• Home
  • NEW DAY MEDICINE
  • 4 (78) 2025
  • 110 -4 (78) 2025 - Madmarov D.A., Usmanova D.D. - ALGORITHM FOR DIFFERENTIAL DIAGNOSIS OF CENTRAL AND PERIPHERAL VESTIBULOPATHIES BASED ON CLINICAL AND NEUROLOGICAL CHARACTERISTICS

110 -4 (78) 2025 - Madmarov D.A., Usmanova D.D. - ALGORITHM FOR DIFFERENTIAL DIAGNOSIS OF CENTRAL AND PERIPHERAL VESTIBULOPATHIES BASED ON CLINICAL AND NEUROLOGICAL CHARACTERISTICS

ALGORITHM FOR DIFFERENTIAL DIAGNOSIS OF CENTRAL AND PERIPHERAL VESTIBULOPATHIES BASED ON CLINICAL AND NEUROLOGICAL CHARACTERISTICS

Madmarov D.A. - Tashkent Pediatric Medical Institute

Usmanova D.D. - Central Asian Medical University Uzbekistan, Fergana

Resume

Based on the results of clinical-anamnestic, neurological and instrumental investigations of 103 patients, a step-by-step algorithm for differential diagnosis of central and peripheral vestibulopathies was developed, characterized by a high diagnostic sensitivity of 99.1% (95% CI: 78.2-100%), specificity of 94.3% (95% CI: 83.5-98.8%), prognostic value of positive result - 84.7% (95% CI: 58.6-96.4%), prognostic value of negative result - 99.3% (95% CI: 92.5-100%), applicable in outpatient and inpatient settings, which will undoubtedly contribute to a greater proportion of early detection of the genesis of vestibulopathies and prevention of their chronicization.

Keywords: central and peripheral vestibulopathies, differential diagnosis, algorithm.

First page

634

Last page

641

For citation:Madmarov D.A., Usmanova D.D. - ALGORITHM FOR DIFFERENTIAL DIAGNOSIS OF CENTRAL AND PERIPHERAL VESTIBULOPATHIES BASED ON CLINICAL AND NEUROLOGICAL CHARACTERISTICS//New Day in Medicine 4(78)2025 634-641 https://newdayworldmedicine.com/en/new_day_medicine/4-78-2025

List of References

  1. Замерград М.В., Кунельская Н.Л., Гусева А.Л., и др. Современные представления о роли бетагистина в лечении заболеваний вестибулярной системы. // Вестник оториноларингологии. 2021;86(2):73‑81.
  2. Классификация возрастов, принятая Всемирной организацией здравоохранения (ВОЗ) // http://www.who.int/topics/classification/ru/; https://agesecrets.ru/vozrast/vozrastnaya-klassifikatsiya-vsemirnoj-organizatsii-zdravoohraneniya#
  3. Burrows L, Lesser T, Male A. Developments in Dizziness and Balance Disorders. // J Laryngol Otol. 2024;138(S2):1-12.
  4. ICD-11 for Mortality and Morbidity Statistics. Accessed February 28, 2024. https://icd.who.int/browse11/l-m/ru.
  5. Mahmud M, Kaski D. Vestibular neurology for the generalist. // J Neurol Neurosurg Psychiatry. 2024;95(12):1196-1206.
  6. Puissant MM, Giampalmo S, Wira CR 3rd, Goldstein JN, Newman-Toker DE. Approach to Acute Dizziness/Vertigo in the Emergency Department: Selected Controversies Regarding Specialty Consultation. // Stroke. 2024;55(10):2584-2588

    file

    download