Vestibular Disorders

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.

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.

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.

Common vestibular disorders presenting with vertigo contributes significantly to morbidity and mortality. The challenge is to identify the underlying cause of dizziness so as to streamline the treatment and improve quality of life. In day to day ENT practice incidence of dizziness is reported to be 10–15%. It is often associated with a range of otological, neurological, and psychiatric disorder. There are fewer subjects in medicine which keep us more confused than vertigo. Dizziness and vertigo may be disturbing and incapacitating causing problems to people doing regular or specialized tasks such as driving, operating heavy machinery or flying. As the sensations are hard to describe, patients often use the words "dizziness" and "vertigo" interchangeably and inconsistently. Patients with the same underlying disorder might describe the symptoms very differently and might also differently describe the same "dizzy" event depending upon the how the question is directed. The aim of this project is to explore the experience and learning of some of the eminent medical professionals, develop relevant updates, and make them easily available for utilization by the Indian clinical practitioners.

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

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.