[Otogenic vertigo. Differentiation and therapy].

Disturbance of equilibrium is perceived subjectively as vertigo. The origin of this unspecified symptom can be varied and must be differentiated for causal therapy. Sudden vestibular disorders were treated symptomatically using drugs that suppress different input activities. For long-term therapy other antivertigo drugs like Betahistin are appropriate. This medication produces positive vasoactive effects and inhibits central vestibular structures. Clinicians are now challenged to design the best possible treatment and exercise regimes, including medication, for patients suffering from vestibular disturbances.