Guidelines on vertigo

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Guidelines on vertigo
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1. Introduction
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2. Patient history

• 2.1. Vertigo or dizziness

   
    
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2. Patient history

• 2.1. Vertigo or dizziness

   
    
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2. Patient history

• 2.2. Otologics symptoms
• (for each complain, look for the laterality and
  the temporality with vertigo)

   
    
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2. Patient history

• 2.3. Visual manifestations ()

   
    
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2. Patient history

• 2.4. Neurological manifestations (precise
  temporality with vertigo)

   
    
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2. Patient history

• 2.5. Prior history

   
    
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2. Patient history

• 2.6. Treatment

   
    
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3. Clinical examination

• 3.1. Otorhinologic

3.2. Oculomotor and nystagmus
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3. Clinical examination
3.2. Oculomotor and nystagmus
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3. Clinical examination
3.3. Other cranial nerves
3.4. Members
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3. Clinical examination
3.5. Stato-kinetic tests
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4. Diagnostic Progression
4.1. Isolated Vertigo
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4. Diagnostic Progression
4.1. Isolated Vertigo
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4. Diagnostic Progression
4.2. Vertigo and hearing signs
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4. Diagnostic Progression
4.3. Vertigo and neurological symptoms
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4. Diagnostic Progression
4.3. Vertigo and neurological symptoms
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4. Diagnostic Progression
4.3. Vertigo and neurological symptoms
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4. Diagnostic Progression
4.3. Vertigo and neurological symptoms
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4. Diagnostic Progression
4.4. Other vertigo
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4. Diagnostic Progression
4.5. Imbalance without vertigo
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5. Laboratory examination(Following 4
Diagnostic criteria indications)

• 5.1. Hearing test
• Tonal, vocal, supraliminar depending on
  pathology
• 5.2. Tympanometry/Stapedial (acoustic) reflex
• 5.3. Auditory brainstem response
• 5.4. Electrocochleography (If Meniere desease or
  perilymph fistula suspected)
• 5.5. Otoacoustic-emissions
• 5.6. Vestibular-evoked myogenic potentials
  (VEMP) ()

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5. Laboratory examination(Following 4
Diagnostic criteria indications)

• 5.7. VNG or ENG (norminative data)

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5. Laboratory examination(Following 4
Diagnostic criteria indications)

• 5.8. Vertical or horizontal visual perception
  test ()
• 5.9. Posturography
• 5.9.1. Static
• 5.9.2. Dynamic
• 5.10. Vibratory nystagmus ()
• 5.11. Otolith linear and rotatory test ()
• 5.11.1. Excentric rotative test
• 5.11.2. OVAR

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6. Treatment Strategy

• 6.1. Medical treatment ()
• 6.2. Vestibular rehabilitation soon in BE-ENT
  (Symposium in november 2005)
• 6.3. Psychologic approach ()
• 6.3.1. Anxiolytic
• 6.3.2. Relaxation
• 6.3.3. Comportemental
• 6.3.4. Psychotherapia
• 6.4. Surgical Treatment ()

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• Norminative data in ENG and VNG
• Benign paroxysmal nystagmusdiagnosis and
  treatment
• Neuro-ophtalmological symptoms in vertigo and
  dizziness
• Head shaking nystagmus
• Vibration induced nystagmus
• Tullios phenomenom
• Vestibular evoked myogenic potentials
• Unilateral centrifugation
• Static and dynamic balance clinical investigation
• Vertigo and psychological troubles
• Medical treatment of vertigo
• Surgical treatment of vertigo
• Index

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References

• Brandt Th.
• Vertigo. Its Multisensory Syndroms
• Springer Verlag Edit., 2th edition, 2000, ISBN,
  3-540-19934-9
• Leigh R.J., Zee D.S.
• The Neurology of Eye Movement.
• Oxford University Press, 1999, 3th edition
• Balow R.W., Honrubia V.
• Clinical Neurophysiology of the Vestibular
  System.
• Oxford University Press, 2001, 3th edition
• Luxon L.
• Text book of Audiological Medicine.
• Clinical Aspects of Hearing and Balance.
• Martin Dunitz edit. London 2003.

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References

• Brandt Th., Strupp M.
• General Vestibular Testing.
• Clinical Neurophysiology 2005, 116, 406-426
• Fife T.D., Tusa R.J., Furman J.M., Zee D.S.,
  Frohman E., Baloh R.W.,
• Hain T., Goebel J., Demer J., Eviatar L.
• Assessment Vestibular testing techniques in
  adults and children.
• Report of the Therapeutics and Technology
  Assessment Subcommittee of
• the American Academy of Neurology.
• Neurology 2000 55 1431-1441
• Expertise Médicale en Oto-Rhino-Laryngologie.
  Recommandations.
• Acta O.R.L. Belgica, 1986, 40, 907-915.
• Vertiges chez lAdulte Stratégies
  diagnostiques.
• Place de la rééducation vestibulaire.
• On te Website www.anaes.fr in PublicationsNeurolo
  gieSeptembre 1997
• ISBN 2 910653-33-1

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