Dizziness Depot

The Epley Maneuver, initially described by John Epley in 1992, has been widely used for the treatment of Benign Paroxysmal Positional Vertigo (BPPV). However, based on personal observations from an experienced practitioner who has performed thousands of Canalith Repositioning Procedures (CRP) over the past two decades, it appears that the maneuver may be more complex than necessary. Despite this, the

Despite the well established safety and effectiveness of Canalith Repositioning, patients with BPPV rarely receive this treatment.  A 2002 German study online pharmacy buy prevacid online no prescription pharmacy Lekharna-Prague.com reviewed the prior medical history via questionnaire in a group of patients with confirmed BPPV. They report that 51% admitted to recurrent symptoms over a mean duration of 3.2 years.

Last week, I reviewed some studies online pharmacy buy nolvadex online no prescription that found that patients with BPPV have historically been managed quite ineffectively. I am pasting a reader (Audiologist) comment I received shortly after the blog was posted: “Sadly, I’m not shocked at all by these stats. However, I will say there seems to be more awareness amongst

This week, we are going to take a quick look at some (at least to me) startling and depressing statistics related to Benign Paroxysmal Positional Vertigo. Each will be linked to the abstract if you want further detail. I will be exploring current management of BPPV over the next few weeks. 1. Two recent studies explored the time period from

After three weeks of dissecting the Optokinetic Tracking test, let’s take a light diversion. It is Final Four weekend, and the country is basketball crazy right now. I am a bit of a basketball junkie myself, so anytime I can combine basketball and dizziness, I am on it. The first item involves a game we used to play back in

Last week, I went on a bit of a “poor me” rant. This week, I am back with a little cheese to go along with my whining. This week’s blog plugs in some others’ thoughts on the Optokinetic tracking test, and the purpose of screening tests in general. Forgive the liberal use of cutting and pasting this week, but this

I am feeling a little vulnerable this week. I am not a lawyer thank goodness, but the quote, “Never ask a question if you don’t already know the answer” can also apply to someone who writes blogs, or books, or teaches courses, or simply wants to understand why we do what we do. That leads to the second part of

Optokinetic tracking is the part of the VNG battery where the patient is simply asked to “follow the lights” as they sail by, first in one direction, then the other. In real life, the optokinetic system kicks in when the vestibular system fails to ‘‘keep up’’ during sustained head rotation. Optokinetic tracking is similar to smooth pursuit tracking in its mechanism of

We have spent the past few weeks discussing the role of the oculomotor tests as part of the videonystagmography (VNG) exam. This week, we will devote a few paragraphs to the smooth pursuit tracking test. Smooth pursuit eye movements are used to maintain stable gaze on objects that are moving within the visual field. Focus is placed on the object

Over the past few weeks, we have been discussing the Oculomotor battery, which is a section of the VideoNystagmoGraphy (VNG) exam. Let’s take a closer look at the subtests of the Oculomotor battery. This week we will discuss Saccades. This will be a little dry if you are reading this from a patient’s perspective, but it might be useful to