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Titre : | Vestibular function : clinical and practice management |
Auteurs : | Alan A. Desmond |
Type de document : | Livre |
Mention d'édition : | 2e éd. - |
Année de publication : | 2011 |
ISBN/ISSN/EAN : | 978-1-60406-361-5 |
Format : | 304 p. / ill |
Note générale : | doi:10.1055/b-006-160941 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Examen vestibulaire ; Fonction vestibulaire ; Maladies vestibulaires ; Système vestibulaire |
Résumé : |
Dizziness and disequilibrium are common complaints in both the general adult and the geriatric populations. The patient who complains of dizziness often presents a diagnostic and management dilemma to the attending physician, audiologist, or physical therapist. Dizziness is a symptom that cannot be quantified, and a lengthy case history is needed to understand the sensation the patient is describing. The term dizziness encompasses so many different sensations that it is a poor and ineffective descriptor when attempting to determine etiology. Dizziness is often used to describe the sensations of vertigo, lightheadedness, imbalance, presyncope, disorientation, and/or gait instability. These are varied complaints with many different possible causes. To categorize all these symptoms under the broad heading of dizziness is counterproductive. Most specialists try to obtain a more detailed description of symptoms. A recent study (Polensek, Sterk, & Tusa, 2008) found that over 80% of audiologists sought a more detailed description of the patient's dizziness; however, only 33% of geriatricians did the same.
The cause of dizziness can range from benign self-limiting conditions to potentially life-threatening conditions. Dizziness and disequilibrium can occur from disruptions in one or more of the sensory systems responsible for balance, or from inaccurate integration and central processing of information received from these sensory systems. Dizziness could be the result of an identifiable pathology or a combination of any number of subclinical pathologies. The cause may be otologic, neurologic, cardiovascular, psychiatric, orthopedic, ophthalmologic, or none of these. The Physicians' Desk Reference lists dizziness, lightheadedness, or related complaints as side effects for nearly 1000 medications (Smith, 1990). Ironically, many medications used to treat dizziness list dizziness as a common side effect. The attending health care provider (HCP)1 must make management decisions based on the patient's history, physical examination, and the HCP's own knowledge of the various causes of dizziness as well as the likelihood of particular pathologies based on epidemiologic information. |
Disponible en ligne : | Oui/Non |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://medone-comsci.thieme.com/ebooks/1496140 |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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L_425_1063 | Livre | Ixelles | Mezzanine | Prêt autorisé Disponible |