Meniere's Disease 1999 - Update


Book Description

The Fourth International Symposium on Menière’s Disease was held in Paris in April 1999, in the Montparnasse area close to Prosper Menière’s tomb. This meeting followed the three earlier symposia on Menière’s disease, which have been organized every six years since 1981 in Düsseldorf, Boston and, most recently, in Rome. 1999 saw the bicentenary of Menière’s birth, and to commemorate this, François Legent organized a historical symposium on the different aspects of Prosper Menière’s life. Together with Michel Portmann, the two honorary presidents, Robert Kimura and Jean-Marc Sterkers, gave excellent lectures on the two main topics of Menière’s disease: on experimental endolymphatic hydrops, and the role of both vestibular neurectomy and sac surgery. Numerous papers were presented on research and clinical experiences, and were particularly devoted to the better understanding of both the development of experimental endolymphatic hydrops and the evolution of Menière’s disease. Attention was also drawn to the local treatment of Menière’s disease by the application of drugs to the round window, and furthermore, the indications for and results of surgery for incapacitating vertigo were well defined. Finally, we are pleased to say that this was a very successful meeting and we would like to express our thanks to all the companies, and in particular Solvay Pharmaceuticals, that supported this event. We are certain that the first international symposium of the new millennium on Menière’s disease, which is to be organized by David Lim in the USA, will be even more successful and fruitful than this one. The organizing committee




Up to Date on Meniere's Disease


Book Description

Dizziness and vertigo are symptoms related to peripheral vestibular disorders. These are among the most common complaints in medical offices, and knowledge of the major diseases affecting this system is of fundamental importance to the specialist in otolaryngology. In recent years, great advances have been made in otoneurology, which, coupled with increasing knowledge in the field of neurosciences, have substantially modified the approach of the patient with balance complaints. This book studies the most polemic of these vestibular diseases, the Meniere's disease.




Vestibular Evoked Myogenic Potential


Book Description

The vestibular labyrinth consists of ? ve compartments: the lateral, anterior, and posterior semicircular canals, the utricule, and the saccule. At the beginning of the twentieth century, Robert Bárány proposed the caloric test as a clinical test of the lateral semicircular canal. This test enabled clinicians to assess the individual lateral semicircular canal function easily by using the simple method of irrigating the external ear canal with cold or warm water and observing the induced nyst- mus. We believe that the caloric test was a breakthrough in the ? eld of vestibular research. However, as far as the other compartments were concerned, there was no simple clinical test equal to the caloric test for the lateral semicircular canal function. At the end of the twentieth century, the vestibular evoked myogenic potential (VEMP) test was proposed as a new method for assessing the individual saccule function. This test has some unique attributes. First, it uses sound stimulation, even though it is a test of the vestibular system. This appears to be a contradiction n- rophysiologically. As a result, in its early stages there were controversies conce- ing the origin of the responses. However, such controversies have been overcome by basic neurophysiological studies and clinical studies. Above all, sound sensit- ity of the saccular afferents shown in cats and guinea pigs with single-unit recording methods became the main supporting evidence. Nowadays, VEMP is one of the routine clinical tests for balance disorder.




Ménière’s Disease


Book Description

In dem Band erläutert der Autor die typischen Anzeichen des Morbus Menière, er legt dar, was man über die Krankheit wissen sollte und welche Behandlungskonzepte es gibt. Alle Aspekte der Erkrankung – Grundlagen, Auswirkungen und Therapiemöglichkeiten – sind leicht verständlich zusammengefasst, so dass Betroffene und behandelnder Arzt gleichermaßen davon profitieren. Die neu bearbeitete 7. Auflage informiert über aktuelle medizinische Möglichkeiten und Grenzen und weist auf verfeinerte psychosomatische Vorgehensweisen im Umgang mit der Krankheit hin.




Pathology of the Ear


Book Description

Through a combination of text, color pictures, and numerous bandw illustrations, the pathology of the human ear is presented with a practical, clinical approach, primarily for practicing otologists. The volume encompasses the entire field of otology, beginning with the basics of laboratory methodology, anatomy, and pathophysiology, and continuing with otopathology in 15 chapters organized as logical compendia based on clinical and pathological manifestations. Extensively rewritten because of the substantial growth in knowledge that has occurred in temporal bone pathology and clinical otology, this edition (first was 1974) also adds two new chapters on disorders of the immune system and surgical pathology. 9.25x12.25" Annotation copyright by Book News, Inc., Portland, OR







Baloh and Honrubia's Clinical Neurophysiology of the Vestibular System, Fourth Edition


Book Description

This book provides a framework for understanding the pathophysiology of diseases involving the vestibular system. The book is divided into four parts: I. Anatomy and physiology of the vestibular system; II. Evaluation of the dizzy patient; III. Diagnosis and management of common neurotologic disorders; and IV. Symptomatic treatment of vertigo. Part I reviews the anatomy and physiology of the vestibular system with emphasis on clinically relevant material. Part II outlines the important features in the patient's history, examination, and laboratory evaluation that determine the probable site of lesion. Part III covers the differential diagnostic points that help the clinician decide on the cause and treatment of the patient's problem. Part IV describes the commonly used antivertiginous and antiemetic drugs and the rationale for vestibular exercises. The recent breakthroughs in the vestibular sciences are reviewed. This book will helpful to all physicians who study and treat patients complaining of dizziness.




Tinnitus: Pathophysiology and Treatment


Book Description

Understanding tinnitus and treating patients with tinnitus must involve many disciplines of basic science and clinical practice. The book provides comprehensive coverage of a wide range of topics related to tinnitus including its pathophysiology, etiology and treatment. The chapters are written by researchers and clinicians who are active in the areas of basic science such as neurophysiology and neuroanatomy and in clinical specialties of psychology, psychiatry, audiology and otolaryngology.* Comprehensive coverage of the pathology and cause of tinnitus including genetics * Hyperacusis, phonophobia and other abnormalities in perception of sounds * The role of neural plasticity in tinnitus







New Advances in Electrocochleography for Clinical and Basic Investigation


Book Description

Electrocochleography (ECochG) is an approach for objective measurements of physiologic responses from the inner ear. Measurements have classically been made from electrodes placed in the outer ear canal, on the tympanic membrane, the round window niche, or inside the cochlea. Recent innovations have led to ECochG being used for exciting new purposes that drive clinical practice and contribute to the basic understanding of inner ear physiology. Cochlear implant recording electrodes can monitor the preservation of residual, low-frequency acoustic hearing, both in the operating room and post-operatively. ECochG measurements can quantify differential effects of inner ear surgery or other manipulations on vestibular and auditory physiology simultaneously. Various attributes of cognitive neuroscience can be addressed with ECochG measurements from the auditory periphery. These advances in ECochG provide a way to understand a variety of inner ear diseases and are likely to be of value to many groups in their own clinical and basic research.