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Amelin A.V.

Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia

Guseva A.L.

Pirogov Russian National Research Medical University, Moscow, Russia

Domashenko M.A.

Medical Research and Education Center of Lomonosov Moscow State University, Moscow, Russia

Zamergrad M.V.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Medical Academy of Continuing Professional Education, Moscow, Russia;
I.V. Davydovsky City Clinical Hospital, Moscow, Russia

Ivanova G.E.

Pirogov Russian National Research Medical University, Moscow, Russia

Kotovskaja Ju.V.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Kulesh A.A.

Academician E.A. Wagner Perm State Medical University, Perm, Russia;
City Clinical Hospital No. 4, Perm, Russia

Parfenov V.A.

Sechenov First Moscow State Medical University, Moscow, Russia

Runihina N.K.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Suponeva N.A.

Russian Center of Neurology and Neurosciences, Moscow, Russia

Tkacheva O.N.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Acute vestibular syndrome: from diagnosis to rehabilitation

Authors:

Amelin A.V., Guseva A.L., Domashenko M.A., Zamergrad M.V., Ivanova G.E., Kotovskaja Ju.V., Kulesh A.A., Parfenov V.A., Runihina N.K., Suponeva N.A., Tkacheva O.N.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(3‑2): 21‑27

DOI: 10.17116/jnevro202612603221

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Table of contents

ACUTE VESTIBULAR SYNDROME: FROM DIAGNOSIS TO REHABILITATION
ACUTE VESTIBULAR SYNDROME: FROM DIAGNOSIS TO REHABILITATION

To cite this article:

Amelin AV, Guseva AL, Domashenko MA, et al. Acute vestibular syndrome: from diagnosis to rehabilitation. S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(3‑2):21‑27. (In Russ.)
https://doi.org/10.17116/jnevro202612603221

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
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Recommended articles:
Bala­nce diso­rders in hearing impaired children: prevalence, current possibilities of diagnostics and reha­bilitation (scoping review). Russian Bulletin of Otorhinolaryngology. 2025;(5):77-85
Abstract:

The management of patients with acute vestibular vertigo remains a challenging and pressing issue in modern medicine due to the variety of etiological factors, the subjective nature of patient complaints, and the limited application of existing neurovestibular diagnostic algorithms in real-world clinical practice. Despite numerous publications on the management of patients with acute vestibular vertigo, certain issues regarding examination and treatment pathways remain unresolved. Approximately a quarter of conditions presenting with acute vestibular syndrome (AVS) are caused by stroke or other life-threatening diseases, so urgent diagnostics are always necessary. Due to the insufficient information from neuroimaging methods in patients with isolated vestibular vertigo, clinical diagnosis becomes paramount, requiring specialized training from physicians. Patients with peripheral causes of AVS and vestibular migraine often do not receive fully effective treatment or recommendations for further rehabilitation in a neurological hospital setting. This makes an initially benign cause a trigger for chronic dizziness complaints, subsequently leading to various functional disorders that slow recovery, reduce productivity, and significantly impair patients’ quality of life. On November 22, 2025, an expert council was held to discuss important issues related to the diagnosis, management, and rehabilitation of patients with acute vestibular vertigo. Based on the results, a patient management strategy was proposed.

Keywords:

vestibular vertigo
acute vestibular syndrome
nystagmus
differential diagnosis of central and peripheral vertigo
vestibular rehabilitation
clinical and diagnostic algorithms
pharmacotherapy of vestibular vertigo

Authors:

Amelin A.V.

Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia

Guseva A.L.

Pirogov Russian National Research Medical University, Moscow, Russia

Domashenko M.A.

Medical Research and Education Center of Lomonosov Moscow State University, Moscow, Russia

Zamergrad M.V.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Medical Academy of Continuing Professional Education, Moscow, Russia;
I.V. Davydovsky City Clinical Hospital, Moscow, Russia

Ivanova G.E.

Pirogov Russian National Research Medical University, Moscow, Russia

Kotovskaja Ju.V.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Kulesh A.A.

Academician E.A. Wagner Perm State Medical University, Perm, Russia;
City Clinical Hospital No. 4, Perm, Russia

Parfenov V.A.

Sechenov First Moscow State Medical University, Moscow, Russia

Runihina N.K.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Suponeva N.A.

Russian Center of Neurology and Neurosciences, Moscow, Russia

Tkacheva O.N.

Russian Gerontology Research and Clinical Center — Pirogov Russian National Research Medical University, Moscow, Russia

Received:

03.03.2026

Accepted:

06.03.2026

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