Otoneurology

Otoneurology is a branch of otorhinolaryngology that studies and treats diseases associated with impaired hearing and vestibular function. At the K+31 clinic our doctors are involved in the diagnosis, treatment and prevention of various disorders, such as dizziness, balance problems, tinnitus (tinnitus) and other symptoms that may be caused problems both in the ear itself and in the nerve pathways associated with it.
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Otoneurologist: where does he see and what does he do?

When we have problems with our ears, nose or throat, we go to an otolaryngologist. This area of medicine is known as ENT and has doctors with subspecialties. One of these specialists is an otoneurologist. It works with coordination problems.

Imagine that you suddenly feel dizzy or feel off balance. Many in this situation turn to a neurologist, who can diagnose, for example, problems with blood circulation in the neck and head. However, there can be more than 80 causes of dizziness, and not all of them are related to neurology. This is where an otoneurologist comes to the rescue.

An audiologist and otoneurologist knows everything about how our vestibular analyzer system works. This is a complex mechanism that provides our sense of balance and orientation in space. If you have been diagnosed with benign positional vertigo, Meniere's disease or vestibular neuronitis, an otoneurologist can help you cope with these diseases.

Otoneurologist: where does he see and what does he do?

When is it time to go to an otoneurologist?

If you are experiencing problems such as dizziness, balance problems or difficulties with coordination of movements, then it is time to consult an otoneurologist. This doctor specializes in disorders related to our internal balance system. Here are the main signals that you need a consultation with an otoneurologist in Moscow:

  • You experience sudden or regular attacks of dizziness, which may be accompanied by hearing loss or headaches
  • Dizziness does not stop and becomes your constant companion
  • You have trouble maintaining your balance or coordinating your movements, making walking and doing normal activities more difficult

If you notice one or more of these symptoms, do not delay visiting a specialist. An otoneurologist will help identify the cause of the ailment and prescribe effective treatment.

What can you expect at your appointment with an otoneurologist?

If you have problems with hearing or balance, you will need to visit an otoneurologist. It all starts with a conversation during which you talk about your complaints and chronic diseases. The doctor will check your ear with an instrument called an otoscope and perform tests with tuning forks to see if you have a hearing problem. Depending on the results, additional tests such as audiological testing or MRI may be needed.

The otoneurologist pays special attention to symptoms associated with imbalance: dizziness, problems with coordination. In this case, you will receive special tests, such as the Romberg test or tests to diagnose positional vertigo. These tests help your doctor determine exactly how your balance and vestibular function are affected.

Some examinations can take quite a long time - from half an hour to an hour and a half, so be prepared for the fact that they may be scheduled for another day.

General information

Examination for otoneurological problems

When patients consult an otoneurologist with certain problems associated with dizziness or hearing impairment, he conducts a thorough examination. Such problems include Meniere's disease, various types of vestibular disorders, which can be accompanied by falls, problems with balance, and noise in the ears and head.

Attention is also paid to symptoms that may indicate a stroke, head injury, brain or ENT diseases.

Doctors use a number of methods to understand exactly what the problem is. They study how the patient's eyes react to movement (nystagmus), check hearing using audiometry, and perform an MRI if Meniere's disease is suspected. In cases of circulatory problems in the brain, CT perfusion is used to detect abnormalities in blood flow.

The information obtained during an examination by an otoneurologist helps to accurately diagnose the disease and choose the appropriate treatment method for each individual patient.

How is treatment done by an otoneurologist?

After the otoneurologist accurately determines your disease, he will select treatment. It may turn out that special exercises that you can do at home while lying in bed are suitable for you - your doctor will teach you how to do them correctly.

In some cases, changing your diet helps: the doctor will tell you which foods should be excluded in order to avoid new attacks of the disease. If the illness is serious, medications may be needed. And if conventional treatment does not help, the doctor may suggest surgery.

How to deal with dizziness

If you're suffering from dizziness, you're not alone: it's the second most common complaint, after headaches, that people go to the doctor with. Most often, dizziness is caused by problems with the vestibular system - our internal balance. In most cases (more than 60%), the cause lies in the inner ear, and such dizziness is not dangerous.

Our center specializes in identifying and treating diseases that affect both the inner ear and the central parts of our auditory and vestibular systems. Doctors have modern equipment at their disposal:

  • Videonystagmography and videooculography systems that allow observation of eye movements
  • Equipment for vestibular testing
  • Balance test chair
  • Platform for testing hearing and balance
  • Device for diagnostics using MRI and CT images
  • Ultrasound of head and neck vessels
  • Study of electrical activity of the brain
  • Hearing tests and more

If you have complaints about dizziness of any nature: a feeling that the world around you or your body is spinning, problems with stability and orientation in space, tinnitus, hearing impairment - make an appointment with an otoneurologist in Moscow.

At the K+31 clinic, pediatric and adult otoneurologists are available for a fee, but at reasonable prices. Addresses in Moscow and the current cost of admission are posted on the website.

How to treat dizziness

When a person experiences acute dizziness for the first time in his life, he is urgently hospitalized. First, doctors relieve acute symptoms, and then help the patient recover through physical rehabilitation and balance training.

To quickly stop an attack, it is important:

  • Give the patient complete rest, as any movement can aggravate the situation
  • Use anti-vomiting medications and special drugs that reduce the activity of balancing neurons. For example, dimenhydrinate, which suppresses the vestibular structures of the brain, can help with dizziness and nausea. Metoclopramide or tranquilizers such as diazepam are also sometimes used. But they should not be taken for more than three days so as not to affect recovery

Physical rehabilitation includes vestibular exercises, which are especially effective for problems with the inner ear. This includes exercises for the eyes, head and walking training. It should be started as soon as possible after an acute attack in order to speed up the return to normal life. The duration of such gymnastics depends on the individual case.

Special platforms with feedback systems help make gymnastics even more effective, stimulating different senses and training the ability to maintain balance.

Medical treatment uses drugs that can help restore balance more quickly, such as betahistine or piracetam.

If you have been diagnosed with benign positional vertigo, the main thing in treatment is special exercises and maneuvers. Depending on where the otoliths are located, doctors use different maneuvers. They help to quickly relieve dizziness, sometimes even during a doctor’s appointment. If it does not go away, patients are advised to perform gymnastics at home until the symptoms disappear completely.

For vestibular neuronitis, a course of glucocorticoids is added to antiemetics and antihistamines. And with Meniere's disease, it is important not only to stop dizziness, but also to prevent hearing loss. Here, in addition to diet and vestibular depressants, betahistine is used for a long time. If medications do not help, then surgery is possible.

Answers to popular questions

Can tinnitus be due to osteochondrosis or problems with blood vessels in the neck?

No, such noise is unlikely to be associated with these conditions. The blood supply to the inner ear comes from the cerebellar arteries, which are located deep and rarely cause noise due to their location.

Why do osteochondrosis and cervical hernias not cause tinnitus?

Osteochondrosis and hernias are located far from the ear labyrinth, so they do not affect it.

What is systemic and non-systemic dizziness?

Systemic dizziness is associated with dysfunction of the vestibular apparatus, while non-systemic dizziness is not associated with it and can be a symptom of various diseases.

Is tinnitus and noise in the head curable?

Yes, tinnitus can be treated with a variety of methods once your doctor determines the cause.

Can falling pebbles in the ear cause dizziness?

Yes, but you should not try to treat it yourself, as doing the wrong thing can make the condition worse.

Do I need to do an MRI, CT scan and start treatment on my own for dizziness?

Before starting treatment, you need to contact an otoneurologist, who will prescribe the necessary examinations and determine therapy.

If my hearing has become worse, can I postpone my visit to the doctor?

No, if your hearing deteriorates, you should consult a specialist as soon as possible, since treatment is more effective in the early stages of the disease.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
All specialists
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Reviews 6

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
I came to Yulia Alexandrovna with otitis media. She cured me quickly, it was even strange. It always seemed that in paid clinics everything was structured so that the patient would undergo as many different tests as possible and come to appointments as often as possible. The doctor prescribed me medications, gave me instructions and that was the end of it, because after a few days I felt better. Thank you for your individual approach, attention and quality knowledge.
12.07.2024
Regina
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
01.05.2024
Gorlachev Pavel Dmitrievich
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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