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[Dizziness in Parkinson's disease].
A A Kashezheva1, M V Zamergrad1, O S Levin1
1Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|December 6, 2021
Summary
Vestibular disorders are common in Parkinson's disease (PD) patients with dizziness. Neurovestibular examination aids early detection, and vestibular rehabilitation can reduce falls and instability.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Parkinson's disease (PD) is a neurodegenerative disorder affecting motor function.
- Vestibular disorders (VD) can significantly impact the quality of life in PD patients.
Purpose of the Study:
- To investigate the clinical characteristics of vestibular disorders in Parkinson's disease patients.
- To explore effective treatment strategies for vestibular disorders in PD.
Main Methods:
- A study involving 90 Parkinson's disease patients, divided into a main group (60 with vestibular symptoms) and a control group (30 without).
- Comprehensive assessments included neurological examination, cognitive function tests, affective and autonomic disorder evaluations, and neurovestibular examinations.
Main Results:
- Vestibular disorders were significantly more prevalent in PD patients experiencing dizziness compared to controls.
- Central gaze control, otolith dysfunction, anxiety, and visuospatial deficits were more frequent in the main group.
- Vestibular rehabilitation, when added to treatment, reduced postural instability and fall risk.
Conclusions:
- Vestibular disorders are a common comorbidity in Parkinson's disease, particularly in those reporting dizziness.
- Early identification of these disorders is achievable through specialized neurovestibular assessments.
- Integrating tailored vestibular exercises into the treatment plan is recommended for managing these conditions.
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