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Neuro-Otology: a volume in the Handbook of Clinical Neurology series, provides a comprehensive translational reference on the disorders of the peripheral and central vestibular system. The volume is aimed at serving clinical neurologists who wish to know the most current established information related to dizziness and disequilibrium from a clinical, yet scholarly, perspective. This handbook sets the new standard for comprehensive multi-authored textbooks in the field of neuro-otology. The volume is divided into three sections, including basic aspects, diagnostic and therapeutic management, and neuro-otologic disorders. Internationally acclaimed chapter authors represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. The Basic Aspects section is brief and covers the material in sufficient depth necessary for understanding later translational and clinical material. The Diagnostic and Therapeutic Management section covers all of the essential topics in the evaluation and treatment of patients with dizziness and disequilibrium. The section on Neuro-otologic Disorders is the largest portion of the volume and addresses every major diagnostic category in the field. - Synthesizes widely dispersed information on the anatomy and physiology of neuro-otologic conditions into one comprehensive resource - Features input from renowned international authors in basic science, otology, and neuroscience - Presents the latest assessment of the techniques needed to diagnose and treat patients with dizziness, vertigo, and imbalance - Provides the reader with an updated, in-depth review of the clinically relevant science and the clinical approach to those disorders of the peripheral and central vestibular system
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.
A practical laboratory-to-clinic guide on the basics of auditory electrophysiology Written primarily by audiologists familiar with cutting-edge research in a rapidly changing field, Auditory Electrophysiology provides a fresh perspective on the most current advances and practices in the specialty. Research and clinical information are presented separately to facilitate learning and provide a more practical organization of the material. In addition to clinical applications and case studies, this text includes sections on the foundational science and historical background of auditory evoked potentials as well as clinical practice and management. Key Features: Includes case studies written by clinicians who are experts in auditory evoked potentials, helping to highlight clinical applications in the specialty Discusses how auditory electrophysiology techniques are used in central auditory function testing Provides practical guidelines on how to write a clinical report, with easy-to-use templates, helping readers quickly master report writing Contains a chapter on the application of principles of evidence-based practice, to guide clinical technique and analysis of auditory evoked potentials Ideal as an introduction to the field for graduate students in audiology and ENT residents, Auditory Electrophysiology is also a useful guide for clinicians who want to refresh their skills or add to their practice. It fills a gap in the literature for an up-to-date text and reference on all aspects of auditory evoked potentials.
The vestibular labyrinth consists of ? ve compartments: the lateral, anterior, and posterior semicircular canals, the utricule, and the saccule. At the beginning of the twentieth century, Robert Bárány proposed the caloric test as a clinical test of the lateral semicircular canal. This test enabled clinicians to assess the individual lateral semicircular canal function easily by using the simple method of irrigating the external ear canal with cold or warm water and observing the induced nyst- mus. We believe that the caloric test was a breakthrough in the ? eld of vestibular research. However, as far as the other compartments were concerned, there was no simple clinical test equal to the caloric test for the lateral semicircular canal function. At the end of the twentieth century, the vestibular evoked myogenic potential (VEMP) test was proposed as a new method for assessing the individual saccule function. This test has some unique attributes. First, it uses sound stimulation, even though it is a test of the vestibular system. This appears to be a contradiction n- rophysiologically. As a result, in its early stages there were controversies conce- ing the origin of the responses. However, such controversies have been overcome by basic neurophysiological studies and clinical studies. Above all, sound sensit- ity of the saccular afferents shown in cats and guinea pigs with single-unit recording methods became the main supporting evidence. Nowadays, VEMP is one of the routine clinical tests for balance disorder.
Tania Stadsbader wrestled with a balance disorder for 15 years before undergoing an operation that cured her of her condition. In this book, she looks back on her long search for a proper diagnosis, and on the impact of her years of illness. She tells her story directly and clearly, and also gives a voice to many of her fellow sufferers. Professor Floris Wuyts adds a scientific viewpoint and presents the most up-to-date discoveries from the field of vestibular research. The groundbreaking combination of patients’ and professionals’ voices makes this volume unique of its type.
This issue of Otolaryngologic Clinics, guest edited by Drs. Maja Svrakic and Meredith E. Adams is devoted to The Dizzy Patient. This issue is one of six selected each year by our series consulting editor, Dr. Sujana S. Chandrasekhar. With its broad differential diagnosis and significant impact on quality of life, dizziness is a common symptom that presents substantial diagnostic and therapeutic challenges. This issue focuses on the clinical evaluation and management of the range of dizziness symptomatology and syndromes. Articles in this issue include: Overview of dizziness in practice; Interviewing and counseling the dizzy patient with focus on quality of life; The efficient dizziness history and exam; Efficient use of audiovestibular testing; Neuroimaging of dizziness and vertigo; Positional vertigo; Acute vestibular syndrome and ER presentations of dizziness; Chronic central vestibulopathies for the otolaryngologist; Vestibular migraine and its comorbidities; Progressive and degenerative peripheral vestibular disorders; The dizzy child; Neuropsychology of dizziness and related disorders; Non-vestibular dizziness; Vestibular therapy and fall risk assessment; Current and emerging medical therapies for dizziness; Allergy, immunotherapy and alternative treatments for dizziness; and New frontiers in managing the dizzy patient. - Provides in-depth, clinical reviews on dizzy patients, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
Get a quick, expert overview of dizziness and vertigo from childhood through old age with this concise, practical resource. Drs. Bradley W. Kesser and Tucker Gleason have assembled a leading team of experts to address timely clinical topics of interest to otolarynologists and other health care providers who see patients with these common problems. - Covers key topics such as the clinical exam and diagnostic techniques, assessment and differential diagnosis in the pediatric population, dizziness and vertigo in the adolescent and the elderly, evaluation of dizziness in the litigating patient, vHIT, positional vertigo in all age groups, vestibular neuritis, migraine-associated vertigo, Meniere's disease, medication-related dizziness in the older adult, and more. - Includes information on dizziness demographics and population health, as well as development of the vestibular system and balance function. - Consolidates today's available information and experience in this important area into one convenient resource.