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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.
Using a case-oriented approach, this practical text provides evidence-based guidance related to the evaluation and management of persons with balance and vestibular disorders. The text benefits by the combined expertise of a neurologist, a neurotological surgeon, and a physical therapist.
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.
Over 10 million adults in the United States have chronic problems with dizziness and imbalance - vestibular problems. This compares to 400,000 with multiple sclerosis or 1.5 million with autism for example, both chronic illnesses with much greater name recognition. Vestibular problems are difficult to diagnose and treat. While vestibular problems come with various medical names (Meniere's, Perilymph Fistula, Endolymphatic Hydrops, Benign Paroxysmal Positional Vertigo (BPPV), Mal de Debarquement (MdDS), and others) they present a common challenge for the affected person on how to deal with the dizziness and eventually find balance. Finding Balance addresses over a decade of illness, from the initial two years searching for a diagnosis, through the long years of treatment and finally to the period of rebuilding a life within the confines of what dizziness and vertigo will allow. Finding Balance provides a detailed description of symptoms, what can trigger them, the emotional reactions to symptoms, how to recognize their subtle differences, and how to track them in order to contribute to your own diagnosis. It also emphasizes the patient's responsibility for healing and eventually how to find the inner balance in life that will be necessary to equitably live with these symptoms over time. And it provides a sense of time, of patience. Special Features of Finding Balance Include: Call-out boxes presenting facts and tips for dealing with the disorder All of the medical information in the book has been reviewed by vestibular specialists for accuracy Bulleted lists at the end of chapter with advice to the reader on next steps
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.
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.
A variety of syndromes are hidden behind the term vertigo; the interdisciplinary approach here shows how surprisingly easy it is to correctly diagnose and effectively treat them. The book's clinical practicality uncovers the key elements necessary for understanding vertigo: the sensorimotor physiology, careful history-taking, and otoneurological examination. For each syndrome, there is a full description of the clinical features and diagnostic procedure. Numerous tables and thorough cross-referencing guide you to differential diagnosis. Special emphasis is placed on the relationship between the management and the underlying pathological mechanism of the disease.
Recognized as two of the world's leading authorities on the subject, Susan Herdman and Richard Clendaniel, joined by a team of expert contributors, deliver the 4th Edition of the field's definitive text on the management of vestibular diseases and disorders. From assessment through therapy, they present the scientific and clinical knowledge you need to distinguish between vestibular and non-vestibular dizziness and to plan and implement the appropriate treatments.
This practical handbook for clinicians covers pharmacological and non-pharmacological treatment options in neurological rehabilitation.
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.