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[Bilateral vestibulopathy in elderly patients].
M V Shapovalova1,2, M V Zamergrad1,2, A L Guseva3
1Russian Medical Academy of Postgraduate Education, Moscow, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|November 18, 2020
Summary
Peripheral vestibular disorders are often underestimated causes of balance issues and falls in the elderly. This review revisits their diagnosis and treatment, highlighting their significant role in postural instability.
Area of Science:
- Geriatrics
- Neurology
- Otolaryngology
Background:
- Balance disorders and falls are leading causes of medical care in older adults.
- Chronic cerebral vascular insufficiency is often overemphasized as the cause of instability.
- The contribution of chronic peripheral vestibular disorders to postural instability is frequently underestimated.
Purpose of the Study:
- To review current diagnostic and treatment approaches for bilateral vestibulopathy.
- To re-evaluate the role of peripheral vestibulopathies in elderly patients' postural instability.
Main Methods:
- Review of current literature on diagnosis and treatment of peripheral vestibulopathies.
- Emphasis on sensitive, specific, and accessible diagnostic methods for peripheral vestibulopathies.
Main Results:
- Advancements in diagnostic methods have increased the identification of peripheral vestibulopathies.
- Peripheral vestibulopathies are increasingly recognized as significant contributors to postural instability in the elderly.
Conclusions:
- The role of peripheral vestibular disorders in elderly balance problems is likely greater than previously thought.
- Current approaches to diagnosing and treating bilateral vestibulopathy are crucial for managing falls in older adults.
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