Vestibular Disorders: A Case-study Approach

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Oxford University Press, 2003 - Medical - 412 pages
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Vestibular Disorders, Second 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) and a neurotologic surgeon (Dr. Cass). 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. For this, the second edition, each of the cases from the first edition has been updated, the background material has been reorganized, and 14 new cases have been added, five of which concern patients with multiple diagnoses. A new part of the book, entitled "Controversial Case Studies," includes ten cases that address a disorder or clinical issue surrounded by a particularly broad range of opinion or uncertainty. Vestibular Disorders, Second Edition aims to span the gap between existing in-depth texts and the problems that arise whenever a patient presents with dizziness.
 

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Contents

Vestibular Anatomy and Physiology
3
History of the Dizzy Patient
16
Physical Examination of the Dizzy Patient
21
Vestibular Laboratory Testing
30
Auditory System and Testing
41
Vestibular Rehabilitation
47
Psychiatric Aspects of Vestibular Disorders
54
Unilateral Vestibular Impairment and Vestibular CompensationVestibular Neuritis
63
Wallenbergs SyndromePosterior Inferior Cerebellar Artery Infarction
233
Anterior Inferior Cerebellar Artery Infarction
237
Benign Paroxysmal Positional VertigoSurgical Management
243
LithiumInduced Dizziness
249
Syncope
253
Drop Attacks
256
Ramsay Hunt Syndrome
260
Convergence Spasm
265

Mixed Peripheral and Central Vestibular ImpairmentCerebellopontine Angle Tumor
72
Impaired Vestibular CompensationVestibular Neuritis
77
Bilateral Vestibular LossOtotoxicity
82
Anxiety and Psychiatric DizzinessVestibulopathy Cause Unknown
91
Emergency Room Management of the Dizzy PatientAcute Cerebellar Infarction
97
Benign Paroxysmal Positional VertigoMedical Management
105
MigraineAssociated Dizziness
115
Endolymphatic HydropsMenieres Disease
121
Disequilibrium of Aging
128
Labyrinthine Concussion
133
Vertebrobasilar Insufficiency
139
Benign Recurrent Vertigo of Childhood
145
Multisensory Disequilibrium
149
Recurrent Vestibulopathy
154
Menieres DiseaseSurgical Management
158
Nonspecific Vestibulopathy
169
Chronic Otitis Media
174
Cerebellar Degeneration
180
Multiple Sclerosis
186
Menieres Disease and Migraine
195
Paroxysmal Positional Vertigo and Anxiety Disorder
200
Head Trauma Combined Central Nervous System Labyrinthine and Cervical Injury
204
MigraineRelated Dizziness and Anxiety Disorder
208
Menieres Disease and Benign Paroxysmal Positional Vertigo
213
Mal de Debarquement Syndrome
219
Autoimmune Inner Ear Disease
222
Orthostatic Hypotension
228
Congenital Inner Ear Malformations
269
Ocular Tilt Reaction
278
Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo
282
Chiari Malformation
287
Saccadic Fixation Instability
293
Congenital Nystagmus
299
Otosclerotic Inner Ear Syndrome
304
Progressive Supranuclear Palsy
312
Solvent Exposure
316
Wernickes Encephalopathy
321
Vestibular Epilepsy
326
Prion Disease
330
Orthostatic Tremor
334
Acoustic NeuromaManagement
341
Superior Semicircular Canal Dehiscence SyndromeTullios Phenomenon
347
Perilymphatic Fistula
353
Cervicogenic Dizziness
359
Chronic Fatigue Syndrome
364
Driving and Dizziness
368
Malingering
373
Vascular CrossCompression Syndrome of the Eighth Cranial Nerve
377
Bilateral Menieres Disease
382
Complementary and Alternative Therapies for Dizziness
388
Bibliography
393
Appendix of Diagnoses
407
Index
409
Copyright

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About the author (2003)

Joseph M. Furman is at University of Pittsburgh Eye and Ear Institute. Stephen P. Cass is at University of Colorado, Denver.

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