The only vertigo office in Latvia, where you can receive a consultation from highly qualified specialists (neurootorhynolaryngologist and neurologist). The diagnosis is determined by using modern equipment: audiometer, tympanometer, as well as the only head impulse test examination device in Latvia.
If you have recurring episodes of vertigo, immediately consult your physician. It is important to determine the cause of vertigo in order to apply an appropriate therapy or control method that will improve the quality of life, health and well-being.
Vertigo (vertigo and pseudovertigo) is one of the most common complaints that people have, when they visit their general practitioner. Epidemiology data bear evidence that vertigo is reported by 20-25% of residents. This symptom is especially common among elderly people. However, only 15% of patients with complaints of vertigo are referred by general practitioners to specialists – neurologists or otorhinolaryngologists (ENT).
It is important for the physician to be able to differentiate between vestibular (vertigo) and non-vestibular (pseudovertigo) by determining the impairment of anatomical structures that causes it, the cause thereof, because therapy and results depend on this. It must be remembered that vertigo is one of the least homogeneous symptoms that requires precise examination.
Most common causes of vertigo
Causes of peripheral vestibular syndrome at the level of labyrinth (parts of inner ear): benign paroxysmal positional vertigo, Meniere’s disease, vestibular neuritis, neurolabyrinthitis (after viral infection), labyrinthitis (secondary, in the event of mastoiditis or otitis media), kinetoses, vertigo after ear surgeries, vascular (blood supply) disorders in the labyrinth – ischaemia in the labyrinth artery basin, haemorrhage, perilymphatic fistula, traumatic injuries of auditory ossicles and other traumatic injuries, developmental abnormalities and congenital diseases, ototoxic/vestibulotoxic medications, tumours.
Causes of peripheral vestibular syndrome at the level of vestibular nerve: infections, reaction to inflammation in adjacent tissue, tumours, cysts, nerve compression caused by an artery or a vein. The symptoms that resemble the symptoms of trigeminal neuralgia – short-term (lasting for a few seconds to several minutes) seizures of systematised vertigo.
Most frequent causes of central vestibular vertigo: acute ischaemic disorders of cerebral circulation, brainstem encephalitis, brainstem tumours, brainstem trauma and consequences thereof, degenerative diseases of the CNS, pathologies of craniospinal junction, for instance, Arnold-Chiari malformation.
Most common causes of non-vestibular vertigo
- Visual vertigo: rapid paralysis of eyeball muscles, pronounced signs of refraction, defects of optical fields cataract, macular degeneration.
- Presyncope vertigo: orthostatic hypotension and hypotension of other origin, cardiogenic diseases (heart arrhythmias, cardiac failure, pronounced aortic stenosis), hypotensive and psychoactive medications, hypovolemia, changes in blood composition (anaemia, hypoglycaemia, hypocapnia), vasovagal syncope.
- Psychogenic vertigo: hyperventilation due to anxiety, affective cognitive disorders.
- Balance co-ordination disorders: polyneuropathies, ataxias.
- Cortical vertigo: epileptic activity in temporal cortex.
Regular tests of cardiac pacemaker is essential for the safety and improvement of the quality of life of the patient with a pacemaker.
Testing of pacemakers is performed with four different devices, since every manufacturer of pacemakers has developed their own diagnostic device, which cannot be used to test pacemakers made by other manufacturers. These tests may be performed at our clinic on an outpatient basis, since this is a minor procedure that lasts for approximately 30 minutes.
Non-pharmacological and pharmacological therapy of memory disorders is the main cause of patients seeking care. Patients and their families need therapy methods that optimise the remaining cognitive resources of the patients.
Behavioural and psychological symptoms, which occur in many customers, are one of the most crippling symptoms of Alzheimer’s disease. More than 90 percent of Alzheimer’s disease patients have various behavioural deviations. Apathy, depression, agitation, psychosis, irritability and sleep disorders are especially common.
Consequences of poor sleep. The positive health effects of good quality sleep. Sleep diary. When to see a specialist.
Sleep is one of the elements that is essential for everyone’s quality of life. Good sleep can significantly improve quality of life and health, while a lack of sleep can have a negative impact both on one’s personal and professional life.
Headache office of GK Neiroklīnika is one of the infrequent specialised headache offices in Latvia. Comprehensive headache care performed by experienced neurologists and physiotherapists is offered here. A multiple-profile therapy plan is drawn up for the patient, which contains individually adjusted changes in lifestyle, occupations and medicinal therapy.
First seizure – unconsciousness, epileptic seizure, etc. – can cause severe panic to the patient themselves, as well as their relatives, therefore GK Neiroklīnika has organised the possibility of receiving a consultation after the first seizure. The objective of this consultation is to find out the conditions, feelings, expectations of events, etc., with the purpose of performing further examinations and determining the cause of the seizure, as well as finding appropriate solutions for the future. The consultation lasts for approximately 30 minutes. No special preparation for the consultation is required.