KBS
Search
- Page Path
- HOME > Search
Review Article
- Treatment of hemodynamic orthostatic dizziness/vertigo
- Hyun Ah Kim
- Res Vestib Sci. 2024;23(3):79-88. Published online September 15, 2024
- DOI: https://doi.org/10.21790/rvs.2024.017
- 16,430 View
- 143 Download
-
Abstract
PDF - Orthostatic dizziness occurs when a person feels dizzy or lightheaded upon standing up. Hemodynamic orthostatic dizziness can result from autonomic dysfunction, such as orthostatic hypotension or postural tachycardia syndrome. The International Classification of Vestibular Disorders has established diagnostic criteria for hemodynamic orthostatic dizziness/vertigo. These criteria help clinicians understand the terminology associated with orthostatic dizziness/vertigo and differentiate it from dizziness caused by global brain hypoperfusion and other etiologies. Effective treatment involves interpreting the results of autonomic function tests, which can lead to improvements in orthostatic dizziness and help prevent falls related to this condition. This paper discusses general management strategies and specific treatments for orthostatic hypotension and postural tachycardia syndrome, highlighting the importance of tailored care based on the most recent clinical insights.
Review
- Interaction of Autonomic and Vestibular System
- Eek-Sung Lee, Tae-Kyeong Lee
- Res Vestib Sci. 2018;17(1):1-7. Published online March 15, 2018
- DOI: https://doi.org/10.21790/rvs.2018.17.1.1
- 10,369 View
- 192 Download
- 1 Crossref
-
Abstract
PDF
- The relationship between the vestibular system and the autonomic nervous system has been well studied in the context of the maintenance of homeostasis to the changing internal and external milieus. The perturbations of the autonomic indexes to the vestibular stimuli have been demonstrated in animal studies. In addition, the fluctuation of the blood pressure and the heart rate with other autonomic symptoms such as nausea, vomiting, and pallor are common manifestations in the wide range of vestibular disorders. At the same time, the disorders of the autonomic nervous system can cause dizziness and vertigo in some group of patients. In the anatomical point of view, the relationship between autonomic and vestibular systems is evident. The afferent signals from each system converge to the nucleus of solitary tract to be integrated in medullary reticular formation and the each pathway from the vestibular and autonomic nervous system is interconnected from medulla to cerebral cortex. In this paper, the reported evidence demonstrating the relationship between autonomic derangement and vestibular disorders is reviewed and the further clinical implications are discussed.
-
Citations
Citations to this article as recorded by
- AGE FEATURES OF THE VESTIBULAR ANALYZER
S.N. Vadzyuk, R.M. Shmata, T.A. Lebedeva, L.B. Lozina
Fiziolohichnyĭ zhurnal.2023; 69(4): 103. CrossRef
- AGE FEATURES OF THE VESTIBULAR ANALYZER
First
Prev
