A detailed look at one of the most common—and complex—medical complaints, Dizziness distills Drs. Whitman and Baloh’s six decades of combined experience into a short and practical guide. Packed with useful tips on diagnosis and treatment, Dizziness reveals how top doctors analyze dizziness, including the problems with balance and walking that go along with it. The book also explains the importance of overcoming dizziness and describes what people who are dizzy can do to get an accurate diagnosis.
Combining background on specific forms of dizziness with descriptions of optimal treatments for each one, Dizziness covers everything from conditions that cause dizziness when a person changes position (such as benign paroxysmal positional vertigo and orthostatic hypotension) to conditions that cause dizzy spells without warning or trigger (such as Ménière’s disease and migraine-associated dizziness). The book explores bouts of dizziness that last for days, as well as constant dizziness that lasts for weeks, months, or even years. Enhanced with patient stories and rounded out by a glossary of terms and an appendix describing home exercises, this is the go-to book for anyone who struggles with dizziness.
Key topics in balance function testing are addressed, such as indications for testing, what these tests can and cannot reveal, as well as the basics on how these tests are performed and interpreted.
The pediatric section begins with a review of vestibular embryology and physiology and moves toward a comprehensive discussion of methods – both bedside and in the vestibular lab - to evaluate the child with dizziness, or “clumsiness,” concluding with an exploration of the differential diagnosis of dizziness and relevant findings. Dizziness in the adolescent points to migraine headache as a common cause, enumerates treatment strategies for migraine-associated vertigo, and offers guidelines for when to image the adolescent with dizziness.
Adult dizziness is more a compilation of the relevant diagnoses, but the section starts with dizziness that can affect young adults – especially members of our Armed Forces fighting overseas – traumatic brain injury/blast injury. This content also has relevance for patients in
motor vehicle accidents and head injury patients. Medicolegal aspects of evaluation and management of dizzy patients are succinctly
covered in “Evaluation of Dizziness in the Litigating Patient.” The final chapter in this section, “Other Causes of Dizziness,” provides
a very thorough overview of unusual causes of dizziness in the adult population.
Dizziness associated with advancing age is quite common and often multifactorial, as is highlighted in the chapter “Dizziness in the
Elderly.” A comprehensive review of the posterior cerebral circulation, transient ischemic attacks, and posterior circulation stroke is
presented in the chapter, “Vertebrobasilar Insufficiency.” No coverage of dizziness in the elderly is complete without an exposition of polypharmacy and medication effects. Other common diagnoses of dizziness in the elderly are thoughtfully reviewed along with a survey
of new and old techniques to rehabilitate the older patient with dizziness or disequilibrium.
Patients presenting with dizziness can harbor serious, if not life-threatening, conditions such as stroke, brain abscess, or severe chronic
ear disease. At the end of several articles, the reader will find a relevant table – What Not To Miss – a list of clinically significant signs
and symptoms not to ignore, or conditions (differential diagnosis) that may masquerade as that discussed in the chapter but critically
important that the practitioner should not overlook in the evaluation of the patient. Many articles in this edition start with a clinical
scenario so the reader can recognize common presenting symptoms, demographic features, and factors in the medical history that
will aid in making the diagnosis.