Vestibular Disorders

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.

Introduction: Guide for the Reader

Parsing Table

Part I. Background for Case Studies

Chapter 1. Vestibular Anatomy and Physiology
Chapter 2. History of the Dizzy Patient
Chapter 3. Physical Examination of the Dizzy Patient
Chapter 4. Vestibular Laboratory Testing
Chapter 5. Auditory System and Testing
Chapter 6. Vestibular Rehabilitation
Chapter 7. Psychiatric Aspects of Vestibular Disorders
Chapter 8. Medications Commonly Used to Treat Vestibular Disorders

Part II. Tutorial Case Studies

Case 1. Unilateral Vestibular Impairment and Vestibular Compensation - Vestibular Neuritis
Case 2. Mixed Peripheral and Central Vestibular Impairment - Cerebellopontine Angle Tumor
Case 3. Impaired Vestibular Compensation - Vestibular Neuritis
Case 4. Bilateral Vestibular Loss - Ototoxicity
Case 5. Anxiety and Psychiatric Dizziness - Vestibulopathy, Cause Unknown
Case 6. Emergency Room Management of the Dizzy Patient - Acute Cerebellar Infarction


Part III. Common Disease Case Studies

Case 7. Benign Paroxysmal Positional Vertigo
Case 8. Migraine-Related Dizziness
Case 9. Meniere's Disease - Medical Management
Case 10. Dysequilibrium of Aging
Case 11. Multisensory Dysequilibrium
Case 12. Meniere's Disease - Non-ablative Management of the Medically Refractory Patient
Case 13. Labyrinthine Concussion
Case 14. Mild Traumatic Brain Injury
Case 15. Decompensated Unilateral Vestibular Loss
Case 16. Nonspecific Vestibulopathy
Case 17. Benign Recurrent Vertigo of Childhood
Case 18. Drug-Induced Disequilibrium
Case 19. Cerebellar Degeneration

Part IV. Multiple Diagnosis Case Studies

Case 20. Meniere's Disease and Migraine-Related Dizziness
Case 21. Head Trauma: Combined CNS, Labyrinthine, and Cervical Injury
Case 22. Migraine-Related Dizziness and Anxiety Disorder
Case 23. Benign Paroxysmal Positional Vertigo and Migraine-Related Dizziness
Case 24. Meniere's Disease and Benign Paroxysmal Positional Vertigo
Case 25. Benign Paroxysmal Positional Vertigo and Anxiety Disorder

Part V. Unusual Disease Case Studies

Case 26. Recurrent Benign Paroxysmal Positional Vertigo - Non-surgical Management
Case 27. Orthostatic Hypotension
Case 28. Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo
Case 29. Bilateral Meniere's Disease
Case 30. Multiple Sclerosis
Case 31. Convergence Spasm
Case 32. Superior Semicircular Canal Dehiscence Syndrome - Tullio's Phenomenon
Case 33. Vertebro-Basilar Insufficiency
Case 34. Chiari Malformation
Case 35. Orthostatic Tremor
Case 36. Mal de Debarquement Syndrome
Case 37. Wallenberg's Syndrome - Posterior Inferior Cerebellar Artery Syndrome
Case 38. Anterior Inferior Cerebellar Artery Syndrome
Case 39. Benign Paroxysmal Positional Vertigo-Surgical Management
Case 40. Drop Attacks
Case 41. Ramsay Hunt Syndrome
Case 42. Meniere's Disease - Ablative Mangement of the Medically Refractive Patient
Case 43. Chronic Otitis Media
Case 44. Decompensated Bilateral Vestibular Loss
Case 45. Autoimmune Inner Ear Disease
Case 46. Progressive Supranuclear Palsy
Case 47. Lithium-Induced Dizziness
Case 48. Congenital Inner Ear Malformations
Case 49. Saccadic Fixation Instabilities
Case 50. Congenital Nystagmus
Case 51. Otosclerotic Inner Ear Syndrome
Case 52. Solvent Exposure
Case 53. Wernicke's Encephalopathy
Case 54. Rotational Vertebral Artery Syndrome
Case 55. Sleep Disorder and Vestibulopathy

Part VI. Clinical Controversy Case Studies

Case 56. Malingering
Case 57. Driving and Dizziness
Case 58. Cervicogenic Dizziness
Case 59. Acoustic Neuroma - Management
Case 60. Perilymphatic Fistula
Case 61. Vascular Cross-Compression Syndrome of the Eighth Cranial Nerve
Bibliography
Index