Neurootological differential therapy for vertigo patients

Major neurootological complaints, which mostly need drug treatment, are: giddiness, dizziness, hearing loss and tinnitus. The neurootological differential diagnosis is the basis for planning the mostly supportive treatment of vertigo patients. In planning the therapy, we are utilizing a computerbased expert system Clamedex for establishing the neurootological diagnosis through history, ORL inspection, ENG, calorics, rotatory chair test, cranio-corpo-graphy (CCG), optokinetics, psychophysical audiometry, acoustic brainstem and late evoked potentials, visually evoked potentials etc. On this knowledge base we are designing an individually adapted case oriented drug therapy.Nausea and vomitus are the important subjective complications of dysequilibrium states. Therefore antivertiginous and antiemetic therapies have to be applied if necessary. Usually the duration is of limited time.Other drugs being chosen for a supportive pharmaco therapy according to the functional topodiagnostics of the lesions usually possess one or more of the following actions upon the equilibrium regulating network:increase of cerebral blood flow,enhanced penetration through the blood brain barrier,increase of neuronal metabolism andstabilization of specific neurotransmitters.The neurootological patients are treated and monitored by regular neurootometric follow up investigations.