Vestibular Disorders A Case Study Approach to Diagnosis and Treatment

by Furman, Joseph; Cass, Stephen; Whitney, Susan

• ISBN13: 9780195333206
• ISBN10: 0195333209
• Edition: 3rd
• Format: Hardcover
• Copyright: 2010-01-29
• Publisher: Oxford University Press

Summary

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.

Author Biography

Joseph Furman, Department of Otolaryngology, University of Pittsburgh Medical Center
Pittsburgh, PA
Dr. Furman is Professor in the Departments of Otolaryngology, Neurology, Bioengineering, and Physical Therapy and Director of the Division of Balance Disorders at the University of Pittsburgh and a Fellow of the American Academy of Neurology. He is a practicing neurologist with a special interest in dizziness, disequilibrium, and balance disorders. He also conducts an active research program in human vestibular function.
Stephen P. Cass, Department of Otolaryngology, University of Colorado Health Sciences Center
Denver, CO
Dr. Cass is Associate Professor in the Department of Otolaryngology at the University of Colorado, Denver and a Fellow of the American College of Surgeons. Dr. Cass has a clinical surgical practice specializing in disorders of the ear, hearing and balance. Dr. Cass has authored over 50 scientific articles, 33 book chapters and 3 text books.
Susan L. Whitney, School of Education, University of Pittsburgh, Pittsburgh, PA
Dr. Whitney is Associate Professor in the Departments of Physical Therapy and Otolaryngology at the University of Pittsburgh and a Fellow of the American Physical Therapy Association. She is a physical therapist whose primary clinical and research interests are related to rehabilitation outcomes of persons with dizziness and balance disorders.

Table of Contents

Introduction: Guide for the Reader	p. xiii
Parsing Table	p. xiv
Background for Case Studies
Vestibular Anatomy and Physiology	p. 5
History of the Dizzy Patient	p. 17
Physical Examination of the Dizzy Patient	p. 22
Vestibular Laboratory Testing	p. 30
Auditory System and Testing	p. 41
Vestibular Rehabilitation	p. 46
Psychiatric Aspects of Vestibular Disorders	p. 53
Medications Commonly Used to Treat Vestibular Disorders	p. 59
Tutorial Case Studies
Unilateral Vestibular Impairment and Vestibular Compensation-Vestibular Neuritis	p. 67
Mixed Peripheral and Central Vestibular Impairment-Cerebellopontine Angle Tumor	p. 76
Impaired Vestibular Compensation-Vestibular Neuritis	p. 81
Bilateral Vestibular Loss-Ototoxicity	p. 86
Anxiety and Psychiatric Dizziness-Vestibulopathy, Cause Unknown	p. 94
Emergency Room Management of the Dizzy Patient-Acute Cerebellar Infarction	p. 99
Common Disease Case Studies
Benign Paroxysmal Positional Vertigo	p. 107
Migraine-Related Dizziness	p. 117
Meniere's Disease-Medical Management	p. 123
Disequilibrium of Aging	p. 130
Multisensory Disequilibrium	p. 136
Meniere's Disease-Nonablative Management of the Medically Refractory Patient	p. 140
Labyrinthine Concussion	p. 147
Mild Traumatic Brain Injury	p. 152
Decompensated Unilateral Peripheral Vestibular Loss	p. 156
Nonspecific Vestibulopathy	p. 159
Benign Recurrent Vertigo of Childhood	p. 162
Drug-Induced Dysequilibrium	p. 166
Cerebellar Degeneration	p. 169
Multiple Diagnosis Case Studies
Meniere's Disease and Migraine-Related Dizziness	p. 177
Head Trauma: Combined CNS, Labyrinthine, and Cervical Injury	p. 182
Migraine-Related Dizziness and Anxiety Disorder	p. 186
Benign Paroxysmal Positional Vertigo and Migraine-Related Dizziness	p. 191
Meniere's Disease and Benign Paroxysmal Positional Vertigo	p. 195
Benign Paroxysmal Positional Vertigo and Anxiety Disorder	p. 199
Unusual Disease Case Studies
Recurrent Benign Paroxysmal Positional Vertigo-Nonsurgical Management	p. 205
Orthostatic Hypotension	p. 208
Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo	p. 212
Bilateral Meniere's Disease	p. 217
Multiple Sclerosis	p. 223
Convergence Spasm	p. 229
Superior Semicircular Canal Dehiscence Syndrome-Tullio's Phenomenon	p. 233
Vertebrobasilar Insufficiency	p. 239
Chiari Malformation	p. 244
Orthostatic Tremor	p. 250
Mal de Débarquement Syndrome	p. 254
Wallenberg's Syndrome-Posterior Inferior Cerebellar Artery Syndrome	p. 257
Anterior Inferior Cerebellar Artery Syndrome	p. 261
Benign Paroxysmal Positional Vertigo-Surgical Management	p. 266
Drop Attacks	p. 273
Ramsay Hunt Syndrome	p. 277
Meniere's Disease-Ablative Management of the Medically Refractory Patient	p. 282
Chronic Otitis Media	p. 289
Decompensated Bilateral Vestibular Loss	p. 295
Autoimmune Inner Ear Disease	p. 299
Progressive Supranuclear Palsy	p. 305
Lithium-Induced Dizziness	p. 309
Congenital Inner Ear Malformations	p. 312
Saccadic Fixation Instability	p. 321
Congenital Nystagmus	p. 326
Otosclerotic Inner Ear Syndrome	p. 331
Solvent Exposure	p. 339
Wernicke's Encephalopathy	p. 344
Rotational Vertebral Artery Syndrome	p. 349
Sleep Disorders and Vestibulopathy	p. 353
Clinical Controversy Case Studies
Malingering	p. 359
Driving and Dizziness	p. 363
Cervicogenic Dizziness	p. 368
Acoustic Neuroma-Management	p. 373
Perilymphatic Fistula	p. 379
Vascular Cross-Compression Syndrome of the Eighth Cranial Nerve	p. 385
Appendix of Diagnoses	p. 390
Index	p. 392
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