Tokuda Hospital Sofia


Acibadem City Clinic Tokuda Hospital has a modern office for diagnosis and treatment of vestibular and equilibrium disorders

28 april 2017

Vertigo is one of the most common complaints patients seek help for

A state-of-the-art otoneurology cabinet is available to patients of Acibadem City Clinic Tokuda Hospital who have complaints about the vestibular system. Accurate examinations of the vestibular functions performed at the office include but are not limited to functional and computer-based statokinetic and coordination tests, videonystagmography, experimental provocation studies – caloric and rotational.

Along with the precise diagnostics, the office offers vestibular rehabilitation – a set of multimedia procedures for tracking, rehabilitation and training in disorders of peripheral and central origin. Specialized repositioning techniques are used in positional vertigo, exercises in accelerating vestibular adaptation, stabilizing posture and gait, restoring static and dynamic equilibrium.

One of the most common complaints patients visit the Otoneurology office for is vertigo. It combines different sensations – from the illusion one is spinning in space to the feeling of sinking or rising. In addition, people call vertigo the condition when they are slightly dizzy or syncope (black out), even slight . To this condition they often count even the faltering.

“Although vertigo has different forms, about 60% of them are due to damage of the vestibular system or impairment of its function. The remaining 40% are the result of central nervous system disorders such as vascular ones, transient ones of cerebral blood flow, cerebral strokes, inflammatory diseases of the nervous tissue or inflammatory processes”, says Dr. Georgi Savov, an otoneurologist at the Clinic in Neurology at Acibadem City Clinic Tokuda Hospital. Vertigo can be both a harmless symptom and a serious illness signal. Therefore, it is advisable to seek specializes medical attention if you suffer dizziness.

Vestibular disorders often have unclear origin – in this case, they are called primary. If they are due to another disease – hormonal imbalance or infection, for example, they are called secondary. They are common among the elderly, because over the years they have accumulated disease causes leading to balance disorders.

Vestibular disorders are the most common type of vertigo that occurs at bedtime, when bedridden or standing up. Most of these are assigned to the group of otolithic syndromes or so-called benign paroxysmal positional vertigo. They are due to falling crystals (otoliths) or degenerated cells in some of the ear canals, Dr. Savov explained. These crystals lie on the membrane of the gravitational receptors in the ear. With age, such crystals, as well as dead cells, fall into the semi-circular channels. There is another type of receptors there providing information to the brainstem and eyeballs of a person at angular accelerations of the head. When the crystals fall into the groove under certain head movements, they shake the receptors there and a strong vertigo occurs. It is quite a common suffering, with up to 80% of people over the age of 80, says the otoneurologist. It exacerbates and improves spontaneously or with medication or by implementing physical methods.

Drug treatment includes ingestion of vestibule-suppressants and other medications, while physical therapy uses exercise programs to release the affected semi-circular channel, as well as exercises where a patient's brain adapts to suppress the information coming from the damaged vestibular system.

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Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.