Dizziness Depot

Apr. 07, 2015

Recovering from Vestibular Injuries-Part V

Alan Desmond
Wake Me Up Before You Go Go After a period of welcome “shut down” or cerebellar clamp, a patient recovering from an acute Vestibular Neuritis (VN) has to decide when they are ready to begin the process of recalibrating the Vestibular-Ocular Reflex (VOR). We all benefit from a constant calibration process between our inner ears and our eyes. The goal
Mar. 31, 2015

Recovering from Vestibular Injuries – Part IV

Alan Desmond
Your Brain on Vestibular Neuritis There was a commercial many years ago where you see an egg and a voice-over says, “Here is your brain.” The egg is cracked and dropped in a hot frying pan and the voice-over continues, “This is your brain on drugs.” This week, we want to explore the brain’s response to an acute inner ear
Mar. 24, 2015

Recovering from Vestibular Injuries-Part III

Alan Desmond
online pharmacy order zithromax without prescription with best prices today in the USA online pharmacy purchase nolvadex online no prescription What Causes Vertigo and Nystagmus? Last week, I mentioned that in a healthy system, when the head is still, the eyes are still. When the healthy inner ear is at rest, the signal discharged from each ear is equal. We
Mar. 17, 2015

Recovering from Vestibular Injuries-Part II

Alan Desmond
Normal VOR Function online pharmacy purchase minocin online with best prices today in the USA Before we can discuss how the brain responds to vestibular injuries, we need to make a quick stop and review normal anatomy and physiology. Don’t worry, I’ll keep it simple. There is more to the Vestibular-Ocular Reflex (VOR) than can be covered here, but we
Mar. 10, 2015

Recovering from Vestibular Injuries -Part I

Alan Desmond
Let’s spend the next few weeks reviewing the implications, symptoms, recovery process and rehabilitation techniques available to people who suffer acute vestibular dysfunction. Now, I am not talking about BPPV patients here. I will discuss the recovery from BPPV later in the series. This series will discuss patients with permanent, or at least long-lasting or chronic, vestibular weakness such as
Mar. 04, 2015

Skip Caloric Testing?

Alan Desmond
Last week, we discussed situations where it is reasonable to perform monothermal (one temperature, two total) caloric irrigations instead of the traditional bithermal (two temperatures, four total) irrigations. I also posed the question, “When is it okay to skip calorics?” This is not as easy to answer as the monthermal versus bithermal question, but let’s think through it. There is
Feb. 25, 2015

Monothermal Caloric Testing

Alan Desmond
online pharmacy https://wwmedicalassurance.com/wp-content/uploads/2021/12/strattera.html with best prices today in the USA   Caloric testing has long been the standard for determining chronic labyrinthine asymmetry and dysfunction. With the advent of active and passive tests of the vestibular ocular reflex (VOR) such as vHIT, Active Head Rotation and Rotational Chair, caloric results have become a less critical part of an overall picture
Feb. 18, 2015

New Codes for Calorics

Alan Desmond
Last week, I took a fast trip to the west coast to attend a meeting of the American Medical Association. We finally settled on a new set of codes for performing caloric irrigation with recording. While standard practice is to perform four total irrigations, there are times when the clinician may decide to perform just two irrigations. The performance of
Feb. 11, 2015

Vestibular Schwannoma Options

Alan Desmond
buy https://mvpsych.com/wp-content/uploads/2015/04/zithromax.html online https://mvpsych.com/wp-content/uploads/2015/04/zithromax.html no prescription pharmacy A couple of months ago, I did a post regarding the use of ABR (Auditory Brainstem Response) testing as part of a comprehensive vestibular evaluation. I revisit the topic to discuss the relevance of abnormal findings associated with that test. While ABR testing has other benefits, the primary purpose of the test in
Feb. 03, 2015

Vestibular Compensation and Aging

Alan Desmond
online pharmacy flagyl no prescription pharmacy Farmacia Sevilla España There has been a lot of talk lately about football and deflated balls. Only in the world of vestibular geekology could one find a connection between these events and vestibular compensation. But, you have to find your inspiration where you can, so here goes: I will use the analogy of an