Clinical Neurophysiology of the Vestibular System

Hardcover | November 20, 2010

byRobert W. Baloh, Kevin A. Kerber

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This book provides a framework for understanding the pathophysiology of diseases involving the vestibular system. The book is divided into four parts: I. Anatomy and physiology of the vestibular system; II. Evaluation of the dizzy patient; III. Diagnosis and management of common neurotologicdisorders; and IV. Symptomatic treatment of vertigo. Part I reviews the anatomy and physiology of the vestibular system with emphasis on clinically relevant material. Part II outlines the important features in the patient's history, examination, and laboratory evaluation that determine the probablesite of lesion. Part III covers the differential diagnostic points that help the clinician decide on the cause and treatment of the patient's problem. Part IV describes the commonly used antivertiginous and antiemetic drugs and the rationale for vestibular exercises. The recent breakthroughs in thevestibular sciences are reviewed. This book will helpful to all physician's who study and treat patients complaining of dizziness.

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This book provides a framework for understanding the pathophysiology of diseases involving the vestibular system. The book is divided into four parts: I. Anatomy and physiology of the vestibular system; II. Evaluation of the dizzy patient; III. Diagnosis and management of common neurotologicdisorders; and IV. Symptomatic treatment of v...

Robert W. Baloh, MD, FAAN, is Director of the Neuro-Ontology program in the Department of Neurology at the Reed Neurological Institute, University of California, Los Angeles in Los Angeles, CA. Kevin A. Kerber, MD, is an Assistant Professor in the Department of Neurology at the University of Michigan Health Systems. Dr. Kerber joined ...

other books by Robert W. Baloh

Format:HardcoverDimensions:480 pages, 10 × 7 × 0.98 inPublished:November 20, 2010Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019538783X

ISBN - 13:9780195387834

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Table of Contents

Part 1: Anatomy and Physiology of the Vestibular System1. Overview of the Vestuibular System Anatomy and PhysiologyPeripheral Vestibular ReceptorsCentral Vestibular pathwaysVestibular ReflexesMotion Perception and OrientationPathophysiology of Vestibular SymptomsCentral Compensation for Vestibular LesionsSummary2. The Peripheral Vestibular SystemTemporal BoneInner Ear (Labyrinth)The Hair CellThe Inner Ear Vestibular ReceptorsPrimary Vestibular NeuronsEfferent Vestibular Neurons3. The Central Vestibular SystemVestibular NucleiVestibulo-Ocular ReflexesCervico-Ocular ReflexesVisual-Vestibular InteractionVestibulospinal ReflexesSubjective Vestibular SensationPart 2: Evaluation of the Dizzy Patient5. The History of the Dizzy PatientVertigoNear-Faint DizzinessPathophysiologic Dizziness (Chronic Subjective Dizziness)Drug-Induced DizzinessHypoglycemiaDisequilibriumOcular DizzinessMultisensory DizzinessPhysiologic DizzinessSummary: Distinguishing Between Vestibular and Nonvestibular Types of Dizziness6. Bedside Examination of the Vestibular SystemExamination of the EarTests of Vestibulospinal ReflexesTests of Vestibulo-Ocular ReflexesTests for Pathologic NystagmusTypes of Pathologic NystagmusOther Ocular OscillationsOcular Tilt Reaction7. Laboratory Examinations of the Vestibular SystemNustagmographyRotational Testing of Vestibulo-Ocular ReflexesVisual-Vestibular InteractionTests of Otolith-Ocular ReflexesVestibulospinal TestingVestibular-Evoked Potentials8. Clinical Evaluation of HearingTypes of Hearing DisordersBedside Tests of HearingBehavioral AudiometryImpedance AudiometryTympanometryAuditory-Evoked ResponsesGenerating PotentialsTest MethodologyResults in PatientsCentral Auditory Speech TestsSummary of Auditory Test ResultsPart 3: Diagnosis and Management of Common Neurotologic Disorders9. Infectious DiseasesAcute Otitis Media and OtomastoiditisChronic Mastoiditis and CholesteatomaBacterial LabyrinthitisPetrositisIntracranial Extension of Ear InfectionsMalignant External OtitisViral Infections of the Inner EarSyphilitis Infections of the EarTuberculosis and Mycotic Infections of the Inner Ear10. Benign Positional VertigoHistorical BackgroundCauses of BPVPosterior Canal Variant of Benign Positional VertigoOther Variants of Benign Positional Vertigo11. Endolymphatic Hydrops (Meniers's Syndrome)BackgroundOccurenceClinical FeaturesPathophysiologyAnimal ModelsEtiologyDiagnosisManagement12. MigraineBackgroundClinical FeaturesPathophysiologyDiagnosisManagemnt13. Immune-Mediated DiseasesAutoimmune Inner Ear DiseaseParaneoplastic Immune DisordersMultiple Sclerosis14. Vascular DisordersVertebrobasilar IschemiaIntralabyrinthine HemorrhageHemorrhage into the Brain Stem and CerebellumVascular Compression Syndromes15. TumorsTumors of the Middle Ear and Temporal BoneTumors of the Internal Auditory Canal and Cerebellopontine AngleBrain Tumors16. TraumaTrauma to the Temporal BonePerilymph FistulaSemicircular Canal Dehiscence SyndromeBrain Trauma17. Toxic/Metabolic DisordersDizziness and Systemic Metabolic DisordersMetabolic Disorders of the Temporal BoneOtotoxinsNeurotoxins18. Developmental and Genetic DisordersThe Inner EarDisorders of the Cranial Vertebral JunctionInherited Spinocerebellar Ataxia SyndromesPart 4: Symptomatic Treatment of Vertigo19. Antiemetic and Antivertigo DrugsVestibular SuppressantsAntiemetic DrugsSpecific Drugs20. Vestibular RehabilitationAdaptive Control of Normal Vestibular ReflexesMechanisms for Compensation After Vestibular LossSpecial CircumstancesControlled Trials of Vestibular ExercisesStrategy for Designing Vestibular ExercisesVestibular ExercisesFuture DirectionsAppendix 20-1. Sample Home Exercise Program21. Future DirectionsIndex