The etiology, pathogenesis, clinical practice, treatment and rehabilitation of patients with vestibular crises is discussed. Classifications for vestibular disorders are given. Information on the frequency of vestibular crises is given

Blagoveshchenskaya, N. S.

English

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XA&% TECHN ICAL MEMORANDUM	 NASA TM-76354
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REVIEW OF BOOK
"VESTIBULAR CRISES"
Doctor of Medical Sciences N. S. Blagoveshchenskaya
Transiztion of review of "Vestibulyarni krizy," Vestnik
Otorinolaringolog ii , No. I (Jan-Feb), 1980, pp. 76-77
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NATIONAL AERONAUTICS AND SPACE ADMINISTRATION
WASHINGTON D.C. 20546 	 AUGUST 1.980
STANDARD TITLE PAGE
1.	 Report No. 2. Government Accession Me. ?	 Recipient's Ceteleg No.
NA	 M-76354
4.	 Title and Sv ►oiolo S.	 Report Dote
REVIEW OF BOOK- VESTIBULAR CRISES AUGUST 1980
d.	 Performing Organisation Code
7.	 Avthor(s) 0. Performing OrsonisNion Report No.
N. S. Blagoveshchenskaya
to.	 wer►
 unit N..
t.	 Performing Oven-tehen Name and Address 11.	 Contreet or Groat No.
SCITRAN NAS4-3198
12.	 Type of Report ond Period CovaralBoa 5456
Santa Barbara,	 CA 93108
Translation
17.	 Sponsoring Agency Nome end Alriress
National Aeronautics and Space Administration 14. Sponsoring Agency Cade
Washington, D.C.	 20546
IS.	 Sv►plementer y Notes
Translation of review of "Vestibulyarni krizy", Vestnik Otorinolaring-
ologii,	 No.	 1	 (Jan-Feb),	 1980,	 pp.	 76-77
16.	 A ► srroci
This is a book review.
The monograph covers a question that is important in .a practical
sense,the etiolog, pathogenesis, clinical practice, 	 treatment and
rEhabilitation of patients with vestibular crises.
The literature on the studied question is presented fairly
completely, on the modern level. 	 The book has great practical importance.
The material in it is presented fairly clearly; individual, small shot,
coming do not reduce the va1Ne of the work, that is a good manual for
otorhinolaryngologist, 9toneurologist and neuropathologists.
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Unclassified	 Unclassified	 5
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REVIEW OF *' VESTIBULAR CRISES
Esy Doctor of Medical Sciences N. S. Blagoveshchenskaya
I. Ivanov, vestibular Crisesi Izd-vo Maditsina i fizkul'tura, Sofia, Bul- 	 /76*
garia, 1977, 178 p.
The monograph covers a question that is important in a practical sense, the
etiology, pathogenesis, clinical practice, treatment and rehabilitation of
patients with vestibular crises.
For 10 years the author examined and catamnetically traced 4,695 patients
with vestibular crises in Meniere's disease, streptomycin and production poison-
ings, kinetoses, neuroses, vascular cerebral diseases, cervical spondylosis,
traumatic cerebral disease, etc.
The work used madern methods of otoneurological examination, that included
recording of nystagmus by the method of electralystacpriography, determination of
vestibulo-autoncric reactions (pulse, arterial pressure, respiration, data of
ECG and REG). Threshold, suprathreshold and speech audiometry was conaucted,
the taste analyzer was quantitatively and qualitatively studied. Modern rota-
ting tests were employed in the form of cupulcmtxy, suprathreshold stimulation
*Numbers in margin indicate pagination in original foreign text
1
was also conducted according to the trapezoidal plan, and reaction of the oto-
lithic apparatus were studied.
Classifications are given for vestibular disorders, general characteristics
are presented and t1, : etiology of the vesti bular crises is stated, while their
symptabs are described. In the clinical section, analyses are made of vestibular
crises during Meniere's disease, and their differential-diagnostic signs are
presented. Features are described for vestibular crises during streptanycin
poisoning, and other poisonings, motion sickness, during vascular affections
(hypotonia, migraine, hypertonic disease). Vascular disorders during vertebro-
basilar insufficiency are treated in especial detail, as well as vascular dis-
orders in the middle cerebral artery, during craniocerebral trauma and tumors
of the brain, inflammatory diseases of the central nervous system, during mul-
tiple sclerosis and Parkinsonism.
In the section on cervical spondylosis descriptions are given of otoneuro-
logical tests that prcmote differentiation of constant and transient vascular
vertibrobasilar insufficiency. It is stressed, that during the far-gone stage
of hypertonic disease, vestibular crises can be precursors of decampensation of
the system of cerebral circulation. In conclusion the grounds are given for
treatment of vestibular crises and disorders; here the author starts from the
etiological principle and rehabilitation of vestibular disorders with the help
of therapeutic physical culture and a special rehabilitation co-aplex.
The data obtained by the author have practical importance. Information
on the frequency of vestibular crises depending on the influence of meteoro-
logical factors, the menstrual cycle, climax, and overstress of the central
nervous system is important. To reveal early forms of hypertonic disease, the
2
author suoests the followimi tests: 1) deter =cation of thresholds for flu+:-
tuation in arterial pressure alkl ixilse in healthy people aml patients; 2? deter-
nunation of the degrt^ of fluctuation in arterial pressure in healthy people and
patients; 3) establishn>tnt of periods of restoration of arterial pressure and
pulse alter stop.`p.`I.Ilg of vestibular stinulatlon.
I"Ile literature on tlu^ studied question is presented fairly cAmrt letely , oIl
the maiern level. The lxxik has great practical in>purtx'k-e. The nuterial in it
is presented fairly clearly; individual, dull short-trdi.3s do not roiuce file
value of the work, t tat is a -1cW mutual for otorhillol ii-\-Ia3oloLiists, otowuro-
logists and neuropxitholo.3ists.
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Review of book vestibular crises

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