Journal of Neurology

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

Recent advances in the diagnosis and treatment of balance disorders

Medical Progress in the Journal of Neurology

Abstract

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.

Keywords

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

Abbreviations

4-AP

4-Aminopyridine

AVS

Acute vestibular syndrome

EA-2

Episodic ataxia type 2

MRI

Magnetic resonance imaging

PD

Parkinson’s disease

PSP

Progressive supranuclear palsy

SSV

Secondary somatoform vertigo

VM

Vestibular migraine

Notes

Acknowledgment

The authors thank Judy Benson for copy editing the manuscript.

Conflict of interest

None.

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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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