The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kashezheva A.A.

Russian Medical Academy of Continuous Professional Education

Zamergrad M.V.

Russian Medical Academy of Continuous Professional Education

Levin O.S.

Russian Medical Academy of Continuous Professional Education

Dizziness in Parkinson’s disease

Authors:

Kashezheva A.A., Zamergrad M.V., Levin O.S.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10‑2): 64‑68

DOI: 10.17116/jnevro202112110264

Read: 6605 times

Download PDF (RU)
Contact the author
Table of contents

DIZZINESS IN PARKINSON’S DISEASE
DIZZINESS IN PARKINSON’S DISEASE

To cite this article:

Kashezheva AA, Zamergrad MV, Levin OS. Dizziness in Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10‑2):64‑68. (In Russ.)
https://doi.org/10.17116/jnevro202112110264

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Sleep diso­rders in patients with Lewy body deme­ntia and Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):81-87
Art and creativity in Parkinson’s disease: the mysterious effe­cts of dopa­mine. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4):13-20
Correlation of motor symptoms and cardiovascular dysfunction in Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4):59-67
Diagnosis of pathological and adaptive bala­nce changes in Parkinson’s disease to select a reha­bilitation program. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4):88-94
Remote technologies in the mana­gement of patients with vestibular pathology. Russian Bulletin of Otorhinolaryngology. 2025;(3):53-59
Intralabyrinthine schwannoma masking as Meniere’s disease. Russian Bulletin of Otorhinolaryngology. 2025;(3):67-72
Pote­ntial and prospects of the astragaloside IV use for age-associated diseases prevention. Russian Journal of Preventive Medi­cine. 2025;(7):94-99
Effect of uric acid on the progression of Parkinson’s disease: Myth or reality?. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(7):7-14
Dyna­mics of permeability of the blood-brain barrier after FUS thalamotomy acco­rding to contrast-enhanced MRI. Burdenko's Journal of Neurosurgery. 2025;(4):51-60
Change of speech diso­rders during bila­teral deep stimulation of the subthalamic nucleus of the brain in patients with Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8):59-65
Abstract:

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

Zamergrad M.V.

Russian Medical Academy of Continuous Professional Education

Levin O.S.

Russian Medical Academy of Continuous Professional Education

Received:

18.07.2021

Accepted:

19.08.2021

Close metadata

References:

  1. Bloem B, Steijns J, Smits-Engelsman B. An update on falls. Current Opinion in Neurology. 2003;16(1):15-26. 
  2. Wood B, Bilclough J, Bowron A, Walker R. Incidence and prediction of falls in Parkinson’s disease: a prospective multidisciplinary study. J Neurol Neurosur Ps. 2002;72(6):721-725.  https://doi.org/10.1136/jnnp.72.6.721
  3. Bloem BR, Bhatia KP. Gait and balance in basal ganglia disorders. In: Bronstein A, Brandt T, Woollacott MH, Nutt JG, eds. Clinical Disorders of Balance, Posture and Gait. Arnold: London; 2004.
  4. Grimbergen Y, Munneke M, Bloem B. Falls in Parkinson’s disease. Curr Opin Neurol. 2004;17(4):405-415.  https://doi.org/10.1097/01.wco.0000137530.68867.93
  5. Cronin T, Arshad Q, Seemungal B. Vestibular Deficits in Neurodegenerative Disorders: Balance, Dizziness, and Spatial Disorientation. Frontiers in Neurology. 2017;8:34-39.  https://doi.org/10.3389/fneur.2017.00538
  6. Reichert WH, Doolittle J, Mcdowell FH. Vestibular dysfunction in Parkinson disease. Neurol. 1982;32(10):1133-1140. https://doi.org/10.1212/WNL.32.10.1133
  7. Lv W, Guan Q, Hu X. et al. Vestibulo-ocular reflex abnormality in Parkinson’s disease detected by video head impulse test. Neuroscience Letters. 2017;657:211-214.  https://doi.org/10.1016/j.neulet.2017.08.021
  8. Cipparrone L, Ginanneschi A, Degl’Innocenti F, et al. Electro‐oculographic routine examination in Parkinson’s disease. Acta Neurologica Scandinavica. 1988;77(1):6-11.  https://doi.org/10.1111/j.1600-0404.1988.tb06966.x
  9. Venhovens J, Meulstee J, Bloem BR, Verhagen WIM. Neurovestibular analysis and falls in Parkinson’s disease and atypical parkinsonism. Eur J Neurosci. 2016;43(12):1636-1642. https://doi.org/10.1111/ejn.13253
  10. Vitale C, Marcelli V, Furia T, et al. Vestibular impairment and adaptive postural imbalance in parkinsonian patients with lateral trunk flexion. Movement Disorders. 2011;26(8):1458-1463. https://doi.org/10.1002/mds.23657
  11. Barnett-Cowan M, Dyde RT, Fox S, et al. Multisensory determinants of orientation perception in Parkinson’s disease. Neuroscience. 2010;167(4):1138-1150. https://doi.org/10.1016/j.neuroscience.2010.02.065
  12. Cohen HS, Sangi-Haghpeykar H. Subjective visual vertical in vestibular disorders measured with the bucket test. Acta Otolaryngol. 2012;132(8):850-854.  https://doi.org/10.3109/00016489.2012.668710
  13. Gandor F, Basta D, Gruber D. et al. Subjective Visual Vertical in PD Patients with Lateral Trunk Flexion. Parkinson’s Disease. 2016;2016:1-4.  https://doi.org/10.1155/2016/7489105
  14. Scocco D, Wagner J, Racosta J, et al. Subjective visual vertical in Pisa syndrome. Parkinsonism & Related Disorders. 2014;20(8):878-883.  https://doi.org/10.1016/j.parkreldis.2014.04.030
  15. Postuma R, Berg D, Stern M. MDS clinical diagnostic criteria for Parkinson’s disease. Mov Disord. 2015;30(12):1591-1601. https://doi.org/10.1002/mds.26424
  16. Hoehn M, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;50(2):427-442.  https://doi.org/10.1212/wnl.50.2.318
  17. Goetz C, Tilley B, Shaftman S. et al. Movement Disorder Society‐sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS‐UPDRS): scale presentation and clinimetric testing results. Mov Dis. 2008;23(15):2129-2170. https://doi.org/10.1002/mds.22340
  18. Levin OS. Klinikonejropsihologicheskie i nejrovizualizacionnye aspekty differencial’noj diagnostiki parkinsonizma: Dis. ... d-ra med. nauk. M. 2003. (In Russ.).
  19. Freeman R, Wieling W, Axelrod F, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clinical Autonomic Research. 2011;21(2):69-72.  https://doi.org/10.1007/s10286-011-0119-5
  20. Nasreddine Z. Sensitivity and specificity of the Montreal Cognitive Assessment (MoCA) for detection of mild cognitive deficits. Can J Neurol Sci. 2003;30(2):30-38.  https://doi.org/10.1111/j.1532-5415.2005.53221.x
  21. Levin OS. Diagnosis and treatment of dementia in clinical practice. M.: MEDpress-inform; 2010. (In Russ.).
  22. Osterrieth PA. La test de copie d’une figure complexe. Archives de Psychologie. 1944;30:206-356. 
  23. Benton A, Varney N, Hamsher KS. Visuospatial judgment: A clinical test. Archives of Neurology. 1978;35(6):364-367.  https://doi.org/10.1001/archneur.1978.00500300038006
  24. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-370.  https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  25. Schwab RS. Projection technique for evaluating surgery in Parkinson’s disease. Third symposium on Parkinson’s disease. E & S Livingstone. 1969;152-157. 
  26. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Canadian Journal of Public Health = Revue Canadienne de Sante Publique. 1992;83:7-11. 
  27. Podsiadlo D, Richardson S. The timed «Up & Go»: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;142-148.  https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  28. Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngolgy — Head & Neck Surgery. 1990;116(4):424-427.  https://doi.org/10.1001/archotol.1990.01870040046011
  29. Welgampola MS, Bradshaw AP, Lechner C, Halmagyi GM. Bedside assessment of acute dizziness and vertigo. Neurologic Clinics. 2015;33(3):551-564.  https://doi.org/10.1016/j.ncl.2015.04.001
  30. Honaker A, Boismier T, Shepard P, Shepard T. Fukuda stepping test: sensitivity and specificity. J Am Acad Audiology. 2009;20(5):311-314.  https://doi.org/10.3766/jaaa.20.5.4
  31. Chetana N, Jayesh R. Subjective visual vertical in various vestibular disorders by using a simple bucket test. Indian J Otolaryngol Head & Neck Surg. 2015;67(2):180-184.  https://doi.org/10.1007/s12070-014-0760-0
  32. Ferreira M, Cunha F, Ganança F. et al. Subjective visual vertical with the bucket method in Brazilian healthy individuals. Brazilian Journal of Otorhinolaryngology. 2016;82(4):442-446.  https://doi.org/10.1016/j.bjorl.2015.08.027
  33. Zwergal A, Rettinger N, Frenzel C, et al. A bucket of static vestibular function. Neurology. 2009;72(19):1689-1692. https://doi.org/10.1212/WNL.0b013e3181a55ecf
  34. Gans RE. Vestibular Rehabilitation: Protocols and Programs. 1997.
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.