nystagmus

KW - videonystagmography

U2 - 10.25792/HN.2025.13.4.110-116

DO - 10.25792/HN.2025.13.4.110-116

M3 - статья

VL - 13

SP - 110

EP - 116

JO - Голова и шея

JF - Голова и шея

SN - 2310-5194

IS - 4

ER -