Journal of Neurology

, Volume 258, Issue 12, pp 2305–2308 | Cite as

Recent advances in the diagnosis and treatment of balance disorders

  • Klaus JahnEmail author
  • Marianne Dieterich
Medical Progress in the Journal of Neurology


Here we summarize the recent progress made in the diagnosis and treatment of balance and gait disorders. Focusing on work published in the Journal of Neurology in 2010 and 2011, we have found evidence for the following clinically relevant statements: (1) the exclusion of stroke in acute vestibular syndromes is based on the bedside clinical findings; (2) the risk of developing secondary somatoform vertigo is predictable; it is especially high in patients with vestibular migraine; (3) postural imbalance and falls in Parkinson syndromes are related to dysfunction of the cholinergic midbrain thalamic axis; (4) aminopyridines improve a variety of cerebellar parameters including central nystagmus and gait variability.


Acute vestibular syndrome Aminopyridines Falls Gait disorder Parkinson’s disease Pedunculopontine nucleus Somatoform vertigo 





Acute vestibular syndrome


Episodic ataxia type 2


Magnetic resonance imaging


Parkinson’s disease


Progressive supranuclear palsy


Secondary somatoform vertigo


Vestibular migraine



The authors thank Judy Benson for copy editing the manuscript.

Conflict of interest



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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Neurology and Integrated Center for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders (IFBLMU)Ludwig-Maximilians University of MunichMunichGermany

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