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1. Oosterveld W. J. The efficacy of piracetam in vertigo. A double-blind study in patients with vertigo of central origin // Arzneimittelforschung. 2000. 30 (11). P. 19471949.
2. Yardley L., Britton J., Lear S., Bird., Luxon L. Relationship between balanse system function and agoraphobic avoidance // Behav. Res. Ther. 1998. Vol. 33, 4. P. 435439.
3. Bobrov L. S., Shmyrev V. I., Vasil`ev A. S., Morozov S. P., Rudas M. S. Vozmozhnosti konservativnogo vedeniya pacientov s vertebralno-bazilyarnoj nedostatochnostyu na ambulatornom e`tape [Possibilities of conservative management of patients with vertebrobasilar insufficiency outpatient] // Mezhdunarodnyj nevrologicheskij zhurnal. 2011, 1 (39). S. 115119.
4. . . // Consilium medicum. . 2001. . 39.
5. . : // . 1999. 4. . 5860.
6. Savitz S. I., Caplan L. R. Vertebrobasilar disease // N Engl J Med. 2005; 352: 26182626.
7. Lee H. Isolated vascular vertigo // Journal of Stroke. 2014; 16 (3): 124130.
8. Brodsky M. C. Three dimensions of skew deviation // Br J Ophthalmol. 2003, Dec; 87 (12): 14401441.
9. Newman-Toker D. E., Kattah J. C., Alvernia J. E., Wang D. Z. Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis // Neurology. 2008; 70: 23782385
10. Cnyrim C. D., Newman-Toker D., Karch C., Brandt T., Strupp M. Bedside differentiation ofvestibular neuritis from central vestibular pseudoneuritis // J NeurolNeurosurg Psychiatry. 2008; 79: 458460.
11. Kirchner H., Kremmyda O., Hufner K., Stephan T., Zingler V., Brandt T. et al. Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test // Ann N Y AcadSci. 2011; 1233: 127138.
12. Park H. K., Kim J. S., Strupp M., Zee D. S. Isolated floccular infarction: impaired vestibular responses to horizontal head impulse // J Neurol. 2013; 260: 15761582.
13. Lee H., Sohn S. I., Cho Y. W., Lee S. R., Ahn B. H., Park B. R. et al. Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns // Neurology. 2006; 67: 11781183.
14. Kim H. A., Lee H. Recent advances in central acute vestibular syndrome of a vascular cause // J Neurol Sci. 2012; 321: 1722.
15. Lopez-Escamez J. A., Carey J., Chung W.-H., Goebel J. A., Magnusson M., Mandalà M., Newman-Toker D. E., Strupp M., Suzuki M., Trabalzini F., Bisdorff A. Diagnostic criteria for Menières disease. Consensus document of the Bárány Society, the Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society // Acta Otorrinolaringol Esp. 2016, Jan-Feb; 67 (1), 17.
16. Halmagyi G. M. Diagnosis and management of vertigo // Clinical Medicine. 2005; 5: 159165.
17. Bhattacharyya N., Baugh, R. F., Orvidas L., Barrs D., Bronston L. J., DC, Cass S., Chalian A. A., Desmond A. L., Earll J. M., Fife T. D., Fuller D. C., Judge J. O., Mann N. R., Rosenfeld R. M., Schuring L. T., Steiner R. W. P., Whitney S. L., Haidar J. Clinical practice guideline: Benign paroxysmal positional vertigo // OtolaryngologyHead and Neck Surgery. 2008, 139, S47-S81.
18. Huh Y.-E., Kim J.-S. Bedside Evaluation of Dizzy Patients // J Clin Neurol. 2013; 9: 203213.
19. Boldingh M. I., Ljøstad U., Mygland A., Monstad P. Comparison of Interictal Vestibular Function in Vestibular Migraine vs Migraine Without Vertigo // Headache: The Journal of Head and Face Pain. Vol. 53, Issue 7, p. 11231133.
20. Vanni S., Pecci R. STANDING, a four-step bedside algorithm for differential diagnosis of acute vertigo in the Emergency Department // ACTA otorhinolaryngologica ita lica. 2014; 34: 419426.
21. Singh R. K., Singh M. rhinolaryngology Clibics // An International Journal. 2012; 4 (2): 8185.
22. Vertigoheel Heel // . 2002, 20.
23. Wolschner U., Strösser W., Weiser M., Klein P. Treating vertigo combination remedy therapeutically equivalent to dimenhydrinate: results of a reference-controlled cohort study // Biol Med. 2001; 30: 184190.