medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2021-21-1-35-44medsovet-6605Research ArticleНЕВРОЛОГИЯNEUROLOGYВозможности использования комбинации «дименгидринат + циннаризин» в терапии головокруженийPotential use of dimensionhydrinate/cinnarizine combination in the treatment of vertigoПизоваН. В.PizovaN. V.

Пизова Наталия Вячеславовна, д.м.н., профессор, профессор кафедры нервных болезней с медицинской генетикой и нейрохирургией

150000, Ярославль, ул. Революционная, д. 5

Nataliia V. Pizova, Dr. Sci. (Med.), Professor, Professor of the Department of Nervous Diseases with Medical Genetics and Neurosurgery

5, Revolutsionnaya St., Yaroslavl, 150000

pizova@yandex.ruЯрославский государственный медицинский университетРоссияYaroslavl State Medical UniversityRussian Federation202106012022021-13544Copyright © Пизова Н.В., 20222022Пизова Н.В.Pizova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/6605

Головокружение достаточно частая жалоба, с которой пациенты обращаются к врачам разного профиля, и особенно к врачам общей практики, неврологам, оториноларингологам. Головокружение представляет собой иллюзию движений самого человека или окружающих предметов вокруг него. Головокружение является симптомом большого круга заболеваний, как доброкачественных, так и  угрожающих жизни больного. Головокружение может иметь разные причины, и  предлагаемое лечение должно зависеть от причины. Из-за многофакторной этиологии медицинской помощи многие пациенты получают недостаточное лечение в  рамках первичной медико-санитарной помощи, особенно при первом обращении. Основными причинами головокружения являются доброкачественное позиционное пароксизмальное головокружение, болезнь Меньера, вестибулярный неврит, вестибулярная мигрень и сосудистые заболевания головного мозга. У пациентов с другими расстройствами, такими как депрессия и  синдром гипервентиляции, могут присутствовать жалобы на  несистемное головокружение. Дифференциальный диагноз головокружения можно проводить с помощью простых в выполнении тестов во время физического осмотра, включая оценку нистагма, маневр Дикса – Холлпайка и измерение артериального давления при проведении ортостатических проб. Лечение пациентов с жалобами на головокружение включает медикаментозную и немедикаментозную терапию в зависимости от установленной нозологической формы. Однако из-за многофакторной этиологии многие пациенты получают недостаточное лечение в  рамках первичной медико-санитарной помощи, особенно при первичном обращении. Одним из препаратов для симптоматического лечения головокружения различного генеза у взрослых является комбинация дименгидрината с циннаризином.

Vertigo is a fairly common complaint with which patients present to physicians of various profiles, and especially to general practitioners, neurologists, and otorhinolaryngologists. Vertigo is a condition where a person has the illusion of movement or of surrounding objects moving when they are not. Vertigo is a symptom of a wide range of diseases, both benign and life-threatening. Vertigo can have a variety of causes, and the suggested treatment should depend on the cause. Due to the multifactorial etiology of medical care, many patients receive inadequate treatment under the primary healthcare scheme, especially during initial presentation. The main causes of vertigo are benign paroxysmal positional vertigo, Meniere’s disease, vestibular neuritis, vestibular migraine, and cerebrovascular diseases. Patients with other disorders, such as depression and hyperventilation syndrome, may present with complaints of nonrotary vertigo. Differential diagnosis of vertigo can be made using easy-to-perform tests during physical examination, including assessment of nystagmus, Dix-Hallpike maneuver, and blood pressure measurements with head-up tilt table tests. Treatment of patients with complaints of vertigo includes drug and non-drug therapy, depending on the established nosological form. However, due to the multifactorial etiology, many patients receive inadequate treatment under the primary healthcare scheme, especially during initial presentation. The dimensionhydrinate/cinnarizine combination is one of the drugs for the symptomatic treatment of vertigo of various origins in adults.

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The authors declare that there are no conflicts of interest present.