V. Learning Unit: The Vestibular system
Agnes Szirmai , MD, PhD
To learn the examination of the vestibular system
To recognize diseases, which require vestibular examinations Readers can learn the diagnostic procedure of vestibular system in this chapter. There are several balance system disorders, which requires otoneurological examination.
Introduction
Sudden vertigo occurs often in the everyday medical expertise.
Most of these problems are caused by peripheral vestibular lesions.
The diseases of the inner ear, the VIII. cranial nerve and the brainstem vestibular nuclei can cause peripheral lesion.
Vestibular examination is time consuming, which contains several types of examinations.
Peripheral lesion is classified by the cause and place of the lesion (Table I). In everyday practice the disorders are classified as:
1. bilateral vestibulopathy
2. sudden unilateral loss of vestibular function 3. Inadequate vestibular stimulations and inhibitions
Learning time: 8 hours
References
Szirmai Ágnes: Egyensúlyzavarok differenciáldiagnosztikája és terápiája
Semmelweis Kiadó, Budapest, 2006. ISBN 9639656 03 8 http://www.intechopen.com/articles/show/title/anxiety- in-vestibular-disorders
Contents
V.1.:Vestibular examination
V./1.1.: Spontaneous nystagmus examination V./1.2.: Statokinetic tests
V./1.3.: Provocative tests
V./1.4.:Eye movement system examination V./1.5.: Impulse test
V./1.6.:Provocative tests of labyrinth V./1.7.:Caloric test
V./1.8.: Rotational tests V./1.9.: Mechanical irrigation V./1.10.:Vestibular disorders V./2.: Bilateral vestibulopathy
V./2.1: Causes of bilateral vestibular lesion V./2.2.: Patient’s complaints
V./2.3.: Patients’s symptoms V./2.4.: Treatment
V./3.: Sudden unilateral loss of vestibular function V./3.1.: Causes of disorders
V./3.2.: Patient’s complaints V./3.4.: Symptoms
V./3.5.:Treatment
V./4.: Inadequate vestibular stimulations and inhibitions V./4.1. Ménière’s syndrome
V./4.1.1.: Causes
V./4.1.2.: Patient’s complaints V.4.1.3.: Symptoms
V./4.1.4.: Treatment
V./4.2.: II. Benign paroxysmal positional vertigo (BPPV) V./4.2.1.: Causes of disease
V./4.2.2.: Patient’s complaints V./4.2.3.: Symptoms
V./4.2.4.: Therapy V./5.: Discussion
