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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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