Vertiges Manuel De Diagnostic Et De R Habilitation

Le symptôme "vertige" varie d'un patient à l'autre et connaît de nombreuses causes. Sa prise en charge par l'ORL est spécifique, et on ne peut pas se passer de son bilan, en particulier lorsque le vertige est isolé, réduit au seul symptôme ou s'intègre dans une pathologie vestibulaire périphérique. De plus, il est essentiel pour le kinésithérapeute afin de guider sa rééducation vestibulaire. Dans le diagnostic, la vidéonystagmoscopie et la vidéonystagmographie ont été un progrès décisif : chacun peut dorénavant voir, enregistrer et revoir des nystagmus que seulement quelques prophètes avaient pu observer au siècle dernier. Par ailleurs, grâce aux progrès de l'imagerie, les tableaux cliniques répertoriés au fil des décennies se sont peu à peu clarifiés y compris aux urgences. La migraine a également pris une part importante dans le diagnostic étiologique, à côté des VPPB. Cet ouvrage très illustré est résolument pratique. L'auteur y aborde dans un premier temps les aspects anatomo-physiopathologiques, pour mieux comprendre les nystagmus et mouvements anormaux observés dans la pathologie de l'oreille interne et de l'appareil vestibulaire. Puis une partie est dédiée à la clinique, de la première consultation au diagnostic étiologique. Enfin, la 3e partie traite de la réhabilitation des patients, avec notamment un catalogue d'exercices vestibulaires.Tous les éléments pour traiter et rééduquer le patient atteint de vertige. - Les aspects anatomo-physiopathologiques, pour mieux comprendre les nystagmus et mouvements anormaux observés dans la pathologie de l'oreille interne et de l'appareil vestibulaire. - La clinique : de la première consultation au diagnostic étiologique. - La réhabilitation des patients, avec notamment un catalogue d'exercices vestibulaires.

Les causes de vertige, défini comme une illusion de mouvement, peuvent être graves : syndrome de Wallenberg, dissection de l’artère vertébrale, tumeur de la fosse postérieure et toutes sortes de diagnostics à ne pas manquer. Plus souvent ce sont des entités spectaculaires mais qui gardent encore une part de mystère : vertige positionnel paroxystique bénin (VPPB), névrite vestibulaire, maladie de Menière et migraine. Mais la plupart des patients nomment vertige, un déséquilibre ou des malaises variés. Les anglo-saxons possèdent des mots pour décrire ces symptômes : dizziness, space and motion discomfort. En français, on pourrait les traduire par « pseudoébriété », comme si on avait bu. Il faut prendre ces patients au sérieux. Comment savoir s’il manque 50 cellules ciliées dans telle macule otolithique ou telle cupule de canal semi-circulaire. Ou encore comment savoir ce qui se passe dans des réseaux de neurones comme celui du stockage de vitesse. Les bilans otoneurologiques classiques restent très souvent normaux, et le patient arrive avec une IRM normale à la main. Tout repose alors sur le bilan fonctionnel. L’électronique a progressé dans ce domaine. On mesure les gains canal par canal (VHIT). On reproduit chaque syncrétisme statique ou cinétique (masques de réalité virtuelle (RV)). La kinésithérapie à mains nues garde sa valeur, mais des rééducations par acuité visuelle dynamique (AVD) offrent des protocoles adaptés à chaque cas particulier. Cette nouvelle édition, encore plus pratique, tout en couleurs et richement illustrée, intègre un nouveau classement des pathologies ainsi que des cas cliniques commentés. Plus de 70 vidéos illustrent aussi bien les pathologies que les stratégies thérapeutiques.

This book provides essential information from neurology, otolaryngology and psychiatry to diagnose and treat dizzy patients, summarized by two world experts.

The economic and social organisation of Ghanaian cocoa-farming is very complex, reflecting differences in population density, land tenure, accessibility, soil fertility and other factors. The 'small peasant', with his two or three acre farms, is one type of farmer, and it has always been supposed that it was he who created the world's largest cocoa-growing industry. The migration of southern Ghanaian cocoa-farmers, which has been proceeding since the 1890s, was not known to have occurred; and this study shows that it was the migrant, not the 'peasant', who was the real innovator. This migrant has scarcely been mentioned in the literature. Author Polly Hill now gives a full account of his migration, 'one of the great events in the recent economic history of Africa south of the Sahara'. The migrant farmer, who rather resembles a 'capitalist' than a 'peasant', buys land (or inherits it from those who bought before him) and conventionally uses the proceeds from one cocoa land to purchase others. It is now possible with the aid of farm-maps to study the whole migratory process, with its changing pattern of land ownership, over more than half a century. The results are revealing. The conventional notion that it was only recently that West Africans began to engage in large-scale economic enterprises is shown to be false. One of the main contentions of this book is that the migrant farmer has been remarkably responsive to economic ends. It is further shown that there is no incompatibility between this kind of enterprise and the continuance of traditional forms of social organisation: nor is there evidence that the enterprising individual found himself hampered by the demands made on him by members of his lineage. In analysing and recording the details of the migratory process, Dr. Hill has made an important contribution to the economic history of West Africa. Besides the economists and economic historians for whom the book is primarily intended, it should be studied by lawyers, geographers, social anthropologists, and all concerned with problems of underdevelopment.

In contemporary philosophy, substantive moral theories are typically classified as either consequentialist or deontological. Standard consequentialist theories insist, roughly, that agents must always act so as to produce the best available outcomes overall. Standard deontological theories, by contrast, maintain that there are some circumstances where one is permitted but not required to produce the best overall results, and still other circumstances in which one is positively forbidden to do so. Classical utilitarianism is the most familiar consequentialist view, but it is widely regarded as an inadequate account of morality. Although Professor Scheffler agrees with this assessment, he also believes that consequentialism seems initially plausible, and that there is a persistent air of paradox surrounding typical deontological views. In this book, therefore, he undertakes to reconsider the rejection of consequentialism. He argues that it is possible to provide a rationale for the view that agents need not always produce the best possible overall outcomes, and this motivates one departure from consequentialism; but he shows that it is surprisingly difficult to provide a satisfactory rationale for the view that there are times when agents must not produce the best possible overall outcomes. He goes on to argue for a hitherto neglected type of moral conception, according to which agents are always permitted, but not always required, to produce the best outcomes.

In Evidence-based Neurology: Management of Neurological Disorders a carefully selected group of clinically experienced collaborators use the best available evidence to answer more than 100 clinical questions about the treatment and management of neurological disorders. Divided into three sections and 24 chapters, this book fills the gap between guidelines and primary studies as well as between primary and secondary scientific medical literature summarizes the most recent and important findings on treatments for neurological patients measures the benefit and, when applicable, the risk of harm inherent in specific neurological interventions. This unique, evidence-based text, edited by members of the Cochrane Neurological Network will be an essential resource for all general neurologists, from the novice to the most experienced, in their everyday clinical practice.

“Simplexity, as I understand it, is the range of solutions living organisms have found, despite the complexity of natural processes, to enable the brain to prepare an action and plan for the consequences of it. These solutions are simplifying principles that enable the processing of information or situations, by taking into account past experience and anticipating the future. They are neither caricatures, shortcuts, or summaries. They are new ways of asking questions, sometimes at the cost of occasional detours, in order to achieve faster, more elegant, more effective actions.” A. B. As Alain Berthoz demonstrates in this profoundly original book, simplicity is never easy; it requires suppressing, selecting, connecting, thinking, in order to then act in the best way possible. And what if we, in turn, are inspired by the living world to process the complexity that surrounds us? Alain Berthoz is professor at the Collège de France where he is co-director of the Laboratoire de physiologie de la perception et de l’action. [Laboratory for the physiology of perception and action]. He is a member of the French Academy of Sciences, and is the author of Le Sens du mouvement [The Brain's Sense of Movement] and La Décision [Emotion and Reason].