Recent advances in the diagnosis and treatment of balance disorders

@article{Jahn2011RecentAI,
  title={Recent advances in the diagnosis and treatment of balance disorders},
  author={Klaus Jahn and Marianne Dieterich},
  journal={Journal of Neurology},
  year={2011},
  volume={258},
  pages={2305-2308}
}
Here we summarize the recent progress made in the diagnosis and treatment of balance and gait disorders. Focusing on work published in the Journal of Neurology in 2010 and 2011, we have found evidence for the following clinically relevant statements: (1) the exclusion of stroke in acute vestibular syndromes is based on the bedside clinical findings; (2) the risk of developing secondary somatoform vertigo is predictable; it is especially high in patients with vestibular migraine; (3) postural… 
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Improvements in clinical and posturographic measures of balance control were observed with donepezil monotherapy and, to a minimal extent, with the addition of selegeline.
[Vestibular vertigo].
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It is noted that the cause of vertigo is often misdiagnosed with vertebral-basilar insufficiency, discirculatory encephalopathy, cervical spine pathology; at the same time, BPPV, Meniere's disease, vestibular neuritis or Vestibular migraine is diagnosed less often.
Can 4-aminopyridine modulate dysfunctional gait networks in Parkinson's disease?
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The proposed mechanisms that may facilitate 4-AP favorable effect on gait in Parkinson's disease include 1) neurotransmitter release (dopamine, glutamate, acetylcholine and noradrenaline) 2) modulation of neuronal network oscillations and 3) increased cortical excitation.
Vertigo and dizziness in children.
TLDR
Pediatricians and neuro-otologists should be aware of the full spectrum of causes of vertigo and dizziness in children and adolescents and take specific approaches for somatoform vertigo, the most frequent diagnosis in adolescent girls.
Referral and Final Diagnoses of Patients Assessed in an Academic Vertigo Center
TLDR
In particular, BPPV, multisensory dizziness, and vestibular migraine are under-diagnosed by referring physicians, and calls for better education of primary care takers in the field of neuro-otology.
Vertigo and dizziness in children.
  • K. Jahn
  • Medicine
    Handbook of clinical neurology
  • 2016
TLDR
Most conditions causing vertigo and dizziness in childhood and adolescence are treatable and nonpharmacologic prophylaxis should always be recommended in Vestibular migraine.
Correlation of impaired subjective visual vertical and postural instability in Parkinson's disease
TLDR
The findings suggest that the perception of verticality is affected in PD patients and this abnormal vertical perception and disturbed processing of graviceptive pathways are associated with postural instability and to a lesser degree with disease severity.
Health services utilization of patients with vertigo in primary care: a retrospective cohort study
TLDR
The results emphasize the need for establishing systematic training to improve oto-neurological skills in primary care services not specialized on the treatment of dizzy patients.
Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness
TLDR
Almost half of patients with vertigo/dizziness suffer from a psychiatric comorbidity, and these patients show more severe psychosocial impairment compared with patients without psychiatric disorders.
Acute dizziness in rural practice: Proposal of a diagnostic procedure
TLDR
A practical concept is presented to clarify most frequent acute dizziness syndromes using clinical and low budget methods.
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