[Neurological diagnosis of vestibular disorders (author's transl)].
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This article reviews and updates the pathology associated with the labyrinth and peripheral central nervous system. It serves as an overview to aid in the diagnosis and treatment of vertigo.
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The physical examination and symptoms (vertigo, nystagmus and muscular asymmetry) of patients with typical vertigo are reviewed after a brief description of anatomic and physiologic features of the vestibular system. According to the daily clinical practice, the etiology, pathogenesis and differential diagnosis of peripheral vestibular syndromes are discussed. A review of the therapeutic approach to peripheral vertigo is presented.
The possible presence of a relationship between intra-uterine presentation and vestibular function was studied for this paper. -- Thermic and rotational balance tests as well as tests for vestibulospinal reaction and for spontaneous and provoked nystagmus were applied to 42 children in school age who had been born from breech and transverse presentations and to another 30 children who had been born from vertex presentations. The results seem to support the assumption that normal intrauterine presentation depends on intact condition of the vestibular system.
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