Vestibular Disorders: A Case Study Approach to Diagnosis and Treatment / Edition 3

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Overview


Vestibular Disorders, Third Edition, uses a case-study approach to outline the principles and practice of the care of patients with dizziness and balance disorders. The text reflects the combined perspectives and experience of a neurologist (Dr. Furman) a neurotologic surgeon (Dr. Cass), and a physical therapist (Dr. Whitney). Each case study contains relevant material regarding history, physical examination, laboratory testing, differential diagnosis, and treatment. This material provides a springboard for discussion of either a concept in the field of vestibular disorders or the diagnosis or treatment of a particular disease state. Practical, specific treatment options are discussed throughout the book. The book is written to a wide audience and educational level of readers including Primary Care Physicians, Otolaryngologists, Neurologists, Physical Therapist, and Audiologists. The case-format style of the book lends itself to use in teaching programs involving medical students, residents, physical therapy students, and audiology students, and as a reference text for clinicians at the bedside. Each of the cases from the first and second editions have been updated, the background material has been expanded and eight new cases have been added. Vestibular Disorders, Third Edition, aims to span the gap between existing in-depth tests and the problems that arise whenever a patient presents with dizziness.
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Editorial Reviews

Doody's Review Service
Reviewer: Alan G Micco, MD (Northwestern University Feinberg School of Medicine)
Description: In this collection of case-based studies illustrating all aspects of vestibulopathies, each chapter starts with a real case and includes "what to do next" type questions relevant for both trainees and general ENT practitioners. The valuable section on unusual cases is memorable and a great learning experience. Even the format of the index is helpful, organizing topics by simplicity of diagnosis, i.e. single entity vs. multiple diagnoses.
Purpose: Vestibular disorders are common and many physicians do not know how to diagnose them properly. This book outlines principles of vestibular disorders using a case study approach and incorporating viewpoints of three different specialists — a neurologist, neurotologist, and physical therapist. Problem-based learning is a proven way to teach principles, and this book meets its objectives with a step-by-step approach to each case.
Audience: The book is written for otolaryngologists at all levels, from residents and fellows to general ENT physicians and even neurotologists. It is useful for neurologists specializing in dizziness as well. It is also helpful for anyone dealing with patients who come in with dizzy symptoms, whether ER doctors or primary care physicians.
Features: A myriad of different vestibulopathy diagnoses, both basic and more complex and unusual, are covered. The best part of this book is the section on unusual cases, which provide a glimpse of real case studies that are rarely found in other textbooks. With summaries at the end of chapters as well as question boxes throughout, this book also is ideal for study purposes.
Assessment: This third edition adds eight new cases to a thoughtfully written book illustrating interesting, common, and uncommon cases that should be a great reference for all ENT physicians.
From the Publisher

"This book provides a systematic approach to the dizzy patient, clinical detailed histories in a question and answer format that is easy to read, and treatment options. It is useful to both specialists and non-specialists from the level of medical student to balance disorder specialists. I highly recommend the book."-- ournal of Neurology Neurosurgery and Psychiatry

"The book has a wealth of knowledge with pearls of practical experience."--Journal of Neurology

"This book provides a systematic approach to the dizzy patient, clinical detailed histories in a question and answer format that is easy to read, and treatment options. It is useful to both specialists and non-specialists from the level of medical student to balance disorder specialists. I highly recommend the book."-- ournal of Neurology Neurosurgery and Psychiatry

"This latest edition of "Vestibular Disorders: A Case Studies Approach to Diagnosis and Treatment" by Drs Furman, Cass and Whitney offers the reader an up-to-date series of case studies which explores both common and unusual causes of dizziness and postural instability. Each author brings a unique perspective to the book with their neurologic, otologic and rehabilitative training and expertise. As with the first edition, the case study format allows for easy readability and gives the authors an opportunity to discuss all aspects of each case from history, examination, testing, diagnosis and therapy. Anyone who diagnoses and treats these often challenging cases will find this text enjoyable and rewarding." --Joel A. Goebel, MD, FACS, Professor and Vice Chairman, Residency Program Director, Dizziness and Balance Center Director, Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO

"This outstanding text by authors from an internationally recognised centre of excellence provides a practical, refreshing and engaging clinical presentation based approach to understanding and learning, which will sit well with the medical mindset. The text provides a well illustrated, evidence based, structured, yet simple and comprehensive approach for the clinician who wants to master the rudiments of managing this fascinating, but complicated group of patientsEL The authors have a wealth of knowledge and experience across the range of disciplines relevant to this area of medicine and their excellent presentation and teaching approach will undoubtedly result in this third edition of the "Pittsburgh vestibular cases" maintaining its position as an essential reference in the field." --Linda M. Luxon, MBBS, BSc, FRCP, Professor of Audiovestibular Medicine, University College London Ear Institute, London, UK

"The authors have put together a superb learning tool suitable for all clinicians that see patients with dizziness and balance disorders. The book begins with an overview of anatomy, the history, evaluation of audiological and vestibular function, vestibular rehabilitation and of the pharmacologic options for the dizzy patient. The book then uses more than 60 well-illustrated cases to emphasize a series of clear teaching points. The authors have developed an engaging and highly practical text that allows the reader to learn about vestibular and balance disorders based on real-life cases. This third edition of this popular book is another success that should be in the library of all those with an interest in vestibular disorders." --Terry D. Fife, MD, FAAN, FANS, Balance Center, Barrow Neurological Institute, Associate Professor of Clinical Neurology, University of Arizona College of Medicine, Phoenix, AZ

"This third edition adds eight new cases to a thoughtfully written book illustrating interesting, common, and uncommon cases that should be a great reference for all ENT physicians." --Doody's

"Overall, this is an informative, accessible, and well-organized handbook that neurology, otolaryngology, and medical residents and practitioners will find very useful; it deserves to be on their bookshelves." --Archives of Neurology

From The Critics
Reviewer: Alan G. Micco, MD (Northwestern University Feinberg School of Medicine)
Description: In this collection of case-based studies illustrating all aspects of vestibulopathies, each chapter starts with a real case and includes "what to do next" type questions relevant for both trainees and general ENT practitioners. The valuable section on unusual cases is memorable and a great learning experience. Even the format of the index is helpful, organizing topics by simplicity of diagnosis, i.e. single entity vs. multiple diagnoses.
Purpose: Vestibular disorders are common and many physicians do not know how to diagnose them properly. This book outlines principles of vestibular disorders using a case study approach and incorporating viewpoints of three different specialists — a neurologist, neurotologist, and physical therapist. Problem-based learning is a proven way to teach principles, and this book meets its objectives with a step-by-step approach to each case.
Audience: The book is written for otolaryngologists at all levels, from residents and fellows to general ENT physicians and even neurotologists. It is useful for neurologists specializing in dizziness as well. It is also helpful for anyone dealing with patients who come in with dizzy symptoms, whether ER doctors or primary care physicians.
Features: A myriad of different vestibulopathy diagnoses, both basic and more complex and unusual, are covered. The best part of this book is the section on unusual cases, which provide a glimpse of real case studies that are rarely found in other textbooks. With summaries at the end of chapters as well as question boxes throughout, this book also is ideal for study purposes.
Assessment: This third edition adds eight new cases to a thoughtfully written book illustrating interesting, common, and uncommon cases that should be a great reference for all ENT physicians.
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Product Details

  • ISBN-13: 9780195333206
  • Publisher: Oxford University Press, USA
  • Publication date: 1/29/2010
  • Edition number: 3
  • Pages: 464
  • Product dimensions: 7.10 (w) x 10.00 (h) x 1.10 (d)

Meet the Author

Joseph M. Furman, MD, PhD, 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, MD, MPH, 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, PT, PhD, Departments of Physical Therapy and Otolaryngology, 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.

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Table of Contents

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

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