Journal of Neurology

, Volume 247, Issue 7, pp 491–499 | Cite as

Management of vestibular disorders

  • Thomas Brandt


Vertigo and dizziness are not disease entities but rather the outcome of many pathological or physiological processes. The prevailing good prognosis of vestibular disorders that manifest with vertigo must be emphasized. Most forms ¶of vertigo have a benign cause and are characterized by spontaneous recovery of vestibular function or central compensation of a peripheral or central vestibular tone imbalance. Vertigo can be effectively relieved by pharmacological treatment (e.g., antiepileptic drugs for vestibular paroxysms), physical therapy (e.g., deliberate maneuvers for benign paroxysmal positioning vertigo), surgery (e.g., decompression of the eighth nerve), or psychotherapy ¶(e.g., behavioral therapy for agoraphobia). There is, however, no common treatment, and vestibular suppressants provide only symptomatic relief of vertigo and nausea. A specific therapeutic approach thus requires recognition of the numerous particular pathomechanisms involved. Such therapy can include causative, symptomatic, or preventive approaches.

Key words Vertigo Dizziness Vestibular disorders Management 


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Copyright information

© Steinkopff Verlag 2000

Authors and Affiliations

  • Thomas Brandt
    • 1
  1. 1.Department of Neurology, Klinikum Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, 81377 Munich, Germany e-mail:, Tel.: +49-89-70952570, Fax: +49-89-70958883DE

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