Vertigo and Imbalance

Part of the Oxford Textbooks in Clinical Neurology (OTCN) series, this volume provides and up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance.

Part of the Oxford Neurology Library (ONL) series, this pocketbook helps clinicians to improve their management of patients with vertigo and dizziness by providing an overview of clinical vestibular physiology and the latest developments in bedside examination, diagnosis/differential diagnosis, and state-of-the-art therapy.

SIMPLE TREATMENTS TO RESOLVE DIZZINESS, VERTIGO, AND IMBALANCE... Perhaps for you, life sometimes seems like an endless carousel ride without the pretty horses or music - it is just a constant cycle of spinning, nausea, or a fear of falling. Feelings of dizziness, vertigo, or imbalance may also have caused everyday activities such as getting up out of bed, standing still, or bending over seem to be incredibly difficult. If you are experiencing these symptoms, you are not alone. In fact, throughout the course of a lifetime, 40% of people will experience dizziness, vertigo, or imbalance so severely that they will visit the doctor for relief. While some causes of dizziness may require the care of a medical doctor, many times it can be decreased through a precise program of therapeutic exercise and scientifically proven maneuvers. Janine Pawley and Vincent Whalen are two physical therapists who specialize in the treatment of these debilitating conditions. They have experienced clinical success in decreasing dizziness, vertigo, and imbalance by using the diagnostic and treatment procedures contained in this book. HOW TO TREAT YOUR OWN DIZZINESS, VERTIGO, AND IMBALANCE IN THE MATURE ADULT AND BEYOND is a comprehensive book that will allow you to use their expertise to treat your own similar symptoms at home. So be ready to jump off that awful amusement park ride and instead get ready to start living your life the way you've always wished you could - without vertigo, dizziness, or imbalance in your way.

Get a quick, expert overview of dizziness and vertigo from childhood through old age with this concise, practical resource. Drs. Bradley W. Kesser and Tucker Gleason have assembled a leading team of experts to address timely clinical topics of interest to otolarynologists and other health care providers who see patients with these common problems. Covers key topics such as the clinical exam and diagnostic techniques, assessment and differential diagnosis in the pediatric population, dizziness and vertigo in the adolescent and the elderly, evaluation of dizziness in the litigating patient, vHIT, positional vertigo in all age groups, vestibular neuritis, migraine-associated vertigo, Meniere’s disease, medication-related dizziness in the older adult, and more. Includes information on dizziness demographics and population health, as well as development of the vestibular system and balance function. Consolidates today’s available information and experience in this important area into one convenient resource.

From the doctors at Mayo Clinic, the top-ranked hospital in the U.S., this book is a complete guide to understanding and living with arthritis. Find the latest expertise on various forms of arthritis, medications and other treatment options, and self care to successfully manage joint pain and continue an active life. If you have joint pain, you know it can lead to frustrating limitations in daily life. In fact, arthritis is the most common cause of disability in the United States. This complex group of joint diseases _x2014_ osteoarthritis, rheumatoid arthritis and many other forms _x2014_ affects at least 54 million Americans. But living with arthritis doesn’t have to mean sitting on the sidelines. Understanding the cause of your joint pain is key to finding relief. This book offers the same expert knowledge that Mayo Clinic doctors, nurses and therapists use in caring for patients. Gain a better grasp of how arthritis works, discover the latest advances in treatment options, and find out how activity, your diet, work and daily habits play a role in managing the disease. These tools can help you take control of joint pain to live more comfortably and get back to the activities you love. Mayo Clinic Guide to Arthritis is divided into three parts: Part 1 breaks down different forms of arthritis and joint pain to help you understand their causes, their signs and symptoms, and what each may mean for your health. Part 2 explores the latest in arthritis treatments, including new medications to slow or stop the disease, improved options for joint surgery, joint injections, and evidence-based guidance on pain control and integrative medicine. Part 3 provides practical tips for living with arthritis. Chapters focus on staying active, eating a healthy diet, caring for your mental health, protecting your joints, traveling and working.

When you turn your head suddenly, do you feel sick to your stomach? Do you often become dizzy when you get up too quickly from a chair? Have you ever felt a sense of motion when you're standing still? You're not alone. Whether it's fainting, imbalance, or spinning sensations, these disorders affect 76 million Americans at some time in their lives. Feeling Dizzy explains what can go wrong, what physicians can do to diagnose and treat problems, what you can do to help yourself, and how you can finally regain your sense of balance. The first complete book on the subject written from the general reader, Feeling Dizzy: Identifies and explains the three types of dizziness: vertigo, imbalance, and fainting. Describes treatment options, from medication or surgery to therapy and rehabilitation. Outlines self-help options, including relaxation techniques, biofeedback, and exercise.

Short and concise, clinically-oriented book with special emphasis on treatments: drug, physical, operative or psychotherapeutic An overview of the most important syndromes, each with explanatory clinical descriptions and illustrations makes it an easy-to-use reference

The thoroughly updated Second Edition of this highly acclaimed text is a practical, concise, and current guide to diagnosis and treatment of the various diseases that cause dizziness and imbalance. The book progresses from symptoms to anatomy and physiology, history and physical examination, laboratory testing, disease entities, and treatment. This edition features expanded coverage of the physical examination and state-of-the-art information on test modalities, imaging techniques, surgical procedures, medical therapies for migraine, and superior canal dehiscence. A companion Website will offer the fully searchable text, a question bank, and videos of physical examination techniques, abnormal eye movements, and surgical techniques. (http://www.goebeldizzypatient.com)

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.

"Result of a conference entitled Basic and Clinical Aspects of Vertigo and Dizziness, held on June 22-25, 2008, in Kloster Seeon, Germany"--P. v.

Short and concise, clinically-oriented book with special emphasis on treatments: drug, physical, operative or psychotherapeutic An overview of the most important syndromes, each with explanatory clinical descriptions and illustrations makes it an easy-to-use reference

Diagnostic Vestibular Pocket Guide: Evaluation of Dizziness, Vertigo, and Imbalance is a “lab coat pocket guide” for clinicians and students who evaluate patients with balance disorders. This quick reference condenses all facets of the clinical evaluation to provide guidance in a range of situations, including appointment preparation, vestibular screening measures, and appropriate objective testing. Specific chapters target common disorders and evaluation, required modifications based on age, forming clinical impressions, and medical referral criteria. Key Features: * Succinct explanations of vestibular principles and test procedures * Compact and portable design for frequent use * Concise and approachable outline format for quick reference * A list of common abbreviations, and index ensures easy access during an appointment * 80 figures and tables * Appendix outlining key symptoms, signs, and management options for peripheral, central, and systemic conditions

Aging affects neurological function leading to neurological disease As society grows older, so do the neurological problems associated with aging. These can be new neurological deficits due to the aging process itself, or the effect of aging on already existing neurological conditions. Neurologists will spend increasing amounts of time managing patients with age-related neurological complications. Geriatric Neurology brings together the wisdom of world-leading experts. They have crafted a new textbook to define this emerging subspecialty from basic science through clinical assessment and medical management to social aspects of patient care. Geriatric Neurology covers: The aging brain in neurology Assessment of the geriatric neurology patient Neurological conditions in the elderly Therapeutics for the geriatric neurology patient Management issues beyond therapeutics Comprehensive in scope but with practical focus for effective patient care, Geriatric Neurology provides top-of-class guidance for the management of elderly patients with neurological disorders.

Dizziness and vertigo are symptoms related to peripheral vestibular disorders. These are among the most common complaints in medical offices, and knowledge of the major diseases affecting this system is of fundamental importance to the specialist in otolaryngology. In recent years, great advances have been made in otoneurology, which, coupled with increasing knowledge in the field of neurosciences, have substantially modified the approach of the patient with balance complaints. This book studies the most polemic of these vestibular diseases, the Meniere's disease.

Get a quick, expert overview of dizziness and vertigo from childhood through old age with this concise, practical resource. Drs. Bradley W. Kesser and Tucker Gleason have assembled a leading team of experts to address timely clinical topics of interest to otolarynologists and other health care providers who see patients with these common problems. Covers key topics such as the clinical exam and diagnostic techniques, assessment and differential diagnosis in the pediatric population, dizziness and vertigo in the adolescent and the elderly, evaluation of dizziness in the litigating patient, vHIT, positional vertigo in all age groups, vestibular neuritis, migraine-associated vertigo, Meniere’s disease, medication-related dizziness in the older adult, and more. Includes information on dizziness demographics and population health, as well as development of the vestibular system and balance function. Consolidates today’s available information and experience in this important area into one convenient resource.

This book is about “vestibular” illnesses – those that arise in the inner ear and precipitate the sickening experiences of vertigo and imbalance, usually without warning. There are not many books on vertigo written for the general public, and the writer saw a need for one that offered not only detailed information concerning these diseases, but an exploration of the vertigo experience itself, and of the problems that can occur in searching for effective therapy and a sense of understanding. The book is unique in that more than fifty people were interviewed in order to provide a good look at a variety of real life experiences. Many of their stories are threaded through the text as examples. Included are chapters on the psychological effects of illness, challenges encountered in seeking help, conventional and unconventional treatments, anatomy and functioning of the ear, as well as a history of the development of a scientific understanding of vertigo. The book does not recommend any specific solutions, but rather seeks to provide some understanding of these illnesses and their ramifications, as well as options for coping with them. The sections of the book devoted to strictly medical information were reviewed by an experienced otolaryngologist. Comments by Madelon Baranoski, PhD, Associate Professor, Department of Psychiatry, Yale University: “This is an informative and entirely readable book on vertigo. The author weaves her own experiences, accounts from others who suffer from the disorder, and anatomy, physiology, and treatment information into a coherent discourse on the human experience of ‘the world spinning out of control.’ Personally, the book has helped me understand my mother’s bouts of benign positional vertigo. Reading it with me, Mom felt less isolated in her struggle with the unpredictable enveloping dizziness and I felt a new connection with her. We both felt less helpless. There is nothing like this book in the medical or popular press; I enthusiastically recommend it to family, friends, physicians and therapists of people with vertigo. It is an empathic, comprehensive, and well-written window into a very perplexing disorder.”

Over 10 million adults in the United States have chronic problems with dizziness and imbalance - vestibular problems. This compares to 400,000 with multiple sclerosis or 1.5 million with autism for example, both chronic illnesses with much greater name recognition. Vestibular problems are difficult to diagnose and treat. While vestibular problems come with various medical names (Meniere's, Perilymph Fistula, Endolymphatic Hydrops, Benign Paroxysmal Positional Vertigo (BPPV), Mal de Debarquement (MdDS), and others) they present a common challenge for the affected person on how to deal with the dizziness and eventually find balance. Finding Balance addresses over a decade of illness, from the initial two years searching for a diagnosis, through the long years of treatment and finally to the period of rebuilding a life within the confines of what dizziness and vertigo will allow. Finding Balance provides a detailed description of symptoms, what can trigger them, the emotional reactions to symptoms, how to recognize their subtle differences, and how to track them in order to contribute to your own diagnosis. It also emphasizes the patient's responsibility for healing and eventually how to find the inner balance in life that will be necessary to equitably live with these symptoms over time. And it provides a sense of time, of patience. Special Features of Finding Balance Include: Call-out boxes presenting facts and tips for dealing with the disorder All of the medical information in the book has been reviewed by vestibular specialists for accuracy Bulleted lists at the end of chapter with advice to the reader on next steps

This work presents a new original approach to diagnosis and rehabilitative treatment of vertigo and dizziness based on an innovative model of the vestibular system. It includes a detailed introduction to the MCS method, and a treatment program that involves mechanic, cybernetic, and synergetic aspects. Additionally, it provides a brief outline of the modern neurophysiological concepts behind the methodology.

The book provides chapters on sex hormones and their modulation in neurodegenerative processes and pathologies, from basic molecular mechanisms, physiology, gender differences, to neuroprotection and clinical aspects for potential novel pharmacotherapy approaches. The book contains 14 chapters written by authors from various biomedical professions, from basic researchers in biology and physiology to medicine and veterinary medicine, pharmacologists, psychiatrist, etc. Chapters sum up the past and current knowledge on sex hormones, representing original new insights into their role in brain functioning, mental disorders and neurodegenerative diseases. The book is written for a broad range of audience, from biomedical students to highly profiled medical specialists and biomedical researchers, helping them to expand their knowledge on sex hormones in neurodegenerative processes and opening new questions for further investigation.