7. Anatomy and physiology of the vestibular system. Harmonic and disharmonic vestibular syndrome.
|
|
|
- Theodora Thomas
- 5 years ago
- Views:
Transcription
1
2
3 7. Anatomy and physiology of the vestibular system. Harmonic and disharmonic vestibular syndrome. 8. Fundamental examination tools of otoneurology. 20. Ménière s syndrome and Ménière s disease. Therapeutic options. 21. Differential diagnosis of BPPV, vestibular neuronitis and Ménière s disease.
4 Labyrinth Vestibular nerve Vestibular nuclei Vestibular pathways Vestibulocerebellar Vestibulospinal Vestibuloocular Vestibuloreticular Cortical, hippocampal pathways
5
6
7 Ear drum examination Hearing tests Pure tone audiometry Vestibular system tests Statokinetic (vestibulospinal) Spontaneous nystagmus (vestibulo-ocular reflex tests) Positional nystagmus tests Head impulse test Vestibular provocation tests: Optokinetic tests Caloric irrigation tests Rotational tests
8 Previous diseases: heart diseases, blood-pressure, renal failures, drugs, ear diseases, neurological diseases, neck vertebra problems Types of vertigo: rotatory vertigo, unsteadiness, lightheadedness, imbalance Length of vertigo: seconds, minutes, hours, days, constant dizziness Single recurrent attacks Concomitant symptoms: hearing loss, tinnitus, discharge from ear, nausea, vomitus, loss of consciousness, headache
9 Horisontal Vertical Rotatory Horisontorotatory Verticorotatory Retraction
10 Romberg s test Past pointing tests Blind walking test
11
12 Patient history: Type of vertigo (sensation of spinning or falling); Vegetative symptoms, nausea, vomiting. Examination: deviation, tilting; spontaneous nystagmus and nystagmus provoked by head movements. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
13 Torsional (Causse)-latero-retroflexion of the neck Positional and positioning nystagmus Dix-Hallpike manouvre
14
15 More than 24 hours long severe vertigo with nausea, vomitus, motion intolerance, balance disorder and nystagmus. 1. Vestibular neuronitis 2. Stroke Differential diagnosis: head impulse test in the ED
16
17 Not a specific diagnosis! Rotatory vertigo with sudden onset Nystagmus, vomitus, sometimes tinnitus Peripheral or central origin True Meniere s disease Other inner ear disorders Vascular lesions of brainstem or inner ear
18
19
20
21 Vestibular neurectomy III. Stadium Intratympanal gentamycin Saccotomy Vasoactive drugs, intratympanal dexametasone II. Stadium Parenteral vasoactive drugs Betahistine, salt-free diet, saluretics I. Stadium
22 A
23
24 Head Diseases Lenth of attacks position Hearing loss influence Ménière s disease Hours NO YES Vestibular neuronitis Days NO NO BPPV Seconds, but YES NO recurrent
25
26 14. Differentiation of central and peripheral facial nerve palsy. Causes of peripheral facial nerve palsy, differential diagnosis.
27 No wrinkles on face, on forehead No eye-closure, Bell s phenomenon No movements on face Nasolabial assymmetry Lacrimation or dry eye Hyperacusia, Tasting disorder
28
29 Herpes eruptions in the auricle Sensorineural hearing loss Vertigo Facial palsy
30
31 Bell s palsy; Herpes zoster oticus; Other viral or bacterial infections (HSV, EBV, Lyme); Acute and chronic middle ear diseases (acute and chronic middle ear infections, cholesteatoma, rarely tumors); Tumors of the pontocerebellar angle, vestibular schwannoma; Cranial traumas (pyramid bone fractures), extratemporal traumas; Malignant tumors of parotid gland. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
32 Otoscopy Audiometry, tympanometry, stapedial reflex Imaging methods (Schüller, CT, MR) Parotid gland palpation (ultrasonography) Blood tests (diabetes!), blood pressure Topical diagnosis n. petrosus- lacrimation -Shirmer teszt n. stapedius-hyperacusis- stapedial reflex chorda tympani tasting disorders- gustometria Electrodiagnostic tests
33 Casual therapy in secondary palsies Corticosteroid and antiviral treatment in Bell s palsy. In every palsy case: Psychical support of patients Ophthalmological control (keratitis) Covering the eye-ball, eyedrops Electrotherapy, selective stimulation of the nerve or the muscles to prevent atrophy. In the recovery stadium -active movement.
34
35
36 Primary headaches Migraine, tension headache, cluster headache, chronic paroxysmal hemicrania Secondary headaches Headaches due to neurological reasons: Posttraumatic, vascular, infectious headaches, metabolic headaches Otolaryngological and ophthalmological headaches Neuralgias
37 Outer and middle ear diseases Diseases of nasal and paranasal sinuses Nasopharyngeal diseases
38 13. Complications of purulent acute and chronic otitis media. 34. Complications of sinusitis. 35. Benign and malignant tumors of the paranasal sinuses. Principles of treatment. 38. Diseases of the nasopharynx. Symptoms adenoid hyperplasia.
39 Viral infection of the upper airways; Inflammation of nasal sinuses: (acute and chronic); Benign and malignant tumors of nasal sinuses; Cervical: cervical vertebra disorders, spondylosis, myalgia; Complications of otitis and sinusitis: mastoiditis, meningitis, brain abscess, inflammation of the petrous pyramid; Neuralgias; Pain of temporomandibular joint. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
40 Temporomandibular joint disorders (Costen syndrome): Unilateral headache, earache, chewing problems
41
42
43 Mastoiditis Subperiosteal abscess Labyrinthitis Peripheral facial palsy Thrombosis of sigmoideal sinus Petrositis Meningitis Brain abscess
44 Extracranial Intratemporal Acute mastoiditis; Zygomaticitis; Petrositis; Facial nerve palsy; Labyrinthitis; Extratemporal Abscess: subperiosteal, preauricular, suboccipital, Bezold's abscess; Intracranial Extradural abscess; Sinus phlebitis - sinus thrombosis; Subdural abscess; Meningitis, encephalitis; Brain abscess; General: sepsis. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
45
46 Frontal sinusitis forehead; Maxillary sinusitis face; Ethmoidal sinusitis periorbitally, between the eyes; Sphenoid sinusitis crown of the head, referring to the occipital area; All forms of sinusitis can cause diffuse headache. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
47
48
49 Orbital cellulitis Orbital abscess Osteomyelitis Thrombophlebitis of cavernosal sinus Meningitis Brain-abscess
50 Extracranial complications Periorbital cellulitis; Subperiosteal abscess; Orbital phlegmone / abscess; Osteomyelitis; Sepsis; Intracranial complications Meningitis; Epi/subdural or brain abscess, encephalitis; Cavernous sinus thrombosis. Minimum criteria for the ENT exam - essential ENT knowledge for a physician
51
52
53
Migraine, tension headache, cluster headache, chronic paroxysmal hemicrania
Primary headaches Migraine, tension headache, cluster headache, chronic paroxysmal hemicrania Secondary headaches Headaches due to neurological reasons: Posttraumatic, vascular, infectious headaches, metabolic
CITY & HACKNEY PATHFINDER CLINICAL COMMISSIONING GROUP. Vertigo. (1) Vertigo. (4) Provisional Diagnosis. (5) Investigations. lasting days or weeks
Authors: Dr Lucy O'Rouke and Mr N Eynon-Lewis Review date: January 2017 Vertigo (1) Vertigo (2) History (3) Examination (4) Provisional Diagnosis (5) Investigations (6) Medical Cause (7) Psychiatric Cause
Minimum criteria for the ENT exam - essential ENT knowledge for a physician
Minimum criteria for the ENT exam - essential ENT knowledge for a physician 1. Symptoms and clinical features of diffuse otitis externa Symptoms Earache; The external part of the ear canal is painful (especially
What could be reffered to as dizziness by the patient?
What could be reffered to as dizziness by the patient? Rotational vertigo Sense of instability Ataxia of gait Disturbance of vision Loss of contact with surroundings Nausea Loss of memory Loss of confidence
Vertigo. Definition Important history questions Examination Common vertigo cases and management Summary
Vertigo Vertigo Definition Important history questions Examination Common vertigo cases and management Summary Cases 1) 46 year old man presents two weeks after knocking his head with recurrent episodes
ACUTE PAEDIATRIC EAR PRESENTATIONS PROF IAIN BRUCE PAEDIATRIC OTOLARYNGOLOGIST & ADULT OTOLOGIST
www.manchesterchildrensent.com ACUTE PAEDIATRIC EAR PRESENTATIONS PROF IAIN BRUCE PAEDIATRIC OTOLARYNGOLOGIST & ADULT OTOLOGIST A CHILD WITH EARACHE UNCOMPLICATED AOM ACUTE OTITIS MEDIA Acute otitis media
Vertigo. Tunde Magyar MD, PhD
Vertigo Tunde Magyar MD, PhD What could be reffered to as dizziness by the patient? Rotational vertigo Sense of instability Ataxia of gait Disturbance of vision Loss of contact with surroundings Nausea
Control of eye movement
Control of eye movement Third Nerve Palsy Eye down and out Trochlear Nerve Palsy Note: Right eye Instead of intorsion and depression action of superior oblique See extorsion and elevation Observe how
Dizziness: Neurological Aspect
Dizziness: Neurological Aspect..! E-mail: somtia@kku.ac.th http://epilepsy.kku.ac.th Features between peripheral and central vertigo 1. Peripheral Central 2.! " # $ " Imbalance Mild-moderate Severe 3.!
VERTIGO. Tuesday 20 th February 2018 Dr Rukhsana Hussain. Disclaimers apply:
VERTIGO Tuesday 20 th February 2018 Dr Rukhsana Hussain WHAT IS VERTIGO? 4 Vertigo is defined as an illusory sensation of motion of either the self or the surroundings in the absence of true motion. Explaining
An Introduction to Dizziness and Vertigo
An Introduction to Dizziness and Vertigo Tamara Mijovic MD CM FRCSC Clinical Assistant Professor Department of Otolaryngology Head and Neck Surgery Otology, Neurotology & Skull Base Surgery McGill University
Sasan Dabiri, MD, Assistant Professor
Sasan Dabiri, MD, Assistant Professor Department of Otorhinolaryngology Head & Neck Surgery Amir A lam hospital Tehran University of Medical Sciences October 2015 Outlines Anatomy of Vestibular System
Angus Waddell. Basic Structure. When to examine the ear. Knowledge Base. Ear Examination. Ear Examination. How do we Teach ENT in UoB 2014
How do we Teach ENT in UoB 2014 Angus Waddell Undergraduate Lead for ENT. University of Bristol Consultant ENT Surgeon Great Western Hospital, Swindon Basic Structure Junior Medicine and Surgery 1 Week
THE MANAGEMENT of COMPLICATED OTITIS MEDIA. IFOS, Lima, 2018
THE MANAGEMENT of COMPLICATED OTITIS MEDIA IFOS, Lima, 2018 VINCENT C COUSINS ENT-Otoneurology Unit, The Alfred Hospital & Department of Surgery. Monash University MELBOURNE, AUSTRALIA Otologic Complications
Functional components
Facial Nerve VII cranial nerve Emerges from Pons Two roots Functional components: 1. GSA (general somatic afferent) 2. SA (Somatic afferent) 3. GVE (general visceral efferent) 4. BE (Special visceral/branchial
Because dizziness is an imprecise term, a major role of the clinician is to sort patients out into categories
Dizziness and Imbalance Timothy C. Hain, MD Clinical Professor of Neurology, Otolaryngology, Physical Therapy Chicago Dizziness and Hearing 645 N. Michigan, Suite 410 312-274-0197 Lecture Goals 1. What
70480 CT Orbit, et al without contrast CAT 9023
70480 CT Orbit, et al without contrast CAT 9023 190.0 MALIG NEO EYEBALL 190.1 MALIG NEO ORBIT 190.2 MALIG NEO LACRIMALIG GLAND 190.9 MALIG NEO EYE UNSPEC 224.1 BENIGN NEO ORBIT 360.51 FB MAGNET ANT CHAMB
Vestibular Differential Diagnosis
Vestibular Differential Diagnosis P R E S E N T E D B Y : S H A R I K I C K E R, P T, M P T C E R T I F I C A T E I N V E S T I B U L A R R E H A B I L I T A T I O N 2 0 1 7 L A C E Y H A L E, P T, D P
1. GOAL 2. OBJECTIVES a) KNOWLEDGE b) SKILLS c) INTEGRATION
1. GOAL The broad goal of the teaching of undergraduate students in Otorhinolaryngology is that the undergraduate student have acquired adequate knowledge and skills for optimally dealing with common disorders
Vertigo: A practical approach to diagnosis and treatment. John Waterston
Vertigo: A practical approach to diagnosis and treatment John Waterston Background. Vertigo is a symptom that has diverse causes. The diagnosis may remain elusive even after exhaustive clinical enquiry
Neoplasms that present as a swelling in the neck may be either
Problems in otolaryngology Inflammatory swellings Viral and bacterial infection are frequent causes of swellings in the neck. Enlargement of the cervical lymph nodes is most likely but a dormant branchial
Facial Paralysis: Objectives: Discuss the anatomy of the facial nerve. Look at common patterns of facial nerve palsy
Facial Paralysis: Objectives: Discuss the anatomy of the facial nerve Look at common patterns of facial nerve palsy Discuss imaging appearance of lesions that lead to facial paralysis. Lindell R. Gentry,
Inner Ear Disorders. Information for patients and families
Inner Ear Disorders Information for patients and families Read this booklet to learn about: What are inner ear disorders Symptoms Tests you may need Treatment options Please visit the UHN Patient Education
Ear, Nose, and Throat Disorders
Health Reference Series Second Edition Basic Consumer Health Information about Disorders of the Ears, Hearing Loss, Vestibular Disorders, Nasal and Sinus Problems, Throat and Vocal Cord Disorders, and
Acquired Deafness Loss of hearing that occurs or develops sometime in the course of a lifetime, but is not present at birth.
Page 1 of 5 URMC» Audiology Glossary of Terms A Acoustic Neuroma A tumor, usually benign, which develops on the hearing and balance nerves and can cause gradual hearing loss, tinnitus, and dizziness. Acquired
Vestibular service (balance)
The vestibular service at Addenbrooke s Hospital works closely with the Ear Nose and Throat (ENT), Neurology consultants and physiotherapists to help manage patients with dizziness/balance problems. The
DIZZINESS Varieties. : Fainting, hypotension : Rotatory, spinning. : Muscular incoordination : Collapse without LOC: ELH : Disturbed awareness
DIZZINESS Varieties head Syncope Vertigo Dysequilibrium Ataxia Drop attacks Confusion Panic Attacks Non-organic : Fainting, hypotension : Rotatory, spinning : Unsteadiness on moving : Muscular incoordination
Cranial Nerve VII - Facial Nerve. The facial nerve has 3 main components with distinct functions
Cranial Nerve VII - Facial Nerve The facial nerve has 3 main components with distinct functions Somatic motor efferent Supplies the muscles of facial expression; posterior belly of digastric muscle; stylohyoid,
70480 CT Orbit, et al without contrast CAT 9023
70480 CT Orbit, et al without contrast CAT 9023 190.0 MALIG NEO EYEBALL 190.1 MALIG NEO ORBIT 190.2 MALIG NEO LACRIMALIG GLAND 190.9 MALIG NEO EYE UNSPEC 224.1 BENIGN NEO ORBIT 360.51 FB MAGNET ANT CHAMB
Evaluation of the Dizzy Patient
Evaluation of the Dizzy Patient S. Andrew Josephson, MD Department of Neurology University of California San Francisco October 1, 2007 Who Sees Dizzy Patients? ED physicians Internists Neurologists ENT
Monitoring of Caloric Response and Outcome in Patients With Benign Paroxysmal Positional Vertigo
Otology & Neurotology 28:798Y800 Ó 2007, Otology & Neurotology, Inc. Monitoring of Caloric Response and Outcome in Patients With Benign Paroxysmal Positional Vertigo *Maria I. Molina, *Jose A. López-Escámez,
A GUIDE TO REFERRAL OF COMMON ENT CONDITIONS Vince Cumberworth ENT Consultant North West London Hospitals EAR
A GUIDE TO REFERRAL OF COMMON ENT CONDITIONS Vince Cumberworth ENT Consultant North West London Hospitals 25.1.2012 EAR TINNITUS Tinnitus is the sensation of sound which does not come from an external
Peripheral vestibular disorders will affect 1 of 13 people in their lifetime
Peripheral vestibular disorders will affect 1 of 13 people in their lifetime 80% of affected persons seek medical consultation Unclear how many of these are for peripheral vs central disorders Generally:
I m dizzy-what can I expect at my doctor visit? Dennis M. Moore, M.D. Lutheral General
I m dizzy-what can I expect at my doctor visit? Dennis M. Moore, M.D. Lutheral General Dizziness and Balance is a broad area encompassing multiple fields: primary care (internal medicine, pediatrics),
Vestibular Symptoms in Concussion: Medical/Surgical Perspective. Jacob R. Brodsky, MD Boston Children s Hospital
Vestibular Symptoms in Concussion: Medical/Surgical Perspective Jacob R. Brodsky, MD Boston Children s Hospital jacob.brodsky@childrens.harvard.edu On Field Symptoms Headache Dizziness Confusion Fatigue
CHAPTER 13. FACIAL NERVE PARALYSIS
CHAPTER 13. FACIAL NERVE PARALYSIS Introduction Facial nerve paralysis, whilst not a disease of the ear itself, commonly arises within the ear due to its anatomical course, and often as a result of ear
Case Series Drug Analysis Print Name: Vaxigrip, Fluarix, Inflexal V og Influenzacvaccine 01Sep Oct2014
- 16Oct2014 Report Run Date: 20-Oct-2014 Data Lock Date: 16-Oct-2014 19:00:06 Earliest Reaction Date: 28-Oct-2009 MedDRA Version: MedDRA 17.0 Vaxigrip, Fluarix, Inflexal V og Influenzacvaccine : Alle cases
Dominic J Mort 23/03/17 Spire Bushey Hospital
Dominic J Mort 23/03/17 Spire Bushey Hospital Dizziness Good grief! Hx: Pre-syncope Dizziness As if you might faint? Vertigo Mostly about this As if on a merry-go-round? Non-rotational commoner than spinning
Vertigo. Definition. Causes. (Dizziness) Benign Paroxysmal Positional Vertigo (BPPV) Labyrinthitis. by Karen Schroeder, MS, RD
Vertigo (Dizziness) by Karen Schroeder, MS, RD En Español (Spanish Version) Definition Vertigo is a feeling of spinning or whirling when you are not moving. It can also be an exaggerated feeling of motion
Dr. Sami Zaqout Faculty of Medicine IUG
Auricle External Ear External auditory meatus The Ear Middle Ear (Tympanic Cavity) Auditory ossicles Internal Ear (Labyrinth) Bony labyrinth Membranous labyrinth External Ear Auricle External auditory
Acute Vestibular Syndrome (AVS) 12/5/2017
Sharon Hartman Polensek, MD, PhD Dept of Neurology, Emory University Atlanta VA Medical Center DIAGNOSTIC GROUPS FOR PATIENTS PRESENTING WITH DIZZINESS TO EMERGENCY DEPARTMENTS Infectious 2.9% Genitourinary
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 04/26/2014 Radiology Quiz of the Week # 108 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
J.P.S. Bakshi Manual of Ear, Nose and Throat
J.P.S. Bakshi Manual of Ear, Nose and Throat Reading excerpt Manual of Ear, Nose and Throat of J.P.S. Bakshi Publisher: B. Jain http://www.narayana-publishers.com/b5603 Copying excerpts is not permitted.
REVIEW/PREVIEW OF HEAD AND NECK ANATOMY FOR ENT EXAM
REVIEW/PREVIEW OF HEAD AND NECK ANATOMY FOR ENT EXAM - 2017 PALPATE CAROTID ARTERY: AT LEVEL OF CAROTID BIFURCATION VERTEBRAL LEVEL C4 Sternocleidomastoid Muscle INTERNAL CAROTID EXTERNAL CAROTID COMMON
Chapter 19 Dizziness and Vertigo
Chapter 19 Dizziness and Vertigo Episode overview: 1) Compare characteristics of peripheral and central vertigo 2) What are risk factors for central causes of vertigo? 3) List 4 vestibulotoxic drugs. 4)
Vertigo. David Clark, DO Oregon Neurology Associates Springfield, OR
Vertigo David Clark, DO Oregon Neurology Associates Springfield, OR 44F vertigo, nausea & vomiting Unidirectional Nystagmus 44F vertigo, nausea & vomiting Impaired VOR Gain to the right Vertigo History
NECK MASS. Clinical history and examination: Document detail history of mass. Imaging: US or CT of neck
ENT ENT Referral Referral Guidelines Guidelines Austin Health ENT Clinic holds fortnightly multidisciplinary meetings with Plastics/ Maxillary Facial and Oncology units to discuss and plan the treatment
The Ear The ear consists of : 1-THE EXTERNAL EAR 2-THE MIDDLE EAR, OR TYMPANIC CAVITY 3-THE INTERNAL EAR, OR LABYRINTH 1-THE EXTERNAL EAR.
The Ear The ear consists of : 1-THE EXTERNAL EAR 2-THE MIDDLE EAR, OR TYMPANIC CAVITY 3-THE INTERNAL EAR, OR LABYRINTH 1-THE EXTERNAL EAR Made of A-AURICLE B-EXTERNAL AUDITORY MEATUS A-AURICLE It consists
Associated Audiologists, Inc Patient History
Associated Audiologists, Inc Patient History Patient Name: DOB: Date: Primary Concern: When did your symptoms begin: List the outcomes you hope to achieve from today s appointment: Review of Systems &
What is Meniere's disease? What causes Meniere's disease?
NIH Publication No 95-3403 November 1994 What is Meniere's disease? Meniere's disease is an abnormality of the inner ear causing a host of symptoms, including vertigo or severe dizziness, tinnitus or a
Kingdom of Bahrain Arabian Gulf University College of Medicine and Medical Sciences Year 6 ENT SMC Otitis Media (Dr.
Kingdom of Bahrain Arabian Gulf University College of Medicine and Medical Sciences Year 6 ENT SMC Otitis Media (Dr. Jalal Almarzooq) - Anatomy of the ear: The ear is divided into 3 parts: External ear.
V e r t i g o. T ü n d e. M a g y a r
V e r t i g o T ü n d e M a g y a r Dizziness Vestibular Proprioception Optic input (afferentation) carries not Optic input (afferentation) carries not synchronizated information to the CNS, but contradictory
Acute Dizziness: Is It a Stroke? Gordon Kelley MD November 2017
Acute Dizziness: Is It a Stroke? Gordon Kelley MD November 2017 No Disclosures Dizziness Occurs in nearly ¾ of cerebellar strokes 4 categories in classic teaching*: Vertigo Presyncope Imbalance Non-specific
A Clinical Study on Vertigo with Special Reference to Audio-Vestibular Tests
A Clinical Study on Vertigo with Special Reference to Audio-Vestibular Tests Barman Dipjyoti 1, Bhattacharjee Abhinandan 2, Purkaystha Prabhati 3, Rathor Aakanksha 4 1 Registrar, Department ENT, Silchar
Management of Common ENT Cases MS ANN O CONNOR MD FRCS (ORL-HNS) BEACON HOSPITAL 21 ST APRIL 2018
Management of Common ENT Cases MS ANN O CONNOR MD FRCS (ORL-HNS) BEACON HOSPITAL 21 ST APRIL 2018 Introduction GP referrals to ENT services Highest of all specialities Number of patients waiting an OPD
Vertigo, tinnitus Dr. Kinga Harmat
Vertigo, tinnitus Dr. Kinga Harmat University of Pécs Department of Otorhinolaryngology, Head and Neck Surgery 2018.10.31. The sensation that you are moving, or everything moves around you. ENT disorders
Corporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: vestibular_function_testing 5/2017 N/A 10/2017 5/2017 Description of Procedure or Service Dizziness, vertigo,
DIZZINESS & VERTIGO A MULTIDISCIPLINARY APPROACH
DIZZINESS & VERTIGO A MULTIDISCIPLINARY APPROACH Dr DOSH SANDOORAM MB ChB, MD, FRCS Consultant ENT Surgeon, City Clinic Group Labyrinthine disturbance may make one feel like the end of the world has arrived...
Delayed Endolymphatic Hydrops: Episodic Vertigo of Delayed Onset after Profound Inner Ear Hearing Loss
Delayed Endolymphatic Hydrops: Episodic Vertigo of Delayed Onset after Profound Inner Ear Hearing Loss Tamio Kamei 1, MD, PhD and Kenji Watanabe 2, MD 1 Professor emeritus at Gunma University, Japan 2
PA PROGRAMA ANALITICĂ
RED: 0 DATA: 0..03 MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA STATE MEDICAL AND PHARMACEUTICAL UNIVERSITY NICOLAE TESTEMIŢANU Approved at the Medicine Faculty Council meeting Minutes Nr. of a Dean of
Electronystagmographic analysis of optokinetic and smooth pursuit eye movement disorders in vestibular lesions
ORIGINAL ARTICLE International Tinnitus Journal. 2011;16(2):174-9. Electronystagmographic analysis of optokinetic and smooth pursuit eye movement disorders in vestibular lesions Agnes Szirmai 1 Balázs
By : Prof Saeed Abuel Makarem & Dr.Sanaa Alshaarawi
By : Prof Saeed Abuel Makarem & Dr.Sanaa Alshaarawi OBJECTIVES By the end of the lecture, students shouldbe able to: List the nuclei of the deep origin of the trigeminal and facial nerves in the brain
Capt. Nazim ATA Aerospace Medicine Specialist Turkish Air Force AAMIMO 2013
F-15 Pilot with ACOUSTIC NEUROMA Capt. Nazim ATA Aerospace Medicine Specialist Turkish Air Force AAMIMO 2013 Disclosure Information 84 th Annual AsMA Scientific Meeting Nazim ATA I have no financial relationships
ENT Referral Guidelines
ENT Referral Guidelines Austin Health ENT Clinic holds fortnightly multidisciplinary meetings with Plastics/ Maxillary Facial and Oncology units to discuss and plan the treatment of patients with cancerous
EMU 2017 DIZZINESS AND VERTIGO Walter Himmel MD
EMU 2017 DIZZINESS AND VERTIGO Walter Himmel MD There is only one essential challenge in the world of dizziness and vertigo: Don t miss a posterior circulation stroke (vertebral/basilar artery) or TIA.
The Big 3 of Vertigo
They feel it, you see it, few know it: Common vertigo conditions seen, but rarely diagnosed Peter Johns MD, FRCPC University of Ottawa pjohns@toh.ca Twitter @peterjohns84 The Big 3 of Vertigo BPPV Vestibular
Workshop: The Assessment of Patients with Dizziness and Vertigo
Workshop: The Assessment of Patients with Dizziness and Vertigo Tamara Mijovic MD CM FRCSC Clinical Assistant Professor Department of Otolaryngology Head and Neck Surgery Otology, Neurotology & Skull Base
The Ear. Dr. Heba Kalbouneh Assistant Professor of Anatomy and Histology
The Ear Dr. Heba Kalbouneh Assistant Professor of Anatomy and Histology The Ear The ear consists of the external ear; the middle ear (tympanic cavity); and the internal ear (labyrinth), which contains
VESTIBULAR SYSTEM. Deficits cause: Vertigo. Falling Tilting Nystagmus Nausea, vomiting
VESTIBULAR SYSTEM Objectives: Understand the functions of the vestibular system: What is it? How do you stimulate it? What are the consequences of stimulation? Describe the vestibular apparatus, the 2
DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
Royal Victoria Hospital Montreal General Hospital Jewish General Hospital. Department of Otolaryngology Head and Neck Surgery
Royal Victoria Hospital Montreal General Hospital Jewish General Hospital Department of Otolaryngology Head and Neck Surgery A. GENERAL COMPETENCIES ( )denotes optional competencies At the completion of
GUIDELINE FOR THE MANAGEMENT OF IDIOPATHIC FACIAL PALSY. All children under 16 presenting to UHW or CHfW with IFP. Dr P Jeffrey Morgan ST8
GUIDELINE FOR THE MANAGEMENT OF IDIOPATHIC FACIAL PALSY Reference: IFP Version No: 1 Applicable to All children under 16 presenting to UHW or CHfW with IFP Classification of document: Area for Circulation:
INTRODUCTION: ANATOMY UNDERLYING CLINICAL TESTS OF CRANIAL NERVES
INTRODUCTION: ANATOMY UNDERLYING CLINICAL TESTS OF CRANIAL NERVES CRANIAL NERVE I - OLFACTORY I - OLFACTORY NERVE - SMELL TEST: SMELL ODORS (note: not ammonia; pain in nasal cavity CN5 DAMAGE: LOSS OF
Acoustic neuroma s/p removal BPPV (Crystals)- 50% of people over 65 y/ o with dizziness will have this as main reason for dizziness
Dizziness and the Heart Mended Hearts Inservice Karen Hansen, PT, DPT, Cert Vestibular Rehab, CEAS Tennessee Therapy & Balance Center, LLC July 21, 2016 Balance We maintain balance with input from our
Cholesteatoma and Non-cholesteatomatous Inflammatory Disease. Cholesteatoma. Disclosures. Overview EAC. Cholesteatoma. None
Disclosures Cholesteatoma and Non-cholesteatomatous Inflammatory Disease None Amy F Juliano, MD Staff Radiologist, Massachusetts Eye and Ear Infirmary Assistant Professor of Radiology, Harvard Medical
UNDERSTANDING VERTIGO
Backgrounder UNDERSTANDING VERTIGO Vertigo is a false sensation of movement, either of one s self or one s surroundings. It may exist as an isolated symptom or it may be associated with other conditions
Normal membranous labyrinth. Dilated membranous labyrinth in Meniere's disease (Hydrops)
Meniere s Disease Normal membranous labyrinth Dilated membranous labyrinth in Meniere's disease (Hydrops) Normal membranous labyrinth Dilated membranous labyrinth in Meniere's disease (Hydrops) DEFINITION
Headache Assessment In Primary Eye Care
Headache Assessment In Primary Eye Care Spencer Johnson, O.D., F.A.A.O. Northeastern State University Oklahoma College of Optometry johns137@nsuok.edu Course Objectives Review headache classification Understand
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Alveolar osteitis (dry socket), periodontal pain due to, 436 Aphthous stomatitis, recurrent, mucosal pain due to, 439 440 Arthrocentesis/arthroscopy,
Content Of Dr. Murali Bharadwaz's E-Learning Material
ENT ENT Mock Test Topic (MB) AIIMS ENT Lec-01 0:43:17 147 Lec-02 0:47:00 160 Lec-03 0:33:44 115 ENT Test 444 Lec-01 0:38:23 131 Lec-02 0:39:17 134 Lec-03 0:25:56 89 ENT Notes ENT Notes No. of Pages = 118
VESTIBULAR FUNCTION TESTING
VESTIBULAR FUNCTION TESTING Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices
Appendix 2 (as supplied by the authors): ICD codes to identify high-risk children
Appendix 2 (as supplied by the authors): ICD codes to identify high-risk children ICD-9 codes to identify high risk children in physician claims database Category of condition Condition ICD-9 code Bacterial
STANDARD TREATMENT PROTOCOLS FOR E.N.T. DISEASES (FOR RURAL HOSPITALS, BPHC & PHC)
STANDARD TREATMENT PROTOCOLS FOR E.N.T. DISEASES (FOR RURAL HOSPITALS, BPHC & PHC) DEAFNESS-EARLY DETECTION IN CHILDREN AT BIRTH- AUROPALPEBRAL REFLEX & STARTLE REFLEX AT 3 MONTHS- BLINKING & FROWNING
CURRICULLUM OF ENT (U.G)
CURRICULLUM OF ENT (U.G) OBJECTIVES: 1. To enable the student to familiarize himself with the common problems related to the subject of ENT. 2. To enable the student to be competent to evaluate the symptoms,
Suspected neurological conditions: clinical questions
Suspected neurological clinical questions For questions on signs and symptoms, the committee wanted to consider any studies that determine whether a certain sign or symptom accompanying a main presenting
Laith Sorour. Facial nerve (vii):
Laith Sorour Cranial nerves 7 & 8 Hello, there are edited slides please go back to them to see pictures, they are not that much important in this lecture but still, and yes slides are included :p Let s
Clinician s Guide To Ordering NeuroImaging Studies
Clinician s Guide To Ordering NeuroImaging Studies MRI CT South Jersey Radiology Associates The purpose of this general guide is to assist you in choosing the appropriate imaging test to best help your
Vestibular System. BAA Conference 2014 Assistant Audiologist Workshop
Vestibular System BAA Conference 2014 Assistant Audiologist Workshop Balance testing - why do we do it? Dizziness / vertigo / unsteadiness / light-headedness Very common Very distressing Nausea / vomiting
A patient with endolymphatic hydrops may experience any combination of the below described symptoms:
MENIERE S DISEASE Endolymphatic hydrops and Meniere s disease are disorders of the inner ear. Although the cause is unknown, it probably results from an abnormality of the fluids of the inner ear. In most
what is the permanent impact of loss of the vestibular sense? for balance, vision and spatial orientation)
what is the permanent impact of loss of the vestibular sense? for balance, vision and spatial orientation) loss of speed - poor dynamic vision (daily life) - fear to fall and falls loss of automatisation
Otoneurological aspects of cerebrovascular diseases
1 Otoneurological aspects of cerebrovascular diseases Semmelweis University, Budapest School of Ph.D. studies Theses of dissertation Agnes Szirmai MD Introduction Vertigo is one of the most unpleasant
4/30/2009 FN PARALYSIS HEMIFACIAL SPASM
FN PARALYSIS HEMIFACIAL SPASM 1 Hemifacial spasm (Involuntary twitches) Etiology: Vascular loop compressing the FN at the root exit zone in the CPA = Neuro-vascular conflict Diagnosis: CT & MRI, Electrophysiology
THE STATS KEEPING YOUR BALANCE THE PROFESSIONALS 2/23/2018 THE STATS QUALITY OF LIFE QUALITY OF LIFE - FALLS
KEEPING YOUR BALANCE EVAL & MANAGEMENT OF INNER EAR BALANCE DISORDERS Dr. Lily V. Hughes, Audiologist Fairbanks Hearing & Balance Center at the ENT Clinic THE STATS THE STATS QUALITY OF LIFE Vestibular
Subspecialty Rotation: Otolaryngology
Subspecialty Rotation: Otolaryngology Faculty: Evelyn Kluka, M.D. GOAL: Hearing Loss. Understand the morbidity of hearing loss, intervention strategies, and the pediatrician's and other specialists' roles
Anatomy of the ear: Lymphatics
Anatomy of the ear: 1. External ear which consist of auricle and external auditory canal. The auricle has a framework of cartilage except the lobule, the skin is closely adherent to perichonderium at the
Chapter 7: Head & Neck
Chapter 7: Head & Neck Osteology I. Overview A. Skull The cranium is composed of irregularly shaped bones that are fused together at unique joints called sutures The skull provides durable protection from
Orbital cellulitis. Archives of Emergency Medicine, 1992, 9,
Archives of Emergency Medicine, 1992, 9, 143-148 Orbital cellulitis D. P. MARTIN-HIRSCH, S. HABASHI, A. H. HINTON & B. KOTECHA University Department of ENT Surgery, Manchester Royal Infirmary, Manchester
Assessing the Deaf & the Dizzy. Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private
Assessing the Deaf & the Dizzy Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private Overview Severe & profoundly deaf children & adults Neonatal screening
AMSER Case of the Month July 2018 Complicated Headache with Fever
AMSER Case of the Month July 2018 Complicated Headache with Fever Benjamin Park, MS IV Dr. Karen Xie Department of Radiology University of Illinois College of Medicine at Chicago Patient Presentation CC: