MediaCenter.thiem e.com plus e-content online Vertigo and Disequilibrium A Practical Guide to Diagnosis and Management Second Edit ion Peter C. Weber, MD, MBA Director, Ear Inst itu te New York Eye and Ear Infirm ary of Mount Sinai Professor of Otolaryngology–Head and Neck Surgery Icahn School of Medicine at Mount Sinai Chief, Otology/Neurology/Skull Base Mount Sinai System New York, New York 167 illust rat ions Thiem e New York • Stut tgar t • Delhi • Rio de Janeiro Execut ive Editor: Tim othy Y. Hiscock Im por t an t n ote: Medicine is an ever-changing science undergoing Managing Editor: J. Owen Zurhellen IV cont inual developm ent . Research and clin ical experience are Editorial Assistant: Mary B. Wilson cont inually expanding our knowledge, in part icular our knowledge Director, Editor ial Services: Mary Jo Casey of p roper t reatm en t and drug therapy. In sofar as th is book m en t ions Product ion Editor: Kenneth L. Chum bley any dosage or applicat ion , readers m ay rest assured that the In ternat ional Product ion Director: Andreas Schabert authors, editors, and publishers have m ade every effor t to ensure Vice President , Editorial and E-Product Developm ent: Vera Spillner that such references are in accordance w ith th e st ate of kn ow ledge In ternat ional Market ing Director: Fiona Henderson a t t h e t i m e o f p r o d u c t i o n o f t h e b o o k . In ternat ional Sales Director: Louisa Turrell Ne ve r t h e l e s s , t h i s d o e s n o t i n vo lve , i m p ly, o r e x p r e s s a n y Director of Sales, North Am erica: Mike Rosem an g u a r a n t e e o r r e s p o n s i b i l i t y o n t h e p a r t o f t h e p u b l i s h e r s i n r e s p e c t Senior Vice President and Chief Operat ing Of cer: Sarah Vanderbilt to any dosage inst ruct ions and form s of applicat ions stated in President: Brian D. Scanlan the book. Ever y u ser is requ ested to exam in e carefu lly the Cover Im age: Used with permission from Fotolia, Zffoto m anufacturers’ lea ets accom panying each drug and to check, if necessary in consultat ion w ith a physician or specialist , w hether Library of Congress Cataloging-in -Publicat ion Data the dosage schedules m ent ioned therein or the cont raindicat ions stated by the m anufacturers differ from the statem ents m ade in Nam es: Weber, Peter C., 1961- the present book. Such exam inat ion is par t icularly im portant w ith Tit le: Ver t igo and disequilibrium : a pract ical guide to diagnosis drugs that are either rarely used or have been newly released on the and m anagem ent / [edited by] Peter C. Weber. m arket . Every dosage schedule or every form of applicat ion used Descript ion: Second edit ion . | New York : Thiem e, [2017] | i s e n t i r e l y a t t h e u s e r ’s o w n r i s k a n d r e s p o n s i b i l i t y . Th e a u t h o r s Includes bibliographical references and index. and publishers request every user to report to the publishers any Ident ifiers: LCCN 2016035322| ISBN 9781626232044 (hardcover : discrepancies or inaccuracies not iced. If errors in th is work are found alk. paper) | ISBN 9781626232051 (e-book) after publicat ion , errata w ill be posted at w w w.thiem e.com on the Subjects: | MESH: Vertigo—diagnosis | Vertigo—therapy | Dizziness— p r o d u c t d e s cr ip t io n p a ge . prevention & control | Vestibule, Labyrinth—pathology Som e of the product nam es, patents, and registered designs Classification: LCC RB150.V4 | NLM W V 255 | DDC 616.8/41—dc23 referred to in th is book are in fact registered t radem arks or LC record available at ht tps://lccn.loc.gov/2016035322 proprietary nam es even though speci c reference to th is fact is not always m ade in the text . Therefore, the appearance of a nam e w ithout designat ion as proprietary is not to be const rued as a r e p r e s e n t a t i o n b y t h e p u b l i s h e r t h a t i t i s i n t h e. p u b l i c d o m a i n © 2017 Thieme Medical Publishers, Inc. Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488, Contents Menu of Accompanying Videos.................................................................................................... ...............................vii Foreword by Barry E. Hirsch .............................................................................................................................. ..........viii Preface ....................................................................................................................... ...........................................................x Acknowledgm ents ............................................................................................................... ............................................ xi Contributors .................................................................................................................. ...................................................xii 1 T a k i n g t h e H i s t o r y o f t h e V e r t i g i n o u s P a t i e n t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P e t e r C . W e b e r 2 O c e E x a m i n a t i o n o f t h e V e s t .i.b. .u. .l .a. r. . .P. a. .t. i. e. .n. .t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Ja m e s o n K . M a t t i n g l y , L a u r a W a z e n , a n d S t e p h e n P. C a s s 3 C o m p u t e r i z e d T e s t i n g o f t h e V e s t i b u l a r P a t i e n t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. .0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R a n d y Ju d s o n a n d Je s s i c a G a l a t i o t o 4 R a d i o l o g i c a l S t u d i e s f o r t h e V e s t i b u l a r P a t i e n t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. .6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . K e n n i t h F. L a y t o n , Jo h n I . L a n e , R o b e r t J . W i t t e , a n d C o l i n L . W . D r i s c o l l 5 S u r g i c a l A n a t o m y a n d P h y s i o l o g y o f t h e V e s t i b u l a r S y s t e m . . . . . . . . . . . . . . .5. .2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D o u g l a s D . B a c k o u s a n d F r a n c o i s C l o u t i e r 6 L a b o r a t o r y T e s t i n g i n t h e D i a g n o s i s a n d T r e a t m e n t o f D i z z i n e s s . . . . . . .6. .6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M i k h a y l o S z c z u p a k a n d M i c h a e l E . H o e r 7 M e n i e r e ’ s D i s e a s e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. .0. . . . . . . . . . . . . . . S u j a n a S . C h a n d r a s e k h a r 8 B e n i g n P a r o x y s m a l P o s i t i o n a l V e r t i g o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9. .0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ju d i t h W h i t e 9 T h e P a t h o l o g y a n d T r e a t m e n t o f B e n i g n P a r o x y s m a l P o s i t i o n a l V e r t i g o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 1 R i c h a r d R . G a c e k 10 La b y r in t h i t i s .. .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. . .. ... .. .. . .. ... .. ... . . . . . .. ... .. . ................................... . .. ... .. .. . .. ... . 1 0 8 Sea n O. M cM en om e y a n d Sa m u el P. Gu b b els 11 Su p e r io r Se m ic i r c u la r Ca n a l De h is ce n ce Sy n d r o m e ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ............... .1..1..7... .. ... .. ... . Ca m eron C. W ick , Cli A . M eger ia n , Na u m a n F. M a n z oor, a n d M a rou n T. Sem a a n 12 Au t o im m u n e Ve s t ib u la r Dys fu n c t io n , Pe r i ly m p h Fi s t u la s , M a l d e De b a r q u e m e n t Syn d r o m e , a n d Alco h o l- Re la t e d Diz z in e s s ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. . . . .. . . . ... . . . .. .. ................................. . 1 3 1 Lou is M . Ho fm e y r 13 Al le r g y a n d Au t o n o m ic Diz z in e s s .... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. . . . ... .. ... .. .. . . . . ................................1. 4 0 Lou is M . Ho fm e y r a n d M a rcelle Groen e w a ld 14 Ag in g : Ba la n ce a n d Ve s t ib u la r Dis o r d e r s ... ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. . . . .. .. . .. . . ..........................1..4..8.. Ya el Ra z 15 Co n g e n i t a l a n d Pe d ia t r i c Ve s t ib u la r Dis o r d e r s ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... . . ... ...................... .1..5..4... .. . Ka t h r y n Y. Noon a n a n d Ja m es E. Sa u n d ers 16 M ig r a in e s As a So u r ce o f Ve s t ib u la r Dis o r d e r s : Dia g n o s is a n d M a n a ge m e n t .... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. . .. 1 7 0 An a H. Kim a n d M ich ele M . Ga n d o l 17 Ra r e Ca u s e s o f Un i l a t e r a l Pe r ip h e r a l Ve s t ib u lo p a t h y ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... ............... .1..7..8..... .. ... .. Ala n G. M icco v vi Contents 18 Ce n t r a l Ve r t igo a n d Dis e q u i l ib r iu m .... ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... . . . .. .. . .. .. .. . .. .............................. .1..8 4 Pet er C. W eb er a n d Sa m u el C. Le v in e 19 M e d ic a t io n s Us e d in Tr e a t in g Ac u t e a n d Ch r o n ic Ve r t ig o a n d Va r io u s Ve s t ib u la r Dis o r d e r s ... .. ... .. ... .. .. 1 8 8 Ca n d ice Co lb y a n d Tin a C. Hu a n g 20 Ve s t ib u la r Re h a b i l i t a t io n ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. . .. .. .. . .. . . . .. ... .. . .. . . . .. .................................. .. . .. .. 1 9 6 Br y a n D. Hu jsa k 21 Im p la n t a b le Ve s t ib u la r De v ice s ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. . . . . . ... .. ... . . . .. . . ... . ................................. 2 0 7 Ju st in S. Go lu b Ap p e n d ix : Fr e q u e n t ly Ask e d Qu e s t io n s w i t h An s w e r s .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. . .. .......... .2..2..2..... .. ... .. ... .. Pe t e r C. W eb er Index ................................................................................................................................................................................. 227