General Physical Examination for Vertigo Patients

Abstract

The occurrence of Meniere's disease as is circulatory insufficiency of a vertebrobasilar artery, is associated with mechanical or organic impairments of such vestibular systems as inner ear, vestibular cerebelli, and vestibular nuclei of the brain stem. However, its pathogenesis is also, related to such general impairments as circulatory and autonomic nervous disturbances. Therefore, in making the diagnosis of vertiginous diseases, not only local examination but also general examination are necessary.
Among the items the general examination we perfo r med, serum lipids, agglutination of platelets, Schellong's tests, a blood flow of a vertebral artery by Doppler's method, and a frequency depression curve in electromyography of a leg were found to be closely related to vertiginous diseases.
Although the general examinations might useful in, detecting predispositions or occurrence factors of vertigo, they are not sufficient. The general examinations are mostly performed for pathogenic diagnosis of vertigo, and they are often utilized for evaluating severity of vertigo, the process observation, the selection of a therapeutic method, and for determining the prognosis.