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Manual of Pediatric Balance Disorders - Second Edition

This is a very welcome and recently updated book for those wishing to learn about paediatric balance disorders. It has a multidisciplinary authorship and therefore all the specialties involved in the management of a child with balance problems should be...

New diagnostic criteria for Ménière’s disease – an international consensus

Most readers are familiar with the American Academy diagnostic criteria for Ménière’s disease (MD) but a significant minority will be aware of other criteria from Japan and Korea. This new effort is a collaboration between these three bodies and the...

Malignancies of the Nasal Vestibule

This text is a comprehensive guide to the management of malignancies of the nasal vestibule. The book starts off with a review of the anatomy, patho-physiology and patterns of disease spread for nasal vestibule carcinomas. Of course, no book on...

Developments in diagnostic approaches for acutely dizzy patients

The acutely dizzy patient can be a diagnostic and management dilemma for emergency departments and general practitioners, with many patients consequently having delayed access to specialised assessment and treatment. David Jay tells us about HINTS, a bedside test that can...

Active intervention in small schwannomas associated with higher incidence of long-term hearing loss

This article represents collaborative data of hearing outcomes from tertiary centres in Norway and the United States. They studied data of patients with less than or equal to 3cm vestibular schwannoma who underwent observation, primary microsurgery and Gamma Knife surgery...

Dizziness in OSA patients– is there a link and can CPAP treat it?

This is a small study which proposes an interesting hypothesis - that in patients with both dizziness and OSA, treatment of their sleep disorder can provide resolution of their dizziness symptoms, which were otherwise refractory to standard treatment, particularly in...

Acute peripheral vestibulopathy: is it really neuritis?

The pathophysiology of acute vestibular dysfunction has been debated for decades. By seeking to clarify the underlying aetiology, this study muddies the waters further by advocating systemic and intratympanic steroids as first line treatment if the aetiology is uncertain. The...

Early ENT involvement can improve long-term quality of life after temporal bone fractures

Sports injuries and road traffic accidents are common causes of head injuries, with 18-40% of skull base fractures involving the temporal bone. Often these patients have other more life threatening injuries so ENT intervention is delayed or absent. Facial palsy,...

Can we tell the difference between benign recurrent vertigo, migraine and Menière’s disease?

I chose to review this article as it reminds us of the difficulties in diagnosing dizzy patients accurately and the significant crossover of symptoms between the diagnoses. Does Benign Recurrent Vertigo (BRV) even exist as a separate entity? BRV is...

Posturography in persistent postural-perceptual dizziness (PPPD)

Those in neuro-otology practice will be familiar with PPPD now appearing in the forthcoming beta edition of ICD-11. This condition combines the symptoms of phobic postural vertigo and chronic subjective dizziness in which anxiety plays a part. The underlying hypothesis...

DP Medical secures DIFRA Instrumentation distribution deal for UK and Ireland

Leading healthcare supplier, DP Medical Systems Ltd, has been named as the exclusive UK and Ireland distributor for DIFRA Instrumentation – one of the world’s leading creators of diagnostic balance disorder equipment.

International classification of bilateral vestibulopathy (BVP)

In the past few years the Bárány Society have been standardising the diagnostic criteria for various vestibular disorders – International Classification of Vestibular Disorders (ICVD). Diagnosis of BVP relies on history, bedside clinical assessment and objective vestibular tests. The authors...