Dizziness眩暈

內(nèi)容概要

Most clinicians find it difficult to diagnose dizzy patients, as the potential causes span various subspecialties, including internal medicine, neurology, ontology, ophthalmology and psychiatry. This book offers a novel approach with chapters organized by easily recognizable clinical presentation, such as recurrent vertigo or positional vertigo. To orientate the reader, a table with differential diagnoses is given at the beginning of each chapter, including key features of each disorder. The authors' friendly approach extends advice on history taking and clinical examination, and each chapter ends with hints as to 'what to do if you haven't a clue'. Common disorders are highlighted, with brief coverage of rarities. Basic science aspects are limited to what is really relevant to the clinicians. A useful DVD shows the clinical examination, positioning and exercises for vestibular rehabilitation. With this book at hand, many more doctors will approach their next dizzy patient with confidence.

作者簡介

Adolfo Bronstein is Professor of Clinical Neuro-otology and Consultant Neurologist, Division of Neuroscience and Mental Health, Imperial College London, Charing Cross Hospital, London, UK.  Thomas Lempert is Professor of Neurology, Vestibular Research Group, Charite University Hospital, Department of Neurology, Schlosspark-Klinik, Berlin, Germany.

書籍目錄

AcknowledgementsList of tablesList of video clipsIntroduction: How to use this book1 Essential anatomy and functions of the　balance system　Introduction　Anatomy and physiology of the vestibular system　Eye movements　Multisensory integration2 Symptoms and examination of the patient　with vertigo and dizziness　Symptoms　Essentials of the clinical examination　Eye-movement examination　Vestibular eye movements　Positional manoeuvres　Frenzel's glasses　Posture and gait　Clinical assessment of hearing　Orthostatic blood pressure　LabOratory examinations　Separating peripheral from central vestibular lesions　Imaging procedures in dizzy patients 3 A single episode of prolonged vertigo　Vestibular neuritis　Brainstem and cerebellar lesions　First attack of migrainous vertigo　First attack of Meniere's disease　Other causes of acute persistent vertigo　What to do if you don't have a clue4 Recurrent vertigo and dizziness　Recurrent vertigo　Migrainous vertigo　Benign recurrent vertigo　Meniere's disease　Vertigo due to vertebrobasilar transient ischaemic attack　Paroxysmal recurrent vertigo: vascular compression　of the eighth nerve?　Perilymph fistula　Rare causes of recurrent vertigo　What to do if you don't have a clue　Recurrent dizziness　Orthostatic hypotension　Cardiac arrhythmia　Psychogenic dizziness　Drug-induced dizziness　Other causes of recurrent dizziness　What to do if you don't have a clue5 Positional vertigo　Posterior-canal benign paroxysmal positional vertigo　Horizontal-canal benign paroxysmal positional vertigo:　canalolithiasis type　Horizontal-canal benign paroxysmal positional vertigo:　cupulolithiasis type　Migrainous vertigo　Central positional vertigo　Other causes of positional vertigo　What to do if you don't have a clue 6 Chronic dizziness and unsteadiness　The origin of chronic dizziness　Patients with a past history of vertigo　Visual vertigo　Motorist disorientation syndrome　Psychological presentations……7 Dizziness,imbalance and falls in the elderly8 Treatment of the dizzy patientFurther reading Index

媒體關(guān)注與評論

'This is a pragmatic text, steeped with the authors' experience. ... Short of having Adolfo Bronstein universally available to sort out dizzy people, this book is a very acceptable addition to a neurologist's armamentarium for dealing with a common clinical problem.' Advances in Clinical Neuroscience & Rehabilitation 'The first edition of this 200-page book with a video CD certainly serves as a very welcome and highly reliable guide for the clinician confronting the difficult and broad field of dizziness. ... As the title indicates, this book takes an, above all, practical approach to the diagnosis and treatment of different vertigo/dizziness syndromes. Practising clinicians can quickly acquire an understanding of the physiological essentials of the vestibular system. The book is clearly written and adequately illustrated. ... this is a thoroughly readable and highly recommendable book.' European Neurology

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