Vertigo in neurological practice: rare causes and difficult decisions

Abstract

The dizziness is a multidiscipline problem in management of neurologists, ototrhinolaryngologists, general practicioners. The first clinical goal seems to be the differentiation between central and peripherial vestibular syndrome. After that doctor should search the nosological form. It may become the challenge if the disease is rare. In such cases it is impossible to limit the therapy with vestibular rehabilitation with usement of the vertigolitic drugs. Accordingly to nososlogical form surgical methods, anticonvulsants, glucocorticoids or cytostatics may be needful.