The third edition of this successful book has been fully revised, expanded and updated to reflect the recent advances in vertigo and dizziness, especially with regard to current classifications and clinical trials. The book starts by covering the fundamentals of anatomy and physiology of the vestibular and the ocular motor systems. It provides guidance on how to take the patient history, laboratory and imaging analysis and principles of therapy exploring different therapeutic strategies. It then goes on to cover in detail the diagnosis and current treatment of peripheral, central and functional vestibular disorders as well as miscellaneous rare vestibular syndromes.

Using a uniform chapter style to address the various diseases and adopting a reader-friendly educational format, this is an indispensable guide for clinicians who treat patients with vertigo, dizziness and balance disorders. Hundreds of patient videos are included for the diseases demonstrating typical patient histories and clinical findings. Chapters have also been expanded to discuss the current classification and therapies as well as new and ongoing clinical trials with ample new figures.

Written by three top experts in the field, this book is aimed at a broad range of medical specialists, namely neurologists, ENT specialists, neuro-otologists, ophthalmologists, physiotherapists, general practitioners as well as residents and students.

Via app: download the SN More Media app for free, scan a link with play button and access videos directly on your smartphone or tablet.

Since the last edition in 2013, our understanding of the pathophysiology, etiology, diagnosis, terminology, and therapy of peripheral, central, and functional vestibular syndromes has continued to improve. This has a major impact on our daily clinical practice.

Laboratory testing of the function of the semicircular canals can now be easily done using the video head impulse test, which provides valid and quantitative data. The simple measurement of subjective visual vertical has become an important diagnostic procedure, which is now also a part of clinical routine. Genetic testing has improved our understanding of the etiology of acute unilateral vestibulopathy/vestibular neuritis, Menière’s disease, and downbeat nystagmus. Vertigo and dizziness in the emergency department has been identified as a very relevant issue, and there are now several studies that show how to discriminate acute peripheral from acute central vestibular syndrome, which has a major impact on clinical practice. Studies have also shown that central spinning vertigo is found mainly in acute unilateral caudal brainstem or cerebellar lesions affecting relevant central vestibular cerebellar areas. Imaging, in particular structural and functional magnetic resonance tomography, has helped to further elucidate the bilateral organization of the central vestibular networks within the brainstem, cerebellum, thalamus, and cortex, which can now be correlated with typical vestibular syndromes and disorders affecting spatial orientation. Higher central vestibular disorders, which, for instance, impair spatial orientation or multisensory attention (neglect), indicate a right-hemispheric lesion, which is compatible with the right-sided thalamocortical dominance of the vestibular system.

Since 2009, the Committee for the International Classification of Vestibular Disorders of the Bárány Society has developed internationally accepted and clinically oriented diagnostic criteria for the most frequent vestibular disorders, which are updated continuously. They are most helpful for clinicians and also for clinical research, in particular for the design of clinical trials. So far, the following vestibular disorders have been reclassified: benign paroxysmal positional vertigo, Menière’s disease, bilateral vestibulopathy, presbyvestibulopathy (a new and clinically relevant entity), vestibular paroxysmia, vestibular migraine, persistent perceived postural dizziness (one of the several forms of functional dizziness), orthostatic dizziness, mal de débarquement syndrome, different types of nystagmus vertigo and dizziness in childhood, vascular vertigo as well as acute unilateral vestibulopathy/vestibular neuritis.

Finally, there are several new trials on the treatment of various vestibular disorders: benign paroxysmal positional vertigo, Menière’s disease, bilateral vestibulopathy, vestibular paroxysmia, vestibular migraine, and cerebellar dizziness. We would, however, like to point out that there are still considerable deficits, in particular, in terms of treatment of vestibular disorders due to a lack of up-to-date randomized, placebocontrolled treatment trials, for example, for Menière’s disease or functional dizziness.

We would like to thank all the doctors and technicians in the Department of Neurology and the German Center for Vertigo and Balance Disorders at Ludwig Maximilian University Munich. We would also particularly like to thank our neuroorthopticians Claudia Frenzel, Miriam Glaser, Cornelia Karch, Nicole Lehrer, Barbara Muschaweckh, Mona Klemm, and Annika Aurbacher for their careful neuroophthalmological examinations, documentation, and video recordings of

patients. We are grateful to Dietmar Lauffer and Anna Huppert for the photographs taken to show typical examination techniques and treatment options for vestibular disorders. Our thanks also go to Sabine Esser and Amelie-Christine Strupp for creating figures used in this book; to Prof. Thomas Liebig and Dr. Robert Forbig at the Institute for Neuroradiology at LMU Munich, and Dr. Valerie Kirsch for their contributions to the imaging of the central and peripheral vestibular system; as well as to Prof. Andreas Zwergal for his contribution to the chapter on acute central vertigo and Prof. Julia Dlugaiczyk for her contribution on vestibular evoked myogenic potentials.

Finally, we would also like to thank Springer Nature London for the careful editing of this book.

Title: Vertigo and Dizziness: Common Complaints

Author: Michael Strupp, Thomas Brandt, Marianne Dieterich

Publisher: Springer

Publication: 2023

Edition: 3rd Edition

Language: English

Pages: 411

Ebook: PDF

File size: 30 MB

ISBN Number: 303078259X, 9783030782597

CBID: CBM331