This book clarifies the current state of understanding of the Meniere's disease and develops an evidencebased treatment strategy, using a number of challenging case presentations to illuminate the text.
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 disorders. 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 how the question is directed. The aim of this book 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.
Here is a highly practical reference for diagnosing and managing some of the most common complaints in the otolaryngology patient--vertigo, disequilibrium, and dizziness. This carefully organized reference begins by presenting descriptions of time-tested examination techniques, laboratory tests, and the imaging studies necessary for an accurate diagnosis. The book then addresses the various diseases causing these complaints, including Meniere's disease, benign paroxysmal positional vertigo, labyrinthitis, migraine-induced vestibulopathy, and more, with concise explanations of medical, surgical, and therapeutic treatment options available. An accompanying DVD features high-quality videos of key examination tests, such as ENG, Hallpike positioning, and Epley's maneuver. The videos document the numerous nystagmus patterns caused by various central pathologies and peripheral vestibulopathies, providing an exceptional tool for learning how to recognize eye movements to confirm a diagnosis. Features:A full review of anatomy and physiology provides the essential framework for the clinical examination and comprehension of disease processesBroad discussion of the multifactorial etiologies of dizziness provides a conceptual basis for diagnosis and determining best course of treatmentA valuable appendix with sample questions for taking a thorough patient history aids the assessment of the severity of symptomsVertigo and Disequilibrium: A Practical Guide to Diagnosis and Management is an essential resource for all otolaryngologists, neurologists, vestibular therapists, residents, and physicians treating patients with dizziness. This is a must-read for practitioners, especially those caring for elderly patients with dizziness.
Dizziness comes in many forms in each age group – some specific to an age group (e.g. benign paroxysmal vertigo of childhood) while others span the age spectrum (e.g., migraine-associated vertigo). This content organizes evaluation and management of the dizzy patient by age to bring a fresh perspective to seeing these often difficult patients. 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.
Praise for the First Edition: Concise, clearly written, and well referenced. Clinical topics...are dispensed with brief, understandable explanations and provide the reader an easy reference resource. -Head and NeckAn excellent overviewapproaches this topic with a refreshing multidisciplinary perspective. - Otology and Neurotology In an updated and expanded Second Edition, this essential text continues to provide a dynamic introduction to dizziness and balance disorders, and a thorough discussion of the tenets of managing a balance clinic. Vestibular Function: Clinical and Practice Management begins with comprehensive advice on the function and dysfunction of the vestibular system, and how to perform a vestibular evaluation. In the following chapters, the author provides insight on the prevention of falls, and the treatment of vestibular dysfunction. In his expert discussion of the practical aspects involved in establishing, equipping and operating a balance clinic, Dr. Desmond includes his own unique perspective on staffing needs and marketing and financial considerations.New to this edition:Expanded and updated coverage of the disorders which cause dizziness, vertigo or imbalanceExtended review of specific disorders with need-to-know information about retrocochlear pathology and auditory asymmetry A new chapter on falls prevention, and updated coverage featuring expert opinions on pediatric and neurological perspectivesUpdated appendices of essential reference material and practice resourcesThis hands-on guide is an ideal overview for beginning audiologists, as well as a useful reference for already-practicing audiologists, otolaryngologists, neurologists, physical therapists, and emergency department physicians working in this challenging field.
It is by your own eyes and your ears and your own mind and (I may add) your own heart that you must observe and love Sir William Osler It has been just over 20 years that Hawke and Jahn’s seminal book entitled Diseases of the Ear: Clinical and Pathologic Aspects was published. The book was unique from other textbooks in otology at the time and concentrated its message according to two well-known proverbs in English literature namely “A picture is worth a th- sand words” and “Seeing is believing. ” Dr. Masoud Motasaddi Zarandy has taken these twin concepts, and in the process, has produced a very beautiful and a visually pleasing book. The pictures and acc- panying text allows the reader not only to see how different pathologies affect the inner ear but also to appreciate the clinical consequences that arise from our decisi- making processes. Far from dry, the inner ear and skull base comes to life when we see the dynamics of how disease involves this complex and integral part of the body. For the uninitiated, this book takes us on a tour of the feld that has evolved over the past decade into the formal discipline of neurotology/skull base medicine and surgery. It has quite rightly become a specialized branch of otolaryngology/neurosurgery where interdisciplinary collaboration has become the rule rather than the exception. Advances in imaging (including intraoperative stereotaxis), technology (i. e.
Otology, Neurotology, and Lateral Skull Base Surgery: An Illustrated Handbook combines the most relevant information on this complex subspecialty into a comprehensive, yet highly accessible resource.Chapters feature succinct explanatory text combined with clear, carefully formulated color plates to help readers quickly grasp the complex nature of the underlying basic principles, the various diagnostic tools, as well as disease-specific medical and surgical management. An extensive chapter provides dedicated coverage of contemporary surgical techniques for the ear and temporal bone, and of the special considerations relevant for neurotologic disorders. The book closes with a temporal bone dissection guide specifically designed for residents that illustrates the intricate anatomy of the temporal bone using high-quality cadaver images.FeaturesOffers a straightforward overview of the anatomy, physiology, and pathophysiology of the temporal bone and central auditory and vestibular pathwaysReviews the entire subspecialty of otology, neurotology, and lateral skull base surgery and covers both medical and surgical conceptsIncludes over 830 full-color illustrations arranged on 158 color platesProvides a comprehensive dissection guide for use in the temporal bone labThis handbook is the ideal study tool and easy-to-use reference for otolaryngology residents, fellows in subspecialty training, and practicing otolaryngologists during clinical routine.
Common vestibulocochlear 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 disorders. 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 how the question is directed. The aim of this book 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.
This timely book reflects trends in managing patients with inner ear disease through medical means rather than through surgical treatment. Covering the clinical applications of cutting-edge research, including regenerative medicine for inner ear disease, inner ear perfusion treatments, vestibular rehabilitation for balance retraining, and the use of cochlear implants, this text keeps you abreast of the latest advances and information in the field. You will learn how to diagnose and manage peripheral auditory and vestibular disorders, central vestibular disorders, disorders of the facial nerve, and more. The authors offer insights into the genetics of hearing loss and immune-mediated inner ear disease that help illuminate the underlying principles needed to understand, diagnose and treat dysfunction.Key features:Reviews the fundamental concepts, evaluation and management techniques of inner ear disease and disorders including tinnitus and dysfunction of the Eustachian tubePresents different treatment options based on underlying disease as opposed to symptomatic treatmentsDiscusses the audiometric, vestibular, and laboratory tests that guide the clinician through the early stages of patient careCovers the recent advances in inner ear fluids dynamics and the genetics of hearing loss to provide a more complete understanding of disease and dysfunctionClinicians in the early stages of their careers as well as experts in the field will find the book an excellent reference for clinical and rehabilitation management, as well as for knowledge in the basic and advanced auditory and vestibular sciences and medicine.
This monograph on vertigo is based on the personal, hands-on, practical and clinical experience of managing vertigo in a large university-affiliated hospital. It covers all aspects of the subject, offering the latest information on epidemiology, aetiopathogenesis, diagnostics, the battery of vestibular and allied tests, treatment, rehabilitative management and ethical considerations. The neglected but substantial problem of paediatric vertigo is addressed, as are the many pathologies in the elderly population that can lead to disequilibrium and repeated falls. This book will prove of value to a range of practitioners, including family physicians, otologists, audiologists, vestibular scientists, neurologists, paediatricians, geriatricians, physiotherapists, rehabilitation therapists and general doctors, as well as medical and nursing students.
Clinical Otology is the complete reference for basic scientific information on the functioning of the ear and current techniques for the diagnosis, management, and rehabilitation of patients with common otologic disorders. In this edition the authors address important topics such as the genetic diagnosis of hereditary hearing loss, management of superior canal dehiscence, evidence-based management of otitis media with effusion, middle ear and brain stem implantable hearing devices, new applications of transtympanic therapy, and more. The book features the exquisite color photographs of world-class otologic photographer Eiji Yanagisawa, MD.Highlights of the third edition:New chapters on Molecular Biology and Clinical Otology, Molecular Disorders and Clinical Otology, Pharmacology of Otologic Drugs, and Cystic Lesions of the Petrous ApexMore than 400 illustrations and full-color photographs to aid the comprehension of key conceptsComprehensive lists of references for pursuing topics in greater depthAll otologists, otolaryngologists, audiologists, neurologists, neurosurgeons, and students seeking to optimize patient care should add this state-of-the-art reference to their professional library.
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