Emergency Neuro-Otology Diagnosis and Management of Acute Dizziness and Vertigo

An Issue of Neurologic Clinics (Volume 33-3) (The Clinics: Radiology, Volume 33-3) 1st Edition

by David E. Newman-Toker (Author)

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.