Vertigo Its Multisensory Syndromes

This monograph has been written for clinicians who are involved in the management of the dizzy patient and for scientists with a particular interest in the multi-sensorimotor mechan isms that subserve spatial orientation, motion perception, and ocular motor and postural con trol. Special emphasis has been put on making the correct diagnosis, and detailed recommendations have been given for specific treatments. The second edition has resulted in an almost completely new book due to the dramatic expansion in the 1990s of our understanding of vestibular function and dis orders. A few rele vant examples include the novel concept of canalolithiasis, as opposed to cupulolithiasis, both of which are established causes of typical posterior and horizontal canal benign paroxysmal positioning vertigo; familial episodic ataxia land II have been identified as inherited chan nelopathies; otolithic syndromes were recognized as a variety separate from semicircular canal syndromes; several new central vestibular syndromes have been described, localized, and attributed to vestibular pathways and centres; a new classification based on the three major planes of action of the vestibulo-ocular reflex is available for central vestibular syn dromes; and the mystery of the location and function of the multisensory vestibular cortex is slowly being unravelled. This book differs from other clinical textbooks in that it is not divided into two parts: anatomy and physiology, on the one hand, and disorders, on the other.

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.

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.

Vertigo and Dizziness: Common Complaints, Second Edition revises and updates the first edition to reflect the advances that have taken place in this field. Valid epidemiological studies are now available on the prevalence and incidence of these illnesses. There have been improvements in diagnostic criteria and important new principles in the treatment of vertigo and balance disorders are outlined for use in clinical practice, supported by video examples. Practitioners are also given access to the wealth of new, scientifically interesting findings on the pathophysiology, etiology, signs and symptoms and current treatment of peripheral and central vestibular disorders as well as somatoform vertigo, summarised in concise and accessible form. Written by experts in the field, Vertigo and Dizziness: Common Complaints, Second Edition is a practical guide for physicians of different specializations who treat patients with vertigo including neurologists, ENT specialists, neuro-otologists, and neuro-ophthalmology and ophthalmology specialists as well as general medicine practitioners.

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

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.

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.