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This Research Topic is the second volume of the Research Topic "Challenges and Current Research Status of Vertigo/Vestibular Diseases". Please see the first volume here. Vertigo or vestibular disorders have become a common handicap across the globe, which poses a great burden on health care resources. Vertigo is not a disease entity per se, but rather a leading symptom of many etiologically different diseases. These conditions include dysfunction of the vestibular system, both peripheral (inner ear, vestibular nerve) and central (brainstem, cerebellum), functional dizziness, and diseases of other causes, including blood pressure regulation disorders, such as orthostatic dizziness, and adverse drug reactions. Previous studies demonstrated that vestibular disorders might be a modifiable condition and a possible target for secondary prevention of cognitive impairment due to aging, dementia, social isolation, late-life depression, frailty, and increased risk of mortality. To date, the assessment strategy for patients with vertigo or vestibular disorders has not been fully developed. Vertigo or vestibular disorders are mechanistically complicated, highly prevalent, difficult to differentiate from other conditions, and may lead to vestibular or mental disability. Further understanding of the etiology, pathophysiology, diagnosis and treatment of peripheral, central, and functional vestibular vertigo syndromes as well as their management through this research program or project will benefit patients and their families, thus reducing the economic burden on society at large. The editors welcome any types of manuscripts --- Original Research, Opinions, Review, and Systematic Review concerning vertigo/vestibular disorders. The subjects include but are not limited to the following: • Epidemiological investigation of vertigo or vestibular disorders • Molecular and genetic studies of vertigo or vestibular disorders • Differential diagnosis of peripheral and central positional vertigo • Differentiation and treatment of Meniere's disease, vestibular migraine and their comorbidities • Recurrence and residual symptoms of benign paroxysmal positional vertigo • Inner ear malformation and vestibular dysfunction • Vestibular migraine and sleep disorders • Paroxysmal ataxia and dizziness • Vertigo and balance disorders (falls, abnormal gait, instability, etc.) • Vestibular testing and imaging in patients with vertigo or vestibular disorders • Cognitive impairment and vestibular disorders • Multisensory integration and vestibular disorders • Mental diseases (anxiety, depression, insomnia, etc.) and vertigo disorders • Research on vestibular compensation and rehabilitation training • Social and psychological aspects and burdens in people with vertigo • Vertigo and dizziness in older adults • Persistent postural-perceptual dizziness (PPPD) • Functional brain states in vertigo/dizziness • Neuroimaging in vertigo/dizziness
Vertigo or vestibular disorders have become a common handicap across the globe, which poses a great burden on health care resources. Vertigo is not a disease entity per se, but rather a leading symptom of many etiologically different diseases. These conditions include dysfunction of the vestibular system, both peripheral (inner ear, vestibular nerve) and central (brainstem, cerebellum), functional dizziness, and diseases of other causes, including blood pressure regulation disorders, such as orthostatic dizziness, and adverse drug reactions. Previous studies demonstrated that vestibular disorders might be a modifiable condition and a possible target for secondary prevention of cognitive impairment due to aging, dementia, social isolation, late-life depression, frailty, and increased risk of mortality.
An up-to-date, comprehensive review of disorders of the vestibular system authored by some of the most prominent experts in the field, this book covers basic vestibular mechanisms, clinical evaluation, common vestibular diseases, and treatment of vertigo. Part I reviews the anatomy and physiology of the vestibular system focusing on clinically relevant material. Part II analyzes specific details in the patient's history, examination, and laboratory evaluation pointing to the probable site of lesion and likely pathophysiology. Patient history is emphasized since it is the critical first step in understanding the patient's complaints. Part III covers the differential diagnosis and specific treatments of common neurologic disorders. A separate chapter surveys the common syndromes encountered in neurotology. Part IV discusses general principles of treatment relevant to all vestibular disorders. Designed primarily to help physicians who treat patients complaining of dizziness, this book is also a complete source of reference to practitioners in internal medicine, family practice, otolaryngology, neurology, head and neck surgery, and neurosurgery.
This text reviews the current understanding of vestibular anatomy allowing for a framework of reference, and how it's applied to vestibular testing, diagnosis and management of dizziness. Vestibular testing is an important tool in the evaluation and management of the patient with dizziness. It aids in establishing a diagnosis and determining the side or site of the lesion. In addition, it guides practitioners in selection of treatment and allows the ability of the patient’s condition to be evaluated over its time course. Common vestibular pathologies such as benign positional vertigo, Meniere’s disease, multisensory imbalance, vestibular neuritis, superior canal dehiscence, and vestibular migraine will be addressed in a concise and understandable manner. The text follows a clear format in which the etiology, pathophysiology, diagnostic features and medical or surgical management of such pathologies are discussed. The book gains increased importance as superior canal dehiscence and vestibular migraine are relatively new hot topics. Lastly, relatively rare entities such as bilateral vestibular hypofunction, pediatric vestibular disorders and central vestibular disorders are discussed. This text serves as a complete reference for clinicians, students and researchers interested in this common and severe disorder allowing for improved patient care and advancement of knowledge in the field. Chapters are written by acknowledged experts, allowing summary review of the newest and most up-to-date understanding of scientific information. Diagnosis and Treatment of Vestibular Disorders will be an invaluable resource for otolaryngologists, neurologists, otologists and neurotologists, basic science and translational researchers with interests in the vestibular system, fellows and residents in aforementioned fields, and general practitioners with an interest in patients with symptoms of dizziness.
This pocketbook helps clinicians to improve their management of patients with vertigo and dizziness by providing an overview of clinical vestibular physiology and the latest developments in bedside examinations, diagnosis, and state of the art therapy.
Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. These symptoms can originate from many different organs and systems, such as the inner ear, general medical conditions, neurological and psychological disorders. The Oxford Textbook of Vertigo and Imbalance provides an up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance. This textbook is conceptually divided into three sections, detailing the scientific basis, general clinical issues, and specific diseases diagnosed in clinical practice that are responsible for complaints of dizziness and imbalance. Individual chapters address benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, stroke, and Ménière's disease. Additional chapters follow a syndrome-based approach and cover multiple conditions, including cerebellar disorders, bilateral vestibular failure and gait, and psychological disorders. The print edition is complemented by an online version, which allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint. It serves a useful clinical reference for neurologists, otorhinolaryngologists, audio-vestibular physicians, and senior trainees in those specialties.
Neurotology is a branch of medicine that focuses on diagnosing and treating neurological conditions of the inner ear and related structures. There have been many recent advances in neurotology that have been published in general medicine, otolaryngology and neurology journals. This comprehensive book will aggregate this information to provide a more complete picture of the state of the field and will include the authors’ own clinical experience. There is a recent marked increase in interest in neurotology, manifested by the clinical experiences and research-publication work of otolaryngologists, neurologists, neuro-ophtalmologists, audiologists and physiotherapists. As a result, this will be a completely state-of-the-art work that includes all up-to-date neurophysiological data related to the vestibular system. It has been estimated that 10% of patients that present at an emergency clinic have vestibular disorders, including vertigo, and these disorders are frequently a cause of falls in elderly patients. On the other hand, many physicians treat their patients with vertigo with vestibular blockers, which treat the symptoms but do not cure the disorders. We feel that it is important to supply a source of information on the vestibular system and balance disorders, and this title will do that in a comprehensive manner. This title will be an ideal reference for the diagnosis and treatment of vestibular disorders for otolaryngologists, neurologists, neuro-ophtalmologists, audiologists and physical therapists.