Dizziness眩晕
2007-2
Cambridge Univ Pr
Bronstein, Adolfo M., M.D., Ph.D./ Lempert, Thomas
221
Most clinicians find it difficult to diagnose dizzy patients, as the potential causes span various subspecialties, including internal medicine, neurology, ontology, ophthalmology and psychiatry. This book offers a novel approach with chapters organized by easily recognizable clinical presentation, such as recurrent vertigo or positional vertigo. To orientate the reader, a table with differential diagnoses is given at the beginning of each chapter, including key features of each disorder. The authors' friendly approach extends advice on history taking and clinical examination, and each chapter ends with hints as to 'what to do if you haven't a clue'. Common disorders are highlighted, with brief coverage of rarities. Basic science aspects are limited to what is really relevant to the clinicians. A useful DVD shows the clinical examination, positioning and exercises for vestibular rehabilitation. With this book at hand, many more doctors will approach their next dizzy patient with confidence.
Adolfo Bronstein is Professor of Clinical Neuro-otology and Consultant Neurologist, Division of Neuroscience and Mental Health, Imperial College London, Charing Cross Hospital, London, UK. Thomas Lempert is Professor of Neurology, Vestibular Research Group, Charite University Hospital, Department of Neurology, Schlosspark-Klinik, Berlin, Germany.
AcknowledgementsList of tablesList of video clipsIntroduction: How to use this book1 Essential anatomy and functions of the balance system Introduction Anatomy and physiology of the vestibular system Eye movements Multisensory integration2 Symptoms and examination of the patient with vertigo and dizziness Symptoms Essentials of the clinical examination Eye-movement examination Vestibular eye movements Positional manoeuvres Frenzel's glasses Posture and gait Clinical assessment of hearing Orthostatic blood pressure LabOratory examinations Separating peripheral from central vestibular lesions Imaging procedures in dizzy patients 3 A single episode of prolonged vertigo Vestibular neuritis Brainstem and cerebellar lesions First attack of migrainous vertigo First attack of Meniere's disease Other causes of acute persistent vertigo What to do if you don't have a clue4 Recurrent vertigo and dizziness Recurrent vertigo Migrainous vertigo Benign recurrent vertigo Meniere's disease Vertigo due to vertebrobasilar transient ischaemic attack Paroxysmal recurrent vertigo: vascular compression of the eighth nerve? Perilymph fistula Rare causes of recurrent vertigo What to do if you don't have a clue Recurrent dizziness Orthostatic hypotension Cardiac arrhythmia Psychogenic dizziness Drug-induced dizziness Other causes of recurrent dizziness What to do if you don't have a clue5 Positional vertigo Posterior-canal benign paroxysmal positional vertigo Horizontal-canal benign paroxysmal positional vertigo: canalolithiasis type Horizontal-canal benign paroxysmal positional vertigo: cupulolithiasis type Migrainous vertigo Central positional vertigo Other causes of positional vertigo What to do if you don't have a clue 6 Chronic dizziness and unsteadiness The origin of chronic dizziness Patients with a past history of vertigo Visual vertigo Motorist disorientation syndrome Psychological presentations……7 Dizziness,imbalance and falls in the elderly8 Treatment of the dizzy patientFurther reading Index
'This is a pragmatic text, steeped with the authors' experience. ... Short of having Adolfo Bronstein universally available to sort out dizzy people, this book is a very acceptable addition to a neurologist's armamentarium for dealing with a common clinical problem.' Advances in Clinical Neuroscience & Rehabilitation 'The first edition of this 200-page book with a video CD certainly serves as a very welcome and highly reliable guide for the clinician confronting the difficult and broad field of dizziness. ... As the title indicates, this book takes an, above all, practical approach to the diagnosis and treatment of different vertigo/dizziness syndromes. Practising clinicians can quickly acquire an understanding of the physiological essentials of the vestibular system. The book is clearly written and adequately illustrated. ... this is a thoroughly readable and highly recommendable book.' European Neurology
