Modern technologies of the diagnostics of vestibular dysfunction in neurological practice

Cover Page


Assessment of vestibular dysfunction is a fine criterion of the functional state of brain systems responsible for spatial comfort. Long-term studies of oculomotor reactions in neurological and otological practice clearly showed nystagmus as an important sign of the CNS disorder. Being an objective, temporal clinical phenomenon, nystagmus is seen visually, it can be easily registered and assessed quantitatively. Most difficult is to detect latent vestibular dysfunction, i.e. cases when nystagmus cannot be observed on routine neurological examination. The use of special
equipment allows to evaluate quantitative and qualitative parameters of nystagmus, especially those not seen visually (dysrhythmia) or hardly registered (amplitude irregularity, nystagmus changes after different functional tests, etc.). Potential and clinical evaluation of modern technologies of the diagnostics of vestibular dysfunction are presented on a number of clinical cases.

About the authors

S. A. Likhachev

National Research Center of Neurology and Neurosurgery (Minsk)

Author for correspondence.

O. A. Alenikova

National Research Center of Neurology and Neurosurgery (Minsk)



  1. Пфальтц Ц.Р. Головокружение при патологических изменениях в области шеи. В кн.: Головокружение (ред. М.Р. Дикс, Дж.Д. Худ): Пер. с англ. М.:Медицина, 1987: 313–337.
  2. Склют И.А., Лихачев С.А. Системный подход к изучению вестибулярной функции. Журн. ушн., нос. и горл. болезней 1989; 5: 19–26.
  3. Склют И.А., Лихачев С.А., Склют М.И. Роль шейной проприоцептивной афферентации в механизмах компенсации вестибу- лярной дисфункции. Пассивный цервикоокулярный рефлекс при одностороннем поражении лабиринта. Вестн. оториноларингологии 1999; 2: 34–38.
  4. Склют И.А., Лихачев С.А., Тарасевич М.И., Титкова Е.В. Вертикальные вестибулоокулярные рефлексы при поражении центральных отделов вестибулярной системы (сообщение III). Вестн. оториноларингологии 2000; 6: 8–11.
  5. Medendorp W.P., van Gisbergen J.A., Pelt S. еt al. Context compensation in the vestibuloocular reflex during active head rotations. J. Neurophysiol. 2000; 84: 2904–2917.
  6. Roy J.E., Cullen K.E. Vestibuloocular reflex signal modulation during voluntary and passive head movements. J. Neurophysiol. 2002; 87: 2337–2357.
  7. Van der Stappen A., Wuyts F.L., van de Heyning P. Influence of head position on the vestibulo-ocular reflex during rotational testing. Acta Otolaryngol. 1999; 119: 892–894.



Abstract: 1230

PDF (Russian): 701

Article Metrics

Metrics Loading ...



Copyright (c) 2017 Likhachev S.A., Alenikova O.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies