The focus of this publication on Neuro-Otology in Neurologic Clinics is on the patient presenting for urgent or emergent care with a chief complaint of new, previously-undiagnosed dizziness or vertigo. Intent is to emphasize throughout the issue five primary components of initial diagnosis and management: (1) Epidemiology, differential diagnosis, and disease definitions; (2) Bedside clinical features that differentiate dangerous from benign causes; (3) Appropriate use of advanced diagnostic tests (including imaging, vestibular tests) and consultations; (4) Application of early treatments (manipulative, pharmacologic, rehabilitative); and (5) Acute disposition strategies, including determining need for admission and urgency of follow-up. Articles have a consistent architecture to highlight key points: 1) Case Scenario (with a representative case example; videos are presented with many of these); 2) Prevalence & Pathomechanisms; 3) Definitions & Diagnostic Criteria; 4) Bedside & Laboratory Diagnostic Tests; 5) Acute Treatment Options (including manipulative, pharmacologic, rehabilitative); and 6) Triage & Disposition (including referrals and follow-up). The articles are presented with four major parts: Overall approach to acute dizziness and vertigo; Episodic vertigo and dizziness; Acute, continuous vertigo and dizziness; and Case unknowns. Among the topics covered are: Bedside evaluation; Transient ischemic attacks; Vestibularl neuritis and labyrinthitis; Stroke; Novel approach to diagnosing the acutely dizzy patient. David Newman-Toker leads this publication with associate editors renown in their fields - Kevin Kerber, William J. Meurer, Rodney Omron, and Jonathan Edlow.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. Copyright - p. 4 5. Contributors - p. 5 6. Forthcoming Issues - p. 9 7. Preface: Why Acute Dizziness and Vertigo? Articulating the Emergency Neuro-Otology Imperative - p. 10 8. Section I – Overall Approach to Acute Dizziness and Vertigo - p. 11 9. Overview of the International Classification of Vestibular Disorders - p. 12 10. Bedside Assessment of Acute Dizziness and Vertigo - p. 18 11. Misdiagnosing Dizzy Patients - p. 25 12. TiTrATE - p. 32 13. Section II – Acute, Episodic Dizziness and Vertigo - p. 41 14. Benign Paroxysmal Positional Vertigo in the Acute Care Setting - p. 42 15. Early Diagnosis and Management of Acute Vertigo from Vestibular Migraine and Ménière's Disease - p. 48 16. Transient Ischemic Attacks Presenting with Dizziness or Vertigo - p. 54 17. Medical and Psychiatric Causes of Episodic Vestibular Symptoms - p. 62 18. Section III – Acute, Continuous Dizziness and Vertigo - p. 70 19. Early Diagnosis and Treatment of Traumatic Vestibulopathy and Postconcussive Dizziness - p. 71 20. Acute Unilateral Vestibulopathy - p. 76 21. Acute Diagnosis and Management of Stroke Presenting Dizziness or Vertigo - p. 85 22. Medical and Nonstroke Neurologic Causes of Acute, Continuous Vestibular Symptoms - p. 92 23. Index - p. 104
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The focus of this publication on Neuro-Otology in Neurologic Clinics is on the patient presenting for urgent or emergent care with a chief complaint of new, previously-undiagnosed dizziness or vertigo. Intent is to emphasize throughout the issue five primary components of initial diagnosis and management: (1) Epidemiology, differential diagnosis, and disease definitions; (2) Bedside clinical features that differentiate dangerous from benign causes; (3) Appropriate use of advanced diagnostic tests (including imaging, vestibular tests) and consultations; (4) Application of early treatments (manipulative, pharmacologic, rehabilitative); and (5) Acute disposition strategies, including determining need for admission and urgency of follow-up. Articles have a consistent architecture to highlight key points: 1) Case Scenario (with a representative case example; videos are presented with many of these); 2) Prevalence & Pathomechanisms; 3) Definitions & Diagnostic Criteria; 4) Bedside & Laboratory Diagnostic Tests; 5) Acute Treatment Options (including manipulative, pharmacologic, rehabilitative); and 6) Triage & Disposition (including referrals and follow-up). The articles are presented with four major parts: Overall approach to acute dizziness and vertigo; Episodic vertigo and dizziness; Acute, continuous vertigo and dizziness; and Case unknowns. Among the topics covered are: Bedside evaluation; Transient ischemic attacks; Vestibularl neuritis and labyrinthitis; Stroke; Novel approach to diagnosing the acutely dizzy patient. David Newman-Toker leads this publication with associate editors renown in their fields - Kevin Kerber, William J. Meurer, Rodney Omron, and Jonathan Edlow.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. Copyright - p. 4 5. Contributors - p. 5 6. Forthcoming Issues - p. 9 7. Preface: Why Acute Dizziness and Vertigo? Articulating the Emergency Neuro-Otology Imperative - p. 10 8. Section I – Overall Approach to Acute Dizziness and Vertigo - p. 11 9. Overview of the International Classification of Vestibular Disorders - p. 12 10. Bedside Assessment of Acute Dizziness and Vertigo - p. 18 11. Misdiagnosing Dizzy Patients - p. 25 12. TiTrATE - p. 32 13. Section II – Acute, Episodic Dizziness and Vertigo - p. 41 14. Benign Paroxysmal Positional Vertigo in the Acute Care Setting - p. 42 15. Early Diagnosis and Management of Acute Vertigo from Vestibular Migraine and Ménière's Disease - p. 48 16. Transient Ischemic Attacks Presenting with Dizziness or Vertigo - p. 54 17. Medical and Psychiatric Causes of Episodic Vestibular Symptoms - p. 62 18. Section III – Acute, Continuous Dizziness and Vertigo - p. 70 19. Early Diagnosis and Treatment of Traumatic Vestibulopathy and Postconcussive Dizziness - p. 71 20. Acute Unilateral Vestibulopathy - p. 76 21. Acute Diagnosis and Management of Stroke Presenting Dizziness or Vertigo - p. 85 22. Medical and Nonstroke Neurologic Causes of Acute, Continuous Vestibular Symptoms - p. 92 23. Index - p. 104
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