34
Vol. 66, No. 1 2015
Northeast Florida Medicine
Otolaryngology
Conclusion
There have been several advances in the ability to recog-
nize and treat dizziness and imbalance. Additionally, there
have been improvements in the ability to recognize and
treat the many forms of BPPV, better able to assess all of
the sensory structures within the vestibular labyrinth, and
gain a greater understanding about how psycho-physiologic
interactions can induce chronic, seemingly unexplainable
dizziness. The emerging picture is that in cases of chronic
dizziness, a multi-disciplinary and holistic management
approach will likely lead to optimal outcomes.
v
References
1. Zapala DA, Brey RH. Vertigo and balance. In: Daube
JR; Rubin DI editor.
Clinical neurophysiology.
3rd Edi-
tion. Volume 75. Oxford; New York: Oxford Univer-
sity Press; 2009. (Contemporary Neurology Series.). p.
575-612. ISBN 13: 9780195385113
2. Strupp, M, Dieterich, M, Brandt, T. The treatment
and natural course of peripheral and central vertigo.
Dtsch Arztebl Int.
2013; 110(29-30):505-15.
3. Kim JS, Zee DS. Clinical practice. Benign paroxysmal
positional vertigo.
N Engl J Med.
2014;370(12):1138-
47. PMID: 24645946
4. Zappia JJ. Benign paroxysmal positional vertigo. Cur-
rent Opinion in Otolaryngology & Head and Neck
Surgery. 2013;21(5):480-6. PMID: 23995328
5. Kourosh P. Benign Paroxysmal Positional Vertigo:
An Integrated Perspective.
Advances in Otolaryngol-
ogy,
vol. 2014, Article ID 792635, 17 pages, 2014.
doi:10.1155/2014/792635
6. Zapala DA, Brey RH. Clinical experience with the
vestibular evoked myogenic potential.
J Am Acad
Audiol.
2004;15(3):198-215. PMID: 15119461
7. Walther LE, Blodow A. Ocular vestibular evoked myo-
genic potential to air conducted sound stimulation
and video head impulse test in acute vestibular neuri-
tis. Otology & neurotology : official publication of the
American Otological Society, American Neurotology
Society [and] European Academy of Otology and
Neurotology. 2013;34(6):1084-9. PMID: 23370570
8. MacDougall HG, McGarvie LA, Halmagyi GM, et al.
Application of the video head impulse test to detect
vertical semicircular canal dysfunction. Otology &
neurotology : official publication of the American
Otological Society, American Neurotology Society
[and] European Academy of Otology and Neurotolo-
gy. 2013;34(6):974-9. PMID: 23714711
9. Migliaccio AA, Cremer PD. The 2D modified head
impulse test: a 2D technique for measuring function
in all six semi-circular canals.
Journal of vestibular re-
search : equilibrium & orientation
. 2011;21(4):227-34.
PMID: 21846955
10. Blodow A, Pannasch S, Walther LE. Detection of iso-
lated covert saccades with the video head impulse test
in peripheral vestibular disorders.
Auris Nasus Larynx.
2013;40(4):348-51. PMID: 23245835
11. Manzari L, Burgess AM, MacDougall HG, Curthoys
IS. Vestibular function after vestibular neuritis.
Int J
Audiol.
2013;52(10):713-8. PMID: 23902522
12. Allum JHJ, Honegger F. Relation between head
impulse tests, rotating chair tests, and stance and gait
posturography after an acute unilateral peripheral
vestibular deficit. Otology & neurotology : official
publication of the American Otological Society, Amer-
ican Neurotology Society [and] European Academy of
Otology and Neurotology. 2013;34(6):980-9. PMID:
23820798
13. Goebel JA, O’Mara W, Gianoli G. Anatomic consid-
erations in vestibular neuritis. Otology & neurotol-
ogy : official publication of the American Otological
Society, American Neurotology Society [and] Eu-
ropean Academy of Otology and Neurotology.
2001;22(4):512-8. PMID: 11449110
14. Honaker JA, Gilbert JM, Shepard NT, et al. Adverse
effects of health anxiety on management of a patient
with benign paroxysmal positional vertigo, vestibular
migraine and chronic subjective dizziness.
Am J Oto-
laryngol.
2013;34(5):592-5. PMID: 23578435
15. Staab JP. The influence of anxiety on ocular motor
control and gaze.
Curr Opin Neurol.
2014;27(1):118-
24. PMID: 24335800
16. Staab JP. Chronic subjective dizziness.
Continu-
um
(Minneap Minn). 2012;18(5 Neuro-otolo-
gy):1118-41. PMID: 23042063
17. Staab JP, Ruckenstein MJ. Expanding the differential
diagnosis of chronic dizziness. Archives of otolaryn-
gology—head & neck surgery. 2007;133(2):170-6.
PMID: 17309987
18. E J Mahoney A, Edelman S, D Cremer P. Cognitive
behavior therapy for chronic subjective dizziness:
longer-term gains and predictors of disability.
Am J
Otolaryngol.
2013;34(2):115-20. PMID: 23177378
19. Edelman S, Mahoney AEJ, Cremer PD. Cognitive
behavior therapy for chronic subjective dizziness:
a randomized, controlled trial.
Am J Otolaryngol.
2012;33(4):395-401. PMID: 22104568
