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Специалист работает на стыке двух областей: оториноларингологии (ЛОР) и неврологии [2](https://medeste.ru/articles/otonevrolog/)[10](https://klinika-innomed.ru/services/tsentr_ambulatornogo_priema/otonevrolog/). \n\n**Симптомы, при которых стоит обратиться к отоневрологу**: приступы головокружения (ощущение вращения себя или окружающих предметов), нарушения координации, шаткость при ходьбе, шум или звон в ушах, внезапная потеря слуха [10](https://klinika-innomed.ru/services/tsentr_ambulatornogo_priema/otonevrolog/).\n\n## Заболевания\nНекоторые состояния, которые лечит отоневролог: \n* **Доброкачественное пароксизмальное позиционное головокружение (ДППГ)** — патология внутреннего уха, при которой головокружение возникает при изменении положения головы [5](https://www.ckbran.ru/clinic/doctor-consult/otonevrolog). \n* **Болезнь Меньера** — заболевание внутреннего уха, которое сопровождается приступами головокружения, шумом в ушах и постепенным снижением слуха [5](https://www.ckbran.ru/clinic/doctor-consult/otonevrolog). \n* **Вестибулярный нейронит** — поражение вестибулярного нерва с резким головокружением, выраженной неустойчивостью и нарушением равновесия [5](https://www.ckbran.ru/clinic/doctor-consult/otonevrolog). \n* **Вестибулярная мигрень** — головокружение, которое может возникать во время головной боли или без неё [5](https://www.ckbran.ru/clinic/doctor-consult/otonevrolog). \n* **Двусторонняя вестибулопатия** — хроническое неврологическое заболевание, при котором происходит прогрессирующее снижение функции вестибулярных нервов с обеих сторон, что приводит к устойчивым нарушениям равновесия и координации [5](https://www.ckbran.ru/clinic/doctor-consult/otonevrolog).\n\n## Диагностика\nДля постановки диагноза отоневролог может назначить: \n* **Вестибулярные тесты** — проверку способности сохранять равновесие (тест Ромберга, ходьба по прямой) [2](https://medeste.ru/articles/otonevrolog/). \n* **Аудиометрию** — исследование слуховой функции с помощью специального оборудования [2](https://medeste.ru/articles/otonevrolog/). \n* **Проверку нистагма** — анализ непроизвольных движений глаз, особенно во время головокружения [2](https://medeste.ru/articles/otonevrolog/). \n* **Электронистагмографию (ЭНГ)** — регистрацию глазодвигательных реакций на вращение или наклоны [2](https://medeste.ru/articles/otonevrolog/). \n* **МРТ или КТ** — назначаются при подозрении на опухоли (например, невриному слухового нерва), ишемические изменения мозга [2](https://medeste.ru/articles/otonevrolog/).\n\n## Лечение\nВыбор тактики зависит от установленного диагноза [2](https://medeste.ru/articles/otonevrolog/). Некоторые методы лечения: \n* **Медикаментозная терапия** — препараты, улучшающие кровообращение в мозге и внутреннем ухе, устраняющие головокружение и тошноту [2](https://medeste.ru/articles/otonevrolog/). При воспалении — противовирусные или противовоспалительные средства [2](https://medeste.ru/articles/otonevrolog/). \n* **Вестибулярная реабилитация** — комплекс упражнений, направленных на восстановление равновесия и уменьшение головокружения [2](https://medeste.ru/articles/otonevrolog/). Может включать упражнения на координацию, тренировки глаз и головы [2](https://medeste.ru/articles/otonevrolog/). \n* **Хирургическое вмешательство** — применяется в крайних случаях — при опухолях, врождённых аномалиях, выраженной болезни Меньера [2](https://medeste.ru/articles/otonevrolog/). Возможна установка шунтов, удаление новообразований, лабиринтэктомия [2](https://medeste.ru/articles/otonevrolog/).\n\n## Рекомендации по образу жизни\nОтоневролог может дать рекомендации безопасного поведения, например: \n* ограничить присутствие на массовых мероприятиях и в местах большого скопления людей [13](https://ezramedclinic.ru/uslugi/nevrologiya/konsultaciya-otonevrologa/); \n* в положении лёжа находить наиболее удобное положение, уменьшающее риск головокружений [13](https://ezramedclinic.ru/uslugi/nevrologiya/konsultaciya-otonevrologa/); \n* при вставании с постели по возможности подниматься боком, не делая резких движений [13](https://ezramedclinic.ru/uslugi/nevrologiya/konsultaciya-otonevrologa/); \n* отказаться от вождения транспортных средств 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взрослых","title":"Чекапы"},{"no_redirect_url":"https://hadassah.moscow/doctors/?utm_medium=cpc&utm_source=atdrv_yandex&utm_campaign=1_%D0%9E%D0%B1%D1%89%D0%B8%D0%B5.%20%D0%97%D0%B0%D0%BF%D0%B0%D0%B4%20%D0%9C%20%D0%B8%20%D0%9C%D0%9E.%20%D0%9F%D0%BE%D0%B8%D1%81%D0%BA_117180900&utm_term=%D0%BC%D0%B5%D0%B4%D0%B8%D1%86%D0%B8%D0%BD%D1%81%D0%BA%D0%B8%D0%B5%20%D1%83%D1%87%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D1%8F&utm_content=search_premium_1_s:yandex.ru_desktop_%D0%9C%D0%BE%D1%81%D0%BA%D0%B2%D0%B0&calltouch_tm=yd_c:117180900_gb:5529394660_ad:16760886678_ph:54052444663_st:search_pt:premium_p:1_s:yandex.ru_dt:desktop_reg:213_ret:54052444663_apt:none&yclid=15871938166098755583","direct_url":"https://hadassah.moscow/doctors/?utm_medium=cpc&utm_source=atdrv_yandex&utm_campaign=1_%D0%9E%D0%B1%D1%89%D0%B8%D0%B5.%20%D0%97%D0%B0%D0%BF%D0%B0%D0%B4%20%D0%9C%20%D0%B8%20%D0%9C%D0%9E.%20%D0%9F%D0%BE%D0%B8%D1%81%D0%BA_117180900&utm_term=%D0%BC%D0%B5%D0%B4%D0%B8%D1%86%D0%B8%D0%BD%D1%81%D0%BA%D0%B8%D0%B5%20%D1%83%D1%87%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D1%8F&utm_content=search_premium_1_s:yandex.ru_desktop_%D0%9C%D0%BE%D1%81%D0%BA%D0%B2%D0%B0&calltouch_tm=yd_c:117180900_gb:5529394660_ad:16760886678_ph:54052444663_st:search_pt:premium_p:1_s:yandex.ru_dt:desktop_reg:213_ret:54052444663_apt:none&ybaip=1&yclid=15871938166098755583","url":"https://yabs.yandex.ru/count/Wl8ejI_zOoVX2LaF12KN07EaYIMSm0cO4wZY3HFGc-4zFqC4l1SGqA7Fvt9dp_OxTzvmv-jtlDvmXtj7epYEFw5E7Cepu-WdbqQZUUwCIgCsJvNwuun6yUazVKAXF40oVfu_F4a_ze-A78ID0aGUzG7XH042UaDxK4Hp43OA43dkd3fpMshRFobKf9Y2SA80SMAQ-vp0dTBf2AWF2ESqnHI44mM87_kd1b9LYPg4PAGKP5GbOSCeACc8QCGCQb8IjKgTmIJS0LCsJq3GfJf4G-bD994eGOa633gE9X3v-FZu-9ISY3oIypMn9En60Ir4AEPqbRvoRj8dzBwVzosTsbAdVK-V-LHgrz9eRj-vCmfrtlapAhLNu61z5HxtoEu54F3hnki1fwQyEGb1yvfoim-YI38pyS3vVCC4k07iDt3z5HiL85Au8CDvJ3pDrW6jzakFYQkAb4gxOEvnyYZO1SJ84xA5hOKTT9YJmbP98bWC6GEKZz4zZBa3F0AC48-OI8BfzgZz-HdnBfARUfxR_4uToVjX9ZSnomSNCAdZVpbGAVAz7AWK-Tm13ll-xdSeSVArrBsodwNkbJ7DJ9q7iypKUJJvvkswhkkqkOAJjZ4JtKZJumx63diKGkxO0eK6R-3YmwFt3LnyUFHs-UZBVWaKOPOd-oLLPc4_Lk7126XvSGdxRux6jy0plwLrNPTiV0iyyrglbyOrX8lF-XammxfSgLGgXJ9m3MqEM0p_Wl9VODl1il2ENmH4_Cq0E_P5-gzPjtUIn68tY4XrCYvK0Y0fC2XGCrECBCP54Nma5DA8SeMKLD6YQohBu-CVmz3DD3nGpBJUPqZk4Xm-l1oZTc1O4wO8xmTHWS9WEVB213ZCC0oqlkBiTv1nYKSkQYCPpfQl0BkXzCY3WkpusiAoUgR1f6VKQXPX3iEI_9vyGbxKMSUE-WiNOZkcqZcdW_BNMdy4IZd2oeSET2Lxp-2QPo1ADUDWu_mHqLAva4hLcvMm6MO5~2?etext=2202.lhaisYo75cZXeeG471RoPNmUd2C1-XOnhF996MkdL8lRKEy_1T1tPYEj2iSDloxAw8TYHSgGyJEpvNxbB3cVVWHo1d44HIcVo2arugz0wgpnamVwd3Btc2lpY3dxZWhw.d312bf91f7f51ec000bcb9a53db5cb573d8c8cb5&from=yandex.ru%3Bmedicine%26%23x2F%3Botonevrolog_nizhny-novgorod%3Bweb%3B%3B0%3B&q=%D0%BE%D1%82%D0%BE%D0%BD%D0%B5%D0%B2%D1%80%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8+%D0%B2+%D0%BD%D0%B8%D0%B6%D0%BD%D0%B5%D0%BC+%D0%BD%D0%BE%D0%B2%D0%B3%D0%BE%D1%80%D0%BE%D0%B4%D0%B5","text":"В 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центр Сколково, 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