Vertigo. Clinical Practice and Examination + Dvd-Rom

Description

Vertigo is the feeling that everything around is moving or spinning and is usually caused by a problem with the balance mechanisms in the inner ear. It can also be caused by problems in certain parts of the brain or vision disorders.

This concise handbook is a quick reference introducing the key concepts of vertigo. Beginning with an explanation of the key terms and the causes of dizziness, the following chapters discuss the examination, diagnosis and management of vestibular (parts of the inner ear and brain that process the sensory information involved with controlling balance and eye movements) disorders.

An ancillary DVD of 27 videos demonstrates clinical neuro- otologic examination techniques and clinical findings.

Key Features

• Concise introduction to key concepts of vertigo
• Explains key terms, causes, examination, diagnosis and management
• Includes DVD demonstrating clinical examination techniques and findings

Table of Contents

1. Key Terms
2. Causes of Dizziness
3. Vestibular System
4. Features of a Vestibular Disorder
5. Peripheral Vestibular Disorders
6. Central Vestibular Disorders
7. Vertigo or Dizziness in Special Circumstances
8. Examination
9. Investigations

DVD Contents

Clinical Examination

• Otoscopy
• Tuning Fork Tests
• Spontaneous Nystagmus
• Oculomotor Tests
• Halmagyi Manoeuvre
• Head Shake Test
• VOR Suppression
• Oscillopsia
• Romberg’s and Gait Cerebellar Tests
• Left Modified Epley’s (Canalith Re-positioning Procedure)

Clinical Findings

• Otoscopic Findings
• Congenital Nystagmus
• Spontaneous Nystagmus—Horizontal (Peripheral Vestibular Lesion)
• Spontaneous Nystagmus—Vertical (Central Nervous System Disorder) Gaze-Evoked Nystagmus—Horizontal (Central Nervous System Disorder)
• Gaze-Evoked Nystagmus—Vertical (Central Nervous System Disorder)
• Smooth Pursuit Deficit (Central Nervous System Disorder)
• Positive Halmagyi (Peripheral Vestibular Lesion)
• Positive Head Shake Test (Peripheral Vestibular Lesion)
• Positive Oscillopsia Test (Bilateral Vestibular Loss) Oscillopsia (As the Patient Sees it)
• Cerebellar Gait (Central Nervous Sys-tem Disorder)
• Cerebellar Ataxia (Central Nervous System Disorder)
• Dix-Hallpike Maneuver (with Frenzel’s Glasses)
• Positive Dix-Hallpike Maneuver (Posterior Canal BPPV)
• Positive Eye Cover Test (Central Nervous System Disorder)

Author

Philip Rajan Devesahayam MBBS (Malaya) MMed ORL-HNS (USM)
Consultant Otolaryngologist, Department of Otorhinolaryngology, Hospital Raja Permaisuri Bainun, Ipoh, Perak, Malaysia

Prepageran Narayanan MBBS (Malaya) MS ORL (UM) FRCS (Ed) FRCS (Glas)
Professor, Senior Consultant and Head Otolaryngologist, Department of Otorhinolaryngology, University Malaya Medical Center, Kuala Lumpur, Malaysia