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Book Details
Abstract
Common vestibular disorders presenting with vertigo contributes significantly to morbidity and mortality. The challenge is to identify the underlying cause of dizziness so as to streamline the treatment and improve quality of life. In day to day ENT practice incidence of dizziness is reported to be 10–15%. It is often associated with a range of otological, neurological, and psychiatric disorder. There are fewer subjects in medicine which keep us more confused than vertigo. Dizziness and vertigo may be disturbing and incapacitating causing problems to people doing regular or specialized tasks such as driving, operating heavy machinery or flying. As the sensations are hard to describe, patients often use the words "dizziness" and "vertigo" interchangeably and inconsistently. Patients with the same underlying disorder might describe the symptoms very differently and might also differently describe the same "dizzy" event depending upon the how the question is directed. The aim of this project is to explore the experience and learning of some of the eminent medical professionals, develop relevant updates, and make them easily available for utilization by the Indian clinical practitioners.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Front Cover | ||
Front Matter | ia | ||
Copyright | id | ||
ECAB Clinical Update:Otorhinolaryngology | ie | ||
Common Vestibular Disorders - II | if | ||
About the Authors | ig | ||
Contents | ii | ||
ECAB Clinical Update InformationCOMMON VESTIBULAR DISORDERS - II | i | ||
Preface | v | ||
Tinnitus | 1a | ||
ABSTRACT | 1a | ||
KEYWORDS | 1a | ||
Introduction | 1a | ||
Definition | 1a | ||
Other Definitions | 2 | ||
Risk Factors | 2 | ||
Tinnitus Sound | 2 | ||
Classification | 3 | ||
Epidemiology | 4 | ||
Neurophysiology | 4 | ||
Neurophysiological Evidences | 6 | ||
Factors Influencing Reaction to Tinnitus | 7 | ||
Tinnitus and Hearing Loss | 8 | ||
Evaluation | 8 | ||
Audiological Tests in Tinnitus Patients | 8 | ||
Evaluation of a Case of Tinnitus Based on Questionnaires | 8 | ||
Radiology in Tinnitus | 13 | ||
Tinnitus in Children | 14 | ||
Tinnitus in Pilots | 14 | ||
Tinnitus in Otosclerosis | 14 | ||
Tinnitus in Paget Disease | 14 | ||
Tinnitus as a Side-effect of Medication | 14 | ||
Treatment Options | 15 | ||
Cognitive Behavioral Therapy | 15 | ||
Biofeedback-based Behavioral Intervention | 15 | ||
Tinnitus Masking | 15 | ||
Phase-shift Treatment for Predominant Tone Tinnitus | 16 | ||
Tinnitus Retraining Therapy (TRT) | 16 | ||
Real Time Functional MRI Feedback Training | 17 | ||
Tinnitus-targeted Therapy (TTT) | 17 | ||
Hearing Aids | 18 | ||
Acoustic Stimuli, Particularly Fractal Tones, Delivered Through Hearing Aids | 18 | ||
Customized Sound Treatment | 18 | ||
Cochlear Implant | 19 | ||
Sound Generator | 19 | ||
High-frequency and Ultrasonic External Acoustic Stimulation | 19 | ||
Auditory Discrimination Therapy (ADT) | 19 | ||
Use of Alprazolam | 20 | ||
Use of Antidepressants | 20 | ||
Gabapentin | 20 | ||
Other Evaluated Treatments | 21 | ||
Lignocaine | 21 | ||
Intratympanic methyl prednisolone | 21 | ||
Botox | 21 | ||
Transmeatal Low Power Laser Irradiation | 22 | ||
Transcranial Magnetic Stimulation (TMS) | 22 | ||
Herbal/Mineral Supplementation | 22 | ||
Music Therapy | 22 | ||
Hypnosis and Reflexology | 22 | ||
Hyperbaric Oxygen | 22 | ||
Acupuncture | 22 | ||
CONCLUSION | 23 | ||
Benign Paroxysmal Positional Vertigo | 29a | ||
ABSTRACT | 29a | ||
KEYWORDS | 29a | ||
Etiology | 30 | ||
Pathogenesis | 30 | ||
Diagnosis Of Benign Paroxysmal Positional Vertigo | 32 | ||
Criteria Outlined for Diagnosis of Benign Paroxysmal Positional Vertigo10 | 33 | ||
Dix-Hallpike Test | 34 | ||
Treatment | 35 | ||
Conservative Treatment | 35 | ||
Office Management | 36 | ||
Semont's Maneuver | 36 | ||
Epley's Maneuver | 37 | ||
Post-procedural Instructions | 38 | ||
Gan's Maneuver | 39 | ||
Recurrence | 39 | ||
Surgical Treatment | 40 | ||
Testing Prior to Surgery | 40 | ||
Goals of Surgery | 40 | ||
Contraindications | 40 | ||
Atypical Benign Paroxysmal Positional Vertigo | 41 | ||
Lateral Canal Benign Paroxysmal Positional Vertigo | 42 | ||
Anterior Canal Benign Paroxysmal Positional Vertigo | 42 | ||
Vestibulolithiasis | 42 | ||
Multiconal Variety | 42 | ||
Unrecognized Benign Paroxysmal Positional Vertigo in Elderly Patients | 43 | ||
Summary | 43 | ||
Vestibular Neuritis | 47a | ||
ABSTRACT | 47a | ||
KEYWORDS | 47a | ||
Introduction | 47a | ||
Prevalence | 47a | ||
Diagnostic Features | 48 | ||
Presenting Features | 48 | ||
Clinical Features | 49 | ||
Investigations | 51 | ||
Pathophysiology | 59 | ||
Prognosis | 62 | ||
Differential Diagnosis | 64 | ||
Treatment | 65 | ||
Summary | 66 | ||
Disequilibrium in Elderly | 69a | ||
ABSTRACT | 69a | ||
KEYWORDS | 69a | ||
Background | 69a | ||
Prevalence | 69a | ||
Changes In Vestibular System With Aging | 70 | ||
Etiology | 71 | ||
Evaluation | 73 | ||
History | 73 | ||
Physical Examination | 73 | ||
Investigations | 74 | ||
Caloric Stimulation | 74 | ||
Rotary Stimulation | 74 | ||
Posturography | 75 | ||
Clinical Implications | 75 | ||
Management | 76 | ||
Vestibular Rehabilitation | 76 | ||
Pharmacotherapy | 78 | ||
Surgical Treatment | 78 | ||
Devices | 79 | ||
Conclusion | 79 | ||
Perilymphatic (Labyrinthine) Fistula | 83a | ||
ABSTRACT | 83a | ||
KEYWORDS | 83a | ||
Introduction And Global Background | 83a | ||
Indian Scenario | 85 | ||
Presenting Symptoms | 86 | ||
Signs | 87 | ||
The Limitations of Fistula Test | 88 | ||
Pathophysiology | 89 | ||
Management | 94 | ||
Medical Management | 96 | ||
Surgical Management | 96 | ||
Postoperative Care | 98 | ||
Postoperative Progress | 99 | ||
Complications | 99 | ||
Prognosis | 99 | ||
Summary | 100 | ||
Case Studies Perilymphatic Fistula | 104 | ||
Case 1 | 104 | ||
Points to Learn | 105 | ||
Case 2 | 105 | ||
Points to Learn | 107 | ||
Case 3 | 108 | ||
Points to Learn | 108 | ||
Case 4 | 109 | ||
Points to Learn | 110 | ||
The Neuropsychiatric Aspects of Vertigo | 113a | ||
ABSTRACT | 113a | ||
KEYWORDS | 113a | ||
Introduction | 113a | ||
Global Update | 115 | ||
Update In Indian Context | 118 | ||
Personal Clinical Experience/Management | 119 | ||
Treatment | 122 | ||
Patient Education | 122 | ||
Medications | 123 | ||
Psychotherapy | 123 | ||
Conclusions | 124 | ||
Case Studies The Neuropsychiatric Aspects of Vertigo | 128 | ||
Case 1 | 128 | ||
General Physical and Systemic Examination | 128 | ||
Ear, Nose and Throat Examination | 128 | ||
Neurotological Examination | 128 | ||
Neurotological Investigations | 128 | ||
Remarks | 128 | ||
Case 2 | 129 | ||
General Physical and Systemic Examination | 129 | ||
Ear, Nose and Throat Examination | 129 | ||
Neurotological Examination | 129 | ||
Neur otological Investigations | 129 | ||
Radiological Examination | 130 | ||
Remarks | 130 | ||
Case 3 | 130 | ||
General Physical Examination | 130 | ||
Ear, Nose and Throat Examination | 130 | ||
Neurotological Examination | 131 | ||
Neurotological Investigations | 131 | ||
Remarks | 131 | ||
Case StudiesThe Neuropsychiatric Aspects of Vertigo | 128 |