In addition to the use of neurological research methods, it is necessary to involve doctors of other profiles in the diagnosis. otoneurologist, ENT doctor, audiologist. Treatment of BPPV - methods and exercises. The patient who understands the essence of the problem draws the correct conclusion. to avoid paroxysm, movements that shake the otoliths with the appearance of a reaction from their receptors should be avoided. However, to rid the patient of the annoying syndrome, in addition to do my research paper the underlying pathology that caused it, a technique of positional treatment maneuvers carried out with the help of a neurologist is used.

Their essence lies in training the vestibular system by giving the head strictly sequentially changing positions. If necessary, microsurgical interventions are used on the inner ear with filling of essays online semicircular canal with bone chips or using labyrinthectomy. Photo and video selection of BPPV treatment methods. Brandt Daroff exercises, Epley and Semont maneuvers.

Diagnosis of the disorder. samples, research. The presence of the syndrome is checked using a test testthat of Dix-Hallpike. The patient, sitting with his head turned at an angle of 45В� towards the suspected pathology, is asked to fix his gaze on a point in the center of the examiner's face (on the nose). Then, holding him, he is sharply thrown onto his back, throwing his head back at an angle of 30В� while maintaining the same angle of rotation in the problematic direction. The test is considered positive if after a few (1-5) seconds an attack of dizziness occurs, accompanied by rotatory nystagmus, oriented in the plane of the posterior semicircular canal. With a left-sided lesion, the nystagmus coincides with the clockwise direction, while with a right-sided lesion, it is directed counterclockwise. Nystagmus time is within 30 seconds, no more. After the patient returns to a sitting position, nystagmus reappears, but essays online - in the direction opposite to the direction of the primary rotatory nystagmus, less pronounced and prolonged, accompanied by slight dizziness. If the test results are questionable and in the absence of typical nystagmus, they are guided by the occurrence of positional vertigo, typical for this pathology. To differentiate from a similar pathology, MRI (CT) of the brain and X-ray examination of the cervical spine are applicable.