Surgical Treatment

Surgical procedures for the treatment of dizzy patients primarily involve otolaryngologists but also to a minor extent neurosurgeons. There is no doubt that surgery is an appropriate therapy, e.g. for acoustic neurinomas, for an infratentorial caver-noma, or for patching a perilymph fistula, such as a dehiscence of the superior semicircular canal.13 The same holds for the rotational vertebral artery syndrome, because of the danger of vertebral artery occlusion or embolism. In these cases,...

Treating Central Vestibular Disorder Multiple Sclerosis

Figure 46.2 Efficacy of specific vestibular exercises for postural sway in patients with acute vestibular neuritis. Time course of the changes in total sway path (SP) values of the controls (n 20) and physiotherapy (n 19) groups vestibular exercises improved central vestibulospinal compensation. For postural control, SP values (m min, mean SD) were measured in patients with eyes closed and standing on a compliant foam-padded posturography platform. The total SP is the length of the path...

Kaposis Sarcoma

Kaposi's sarcoma (KS) is a common HIV-related cancer in skin, lung, adrenal glands and gastrointestinal tract. The cause of KS appears to be HHV-8.173 KS may occasionally involve the CNS symptoms include TIAs, brachial plexopathy, dizziness,152 tinnitus, lightheadedness or headache.172 KS limited to dural blood vessels may produce subdural hematoma.174 Occasionally, KS is not discovered until autopsy.175 Histologically, the tumor is an anaplastic angiosarcoma characterized by irregular...

Paresisklopke Adalah

Vertigo its multisensory syndromes, 2nd edn. London Springer-Verlag, 1999. 2. Baloh RM, Halmagyi GM, eds. Disorders of the Vestibular System. New York Oxford University Press, 1996. 3. Bronstein AM, Brandt T, Woollacott M. Clinical Disorders of Balance, Posture and Gait. London Arnold, 1996. 4. Foster C, Baloh RW. Drug therapy for vertigo. In Baloh RW, Halmagyi GM, eds. Disorders of the Vestibular System. New York Oxford University Press, 1996, 541-550. 5. Arbusow V, Strupp M, Brandt...

Management of vertigo and vestibular disorders

Vestibular syndromes are commonly characterized by a combination of phenomena involving perceived vertigo, nystagmus, ataxia, and nausea.1 These four manifestations correlate with different aspects of vestibular function and emanate from different sites within the central nervous system. The vertigo itself results from a disturbance of cortical spatial orientation. Nystagmus is secondary to a direction-specific imbalance in the vestibulo-ocular reflex, which activates brainstem ocular motor...

Antivertiginous And Antiemetic Drugs

A variety of drugs used for symptomatic relief of vertigo and nausea Table 46.4 have the major side-effect of general sedation.4 Vestibular suppressants, including anticholinergics, antihistamines, and benzodiazepines, provide symptomatic relief of distressing symptoms by downregulating vestibular excitability. Antiemetics preferably control nausea and vomiting by acting on the medullary vomiting center, the chemoreceptor trigger zone, or the gastrointestinal tract itself. Vestibular...

Clinical Diversity

The clinical range of paroxysmal manifestations is incredibly large.7 Some syndromes may nonetheless be highlighted with respect to their frequency or particular clinical expression. Paroxysmal dysarthria and ataxia3 is the most famous of them. It is characterized by slurred speech and gait ataxia. In some cases, the syndrome is associated with incoordination of one or both upper limbs, some sensory disturbances in one limb, and even, sometimes, diplopia. Another classical syndrome is that of...