Vestibular Disorders, Third Edition, uses a case-study approach to outline the principles and practice of the care of patients with dizziness and balance disorders. The text reflects the combined perspectives and experience of a neurologist (Dr. Furman) a neurotologic surgeon (Dr. Cass), and a physical therapist (Dr. Whitney). Each case study contains relevant material regarding history, physical examination, laboratory testing, differential diagnosis, and treatment. This material provides a springboard for discussion of either a concept in the field of vestibular disorders or the diagnosis or treatment of a particular disease state. Practical, specific treatment options are discussed throughout the book. The book is written to a wide audience and educational level of readers including Primary Care Physicians, Otolaryngologists, Neurologists, Physical Therapist, and Audiologists. The case-format style of the book lends itself to use in teaching programs involving medical students, residents, physical therapy students, and audiology students, and as a reference text for clinicians at the bedside. Each of the cases from the first and second editions have been updated, the background material has been expanded and eight new cases have been added. Vestibular Disorders, Third Edition, aims to span the gap between existing in-depth tests and the problems that arise whenever a patient presents with dizziness.
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.
Vestibular Disorders, Third Edition, uses a case-study approach to outline the principles and practice of the care of patients with dizziness and balance disorders. The text reflects the combined perspectives and experience of a neurologist (Dr. Furman) a neurotologic surgeon (Dr. Cass), and a physical therapist (Dr. Whitney). Each case study contains relevant material regarding history, physical examination, laboratory testing, differential diagnosis, and treatment. This material provides a springboard for discussion of either a concept in the field of vestibular disorders or the diagnosis or treatment of a particular disease state. Practical, specific treatment options are discussed throughout the book. The book is written to a wide audience and educational level of readers including Primary Care Physicians, Otolaryngologists, Neurologists, Physical Therapist, and Audiologists. The case-format style of the book lends itself to use in teaching programs involving medical students, residents, physical therapy students, and audiology students, and as a reference text for clinicians at the bedside. Each of the cases from the first and second editions have been updated, the background material has been expanded and eight new cases have been added. Vestibular Disorders, Third Edition, aims to span the gap between existing in-depth tests and the problems that arise whenever a patient presents with dizziness.
This title uses a case study approach to outline the field of dizziness and balance disorders. Written from the combined perspectives of a neurologist and a neurotologic surgeon, each case study describes history, physical examination, laboratory testing, differential diagnosis and treatment. The text includes background material and 59 case studies, five of which concern multiple diagnoses and ten of which address controversial issues.
Vertigo is the feeling that everything around is moving or spinning and is usually caused by a problem with the balance mechanisms in the inner ear. It can also be caused by problems in certain parts of the brain or vision disorders. This book is a comprehensive guide to the diagnosis and management of vertigo. Beginning with basic anatomy, physiology and epidemiology of dizziness, the following chapters examine different causes of vertigo, their diagnosis and treatment. Edited by recognised Italian otolaryngologists, this textbook has been written by authors (many from the US) from multidisciplinary backgrounds including otolaryngology, neurology, anatomy, physiology, epidemiology and surgery. This invaluable guide includes extensive references and numerous clinical photographs, illustrations, tables and figures. Key points Comprehensive guide to diagnosis and treatment of vertigo Covers anatomy and physiology and numerous causes Multi-disciplinary author and editor team from Europe and the USA Includes 130 images and illustrations
This collection of articles on the latest developments is written by experts in various sub-disciplines - medical and paramedical - of vestibular disorders. Contributions discuss various manifestations of vestibular disorders and how to diagnose and treat them. The different areas are put into context to support the clinician in the diagnosis and treatment of patients with dizziness, imbalance, and vertigo. New diagnostic tools are presented as are new approaches to the understanding of clinical signs and underlying pathologies. Otolaryngologists seeking to provide up-to-date assessment and care will find this publication a valuable and indispensable read. The contributions presented appeal not only to otolaryngologists of all levels of experience, but also to front-line clinical staff.
Vertigo and dizziness are among the most frequent symptoms with a life-time prevalence of about 30%. Most patients are not properly diagnosed and treated. Therefore, the knowledge has to be increased and the skills improved in this field. Strupp, a very experienced and internationally well-known author, clinician and scientist in the field, takes a practical approach by focusing on the really clinically relevant issues in terms of diagnosis, laboratory examinations and treatment. The book includes the latest information on the diagnosis and treatment of peripheral vestibular disorders based on recent studies. This book addresses mainly ENT doctors, neurologists, general practitioners, audiologists as well as medical students.
This textbook provides a practical and systematic approach to the patient with balance disorders. It emphasizes an understanding of how the overall balance system functions to aid in effective evaluation and treatment and provides reliable tools for guiding therapy even when the exact diagnosis may be elusive. It covers a range of topics which include: a practical presentation of the basics of vestibular system function, the use of clinical information in diagnosis and treatment planning, rehabilitation of the dizzy patient and surgical patient selection.TEXTBOOK
This updated edition provides a comprehensive basis for understanding, identifying, and treating the underlying multifactorial etiologies of dizziness and imbalance. Vertigo is a common malady for which patients seek treatment, yet the vestibular system and its associated disorders are often misunderstood. This book effectively demystifies this topic, with clinical pearls and knowledge from foremost experts in the field. The first six chapters cover procuring a thorough patient history, examination techniques, computerized testing, radiological studies, surgical anatomy and physiology of the vestibular system, and laboratory testing. Subsequent chapters concisely detail the diagnosis and treatment of pathologies such as Meniere's disease, benign paroxysmal positional vertigo, labyrithinitis, superior semicircular canal dehisence syndrome, and unilateral peripheral vestibulopathy. Key Features Covers the full age continuum - from congenital and pediatric vestibular disorders - to balance conditions associated with aging Highlights the most common pathologies such as BPPV, as well as fairly rare diseases like Mal de Debarquement syndrome and perilymph fistulas Discusses the impact of alcohol, migraines, and allergies on the vestibular system and the intrinsic roles they play in causing dizziness New insights on medications, rehabilitation, and the use of implantable vestibular devices Expanded video library provides guidance on testing modalities, visual disturbances, nystagmus patterns, and specific disorders Physicians who read this authoritative guide will gain knowledge that is essential for optimal management of patients with vertigo and disequilibrium. It is an invaluable resource for otolaryngologists, as well as neurologists, physical therapists, internists, geriatricians, family practitioners, audiologists, and even cardiologists.
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.
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
An array of words can be used to describe vestibular migraine: Annoying. Debilitating. Overwhelming. Much of the frustration surrounding vestibular migraine is due in part to the fact that as a relatively new disease in the world of vestibular disorders, we just don't know much about it. As a patient - or someone who interacts with a patient of vestibular migraine - the incapacitating attacks and randomness of the symptoms can complicate the already-stressful aspect of dealing with the condition itself. This book is designed to serve as a resource guide to empower and inform patients for the long and at times arduous journey with vestibular migraine. Topics include an introduction to migraine and vestibular anatomy, outlining what vestibular migraine is, diagnosis and treatment of vestibular migraine, and quality of life aspects. Over 170 references highlight some of the most recent research available, in turn providing ample opportunity for patients to read further in order to gain additional insight into this disease. Written by an individual who has himself dealt with multiple vestibular disorders, Vestibular Migraine: A Comprehensive Patient Guide is designed to provide the vestibular migraine patient a solid foundation of facts and information that they can use to improve their understanding of this disease. Through improving their knowledge of this disease, patients can have productive and focused discussions with their medical provider in order to outline a directed plan of treatment to hopefully reduce the effects of vestibular migraine.