Dizziness in Parkinson’s disease

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OBJECTIVE

To study clinical features of vestibular disorders in patients with Parkinson’s disease (PD) and to develop methods of their treatment.

MATERIAL AND METHODS

The study included 90 patients with PD who were divided into two groups: the main group (60 patients with PD and vestibular symptoms (VS)) and the control group (30 patients with PD without VS). All patients underwent clinical neurological examination, assessment of cognitive functions, affective and autonomic disorders as well as neurovestibular examination.

RESULTS

In some cases, dizziness was due to concomitant diseases of the vestibular system. Among the rest of the patients of the main group, signs of disorders of the central mechanisms of gaze control, otolith dysfunction, anxiety disorder and visuospatial dysfunction were recorded significantly more often than in the control group. The addition of vestibular rehabilitation to the complex treatment of patients of the main group helped to reduce postural instability and decreased the risk of falls.

CONCLUSION

Vestibular disorders are significantly more common in patients with PD who complain of dizziness. An early detection of these disorders is feasible with the help of neurovestibular research. It is reasonable to add individually selected vestibular exercises to the complex treatment of these disorders.

Keywords:

Parkinson’s disease

vestibular disorders

dizziness

balance disorders

vestibular rehabilitation

Authors:

Kashezheva A.A.

Russian Medical Academy of Continuous Professional Education

Scopus AuthorID: 57403597600
ORCID: 0000-0002-8001-3869

Zamergrad M.V.

Russian Medical Academy of Continuous Professional Education

SPIN RSCI: 4521-6350
Scopus AuthorID: 35773896900
ORCID: 0000-0002-0193-2243

Levin O.S.

Russian Medical Academy of Continuous Professional Education

SPIN RSCI: 5342-1373
Scopus AuthorID: 57147160800
ORCID: 0000-0003-3872-5923

Received:

18.07.2021

Accepted:

19.08.2021

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