Cardinal Manifestations Of Neurologic Disease

4 Abnormalities of Movement and Posture due to Disease of the Basal Ganglia 32 6 Tremor, Myoclonus, Focal Dystonias, and Tics 46 7 Disorders of Stance and Gait 56 Section II PAIN AND OTHER DISORDERS OF SOMATIC SENSATION, HEADACHE, AND BACKACHE 62 10 Headache and Other Craniofacial Pains 88 11 Pain in the Back, Neck, and Extremities 100 Section III DISORDERS OF THE SPECIAL SENSES 110 12 Disorders of Smell and Taste 110 13 Common Disturbances of Vision 114 14 Disorders of Ocular Movement and...

Causes of Vertigo

Causes Benign Vertigo

The common causes of an acute attack of vertigo are benign positional vertigo, Meniere disease, and vestibular neuronitis. It may also follow head injury. Benign positional vertigo is the most frequent. It is characterized by brief (a minute or less) attacks of vertigo and nystagmus that occur with certain critical positions of the head, such as lying down or turning over in bed or tilting the head backward. Symptoms may recur periodically for several days or months. Hearing is unaffected....

Other Disorders Of Ocular Movement

Ocular bobbing consists of fast downward or upward movements of both eyes, followed by a slow return to the central position. These movements are usually observed in comatose patients, in whom horizontal movements are absent, and are associated most often with extensive pontine lesions, occasionally with obstructive hydrocephalus and with metabolic encephalopathy. Ocular dipping is the name that has been given to a slow downward movement of the eyes, followed in a few seconds by a more rapid...

C

Headache, 94 Calcium channel diseases, 485t, 487-488 Caloric testing, 125 Canalith repositioning, for benign positional vertigo, 139, 142 Carbamazepine Tegretol , for chronic pain, 73t, for epilepsy, 149t for herpes zoster infections, 295 polyneuropathy, 429-430 Cardiac syncope, 168 Carmustine BCNU , disorders induced by, 402t Carotid body tumors, 275t Carotid dissection, 323, 466 Carotid sinus syncope, 168 Carotid stenosis, 303, 304 Carotidynia, 97t Carpal tunnel syndrome, 433t Case analysis,...

Additional Reading

Baloh RW Dizziness, Hearing Loss, and Tinnitus The Essentials of Neurotology. Philadelphia, Davis, 1984. Baloh RW, Honrubia V, Jacobson K Benign positional vertigo Clinical and oculography features in 240 cases. Neurology 37 371, 1987. Baloh RW, Jacobson K, Honrubia V Idiopathic bilateral vestibulopathy. Neurology 39 272, 1989. Brandt T, Steddin S, Daroff RB Therapy for benign paroxysmal positional vertigo, revisited. Neurology 44 796, 1994. Brodal A The cranial nerves, in Neurological Anatomy,...

TABLE 152 Vertiginous Syndromes with Lesions of Different Parts of the Vestibular System

Labyrinthine, unilateral trauma, Meniere disease, vestibular neuronitis, labyrinthitis, benign positional Labyrinthine, bilateral aminoglycoside toxicity idiopathic vestibulopathy Vestibular nerve and ganglia vestibular neuropathy, herpes zoster Ipsilateral past pointing and lateral propulsion to side of lesion Slightly wide base and tottering to both sides Auditory eighth, seventh, and sometimes other cranial nerve abnormalities Ipsilateral past pointing and lateral propulsion to side of...