Full Description
The sole purpose of this book is to get more and more neurologists interested in the discipline of neuro-otology for proper management of patients with vertigo and balance disorders.The book is divided into three sections.Section 1 deals with the basics which include anatomical and physiological basis of maintenance of human balance, vestibular and cerebellar control of eye movements, classification of vestibular disorders, elicitation of proper history in patients presenting with vertigo and finally a step-wise physical examination and lastly a commentary on currently practiced vestibular function tests.Section 2 is the case study section. Forty-six cases are discussed in a very interactive way with the case history and findings detailed first followed by the investigations performed and the results of therapy, when applicable. This clinical note is followed by a series of questions which are likely to crop up in the minds of the readers after going through the case. The final section is the discussion, embedded in which would lie the answers to all the questions raised, along with other relevant and up to date information on the subject discussed. This section includes around 10 cases of posterior circulation strokes presenting with vertigo which have been discussed in way of clinico-anatomical and clinico-radiological correlation - an essential part of training to be a neurologist. No very detailed referencing had been done considering the time constraint for busy medical practitioners and trainees, and only few major ones are listed at the end of each case/chapter for those interested in more detailed discourses. In relation to the cases, many of the vestibular function tests performed on them are discussed in a lucid manner to make correlation of clinical history and function tests easily understandable.Section 3 mostly discusses management issues. Apart from the medical management of vertiginous disorders (including some detailing of drug pharmacology), detailed descriptions of canalith repositioning techniques for BPPV are provided. This section also includes a commentary on vertigo in posterior circulation strokes which would be of great interest to neurologists and trainees.
Contents
SECTION 1Commentary 1: Neurology of Human BalanceCommentary 2: Cerebellar and Vestibular Control of Eye Movements and NystagmusCommentary 3: Definitions and Classification of Vestibular DisordersCommentary 4: Bedside Assessment of the Dizzy PatientCommentary 5: Pitfalls in Diagnosis of Vertigo and DizzinessCommentary 6: Summary of History and Findings in Common Vestibular DisordersCommentary 7: Vestibular Function TestsSECTION 2: CASE STUDIESCASE 1 What is not Vertigo?CASE 2 Vertigo in a Middle-aged Man on WakingCASE 3 Another Case of Vertigo on WakingCASE 4 A Complex Case of Benign Paroxysmal Positional VertigoCASE 5 Acute Vertigo in an Elderly FemaleCASE 6 Acute Onset Vertigo with Hearing LossCASE 7 A Case of Recurrent Brief Spells of Spinning with Bilateral Hearing LossCASE 8 A Middle-aged Man with Isolated Hearing LossCASE 9 Another Case of Isolated Hearing LossCASE 10 A Young Lady with Unilateral Vestibular DysfunctionCASE 11 A Middle-aged Man with a Long History of Vertigo and DizzinessCASE 12 A Middle-aged Lady with Recurrent very Brief Spells of VertigoCASE 13 An Elderly Man who Felt Off Balance on Turning the Neck to Either SideCASE 14 An Elderly Man who was Thrown Off His Motor BikeCASE 15 A Middle-aged Lady with Recurrent Fallsxiv Vertigo and Dizziness: A Case-based StudyCASE 16 An Elderly Man with Recurrent Transient Neurological ProblemCASE 17 A Case of Headache and VertigoCASE 18 Another Case of Headache and VertigoCASE 19 An Elderly Man with Recent Onset of Unsteadiness in WalkingCASE 20 Another Case of Unsteadiness in WalkingCASE 21 Yet another Case of Unsteadiness in WalkingCASE 22 An Elderly Doctor with Gross UnsteadinessCASE 23 A Lawyer who was Severely BeatenCASE 24 A Lady who returned from Andamans Swaying all the Time!CASE 25 A Young Boy with Vertigo and SeizureCASE 26 A Young Child with Recurrent VertigoCASE 27 A Young Boy with a Head TiltCASE 28 Anticonvulsant Toxicity or Vestibular Dysfunction?CASE 29 Vertigo in the Elderly 165CASE 30 Headache and Dizziness in an Elderly LadyCASE 31 A Complex Problem!CASE 32 Is it Psychogenic Dizziness?CASE 33 Feeling a Sway all Time for 5 Years!CASE 34 It all Happened during a Train JourneyCASE 35 A Posterior Circulation Stroke in a Young ManCASE 36 A Posterior Circulation Stroke in an Elderly LadyCASE 37 Another Posterior Circulation Stroke in a Young Man due to an Uncommon Cause which should not be OverlookedCASE 38 A Stroke after Coronary Artery Bypass GraftingCASE 39 Posterior Circulation Stroke with Dual MechanismsCASE 40 A Case with Clinical and Investigation DiscordanceCASE 41 A Medullary StrokeCASE 42 A Case of a Wake-up StrokeCASE 43 Spontaneous Recovery from Vertigo in a Young GirlCASE 44 Another Young Girl with Headache, Vertigo and Double VisionCASE 45 A Case of Acoustic Neuroma with an Uncommon PresentationCASE 46 Vertigo following Lumbar Spine SurgerySECTION 3: MANAGEMENT ISSUESCommentary 8: Vertigo in Posterior Circulation StrokesCommentary 9: Canalith Repositioning TechniquesCommentary 10: Medical Management of VertigoIndex
