The Dizzy Patient, An Issue of Otolaryngologic Clinics of North America

1st Edition, Volume 54-5 - September 21, 2021
Editors: Maja Svrakic, Meredith E. Adams
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 9 6 7 4 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 9 6 7 5 - 7

This issue of Otolaryngologic Clinics, guest edited by Drs. Maja Svrakic and Meredith E. Adams is devoted to The Dizzy Patient. This issue is one of six selected each year by our… Read more

The Dizzy Patient, An Issue of Otolaryngologic Clinics of North America

Purchase options

Info / Buy

LIMITED OFFER

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

This issue of Otolaryngologic Clinics, guest edited by Drs. Maja Svrakic and Meredith E. Adams is devoted to The Dizzy Patient. This issue is one of six selected each year by our series consulting editor, Dr. Sujana S. Chandrasekhar. With its broad differential diagnosis and significant impact on quality of life, dizziness is a common symptom that presents substantial diagnostic and therapeutic challenges. This issue focuses on the clinical evaluation and management of the range of dizziness symptomatology and syndromes. Articles in this issue include: Overview of dizziness in practice; Interviewing and counseling the dizzy patient with focus on quality of life; The efficient dizziness history and exam; Efficient use of audiovestibular testing; Neuroimaging of dizziness and vertigo; Positional vertigo; Acute vestibular syndrome and ER presentations of dizziness; Chronic central vestibulopathies for the otolaryngologist; Vestibular migraine and its comorbidities; Progressive and degenerative peripheral vestibular disorders; The dizzy child; Neuropsychology of dizziness and related disorders; Non-vestibular dizziness; Vestibular therapy and fall risk assessment; Current and emerging medical therapies for dizziness; Allergy, immunotherapy and alternative treatments for dizziness; and New frontiers in managing the dizzy patient.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Overview of Dizziness in Practice
Key points
Introduction
Prevalence/incidence
Nature of the problem
Discussion
Quality indictors
Summary
Clinics care points
Interviewing and Counseling the Dizzy Patient with Focus on Quality of Life
Key points
Introduction
Discussion
Summary
Clinics care points
The Efficient Dizziness History and Exam
Key points
Introduction
Clinical evaluation
Physical examination
Summary
Clinics care points
Efficient Use of Vestibular Testing
Key points
Introduction
Making wise choices
Vestibular physiology: key concepts for test selection and interpretation
Videonystagmography
Rotary chair testing
Video head impulse test
Vestibular-evoked myogenic potentials
Selecting a vestibular test battery
Summary
Clinics care points
Neuroimaging of Dizziness and Vertigo
Key points
Introduction
Protocols
Differential diagnoses
Summary
Clinics care points
Disclosure
Positional Vertigo
Key points
Introduction
Evaluation of patients with positional vertigo
Benign paroxysmal positional vertigo
Central paroxysmal positional vertigo
Cervical vertigo and vertebrobasilar insufficiency
Persistent postural perceptual dizziness
Summary
Clinics care points
Acute Vestibular Syndrome and ER Presentations of Dizziness
Key points
Introduction
Acute vestibular syndrome etiologies
Summary
Clinics care points
Chronic Central Vestibulopathies for the Otolaryngologist
Key points
Introduction
Definition
Neurophysiology
Central vestibular disorders
Investigations
Neuropharmacology
Summary
Clinics care points
Vestibular Migraine and Its Comorbidities
Key points
Background
Clinical presentation
Prevalence/incidence
Pathophysiology
Clinical findings
Treatment
Summary
Clinics care points
Progressive and Degenerative Peripheral Vestibular Disorders
Key points
Ménière's disease
Autoimmune vestibulopathy
Genetic and congenital peripheral vestibulopathy
Postradiation vestibulopathy
Ototoxic vestibulopathy
Perilymphatic fistula
Summary
Clinics care points
Disclosure
Supplementary data
The Dizzy Child
Key points
Introduction
Clinical evaluation
Vestibular function testing
Vestibular evoked myogenic potential
Video head impulse testing
Rotary chair
Videonystagmography
Imaging
Etiologies of pediatric dizziness
Auditory and vestibular dysfunction
Summary
Clinics care points
Disclosure
The Neuropsychology of Dizziness and Related Disorders
Key points
Introduction
Pathophysiological correlates
Impact on quality of life
Persistent postural perceptual dizziness
Mal de debarquement syndrome
Cognitive effects and visuospatial orientation
Disorders of higher vestibular function
Summary
Clinics care points
Nonvestibular Dizziness
Key points
Introduction
Dizziness and oscillopsia in vision disorders
Autonomic dizziness
Cervicogenic dizziness
Medication-induced dizziness
Other forms of nonvestibular dizziness
Summary
Clinics care points
Supplementary data
Vestibular Physical Therapy and Fall Risk Assessment
Key points
Introduction
The role of vestibular physical therapy
Central compensation
Outcome measures
Factors that contribute to outcomes
Anticipated benefit from vestibular rehabilitation on various conditions
Fall Risk Assessment
Summary
Case study
Clinics care points
Supplementary data
Current and Emerging Medical Therapies for Dizziness
Key points
Introduction
Neuropharmacology of the vestibular pathway
Pharmacologic categories
Treatment by condition
Summary
Clinics care points
Allergy, Immunotherapy, and Alternative Treatments for Dizziness
Key points
Introduction
Pathophysiology
Therapeutic options
Meniere disease
Autoimmune inner ear disease
Treatment
Summary
Clinics care points
New Frontiers in Managing the Dizzy Patient
Key points
A common language for dizziness and associated disorders
Remotely managing the dizzy patient
Event monitoring for dizziness episodes
Quantifying vestibular perception
Seeing pathology of the inner ear with imaging
Restoring vestibular sensation with a vestibular implant
Summary
Clinics care points