differentiation of dizziness types impoves the effectiveness of treatment to 80%, miraine might be cured with toral relief of symptoms

1. Vertigo and dizziness : differential diagnostics and individual treatment procedures Trinus K. P.L.Shupyk National Medical Academy for Postgraduate Education, Ukraine, Kyiv

8. Subjective sensations during caloric test

9. Nystagmus frequency ( per 1 min .) p = 0,04 (F test)

24. Differential diagnostics Disturbance Severe disturbance Small disturbance Balance Might be present High frequency Low frequency Nystagmo graphy Might be normal Increased all latencies Increased latencies of Р1 and N 1 VestEP Typical Clear description Unclear Complaints Balance disorder Vertigo Dizziness

25. Effect of Tanakan at the symptomatics of vertigo-dizziness, horizontal axis - % of patients, vertical - symptoms

27. Effect of Cinnarizine at the dizziness -vertigo

30. NB! Strict differentiation of the complaints might be the first step for the correct diagnostics and treatment choice .

31. Complaints distribution

32. Patient: P. 25 years old, military officer Complaints: intensive headaches without clear localization 1-3 times per week with 1-2 days duration and accompanied with severe vertigo and dizziness , hyperhydrosis, loss of consciousness and vomiting episodes. Labor capacities and quality of life are seriously decreased.

38. Vertigo, dizziness and additional symptoms Medicine of choice betahistine

39. Differentiated approach to the treatment of vestibular migraine Cinnarizin Dimenhydrinate