Dizziness Depot

Aug. 25, 2011

A Case of Brain Stem Stroke and Dizziness

Alan Desmond
We have a guest contributor this week. Dr. Phillip Griffin is an audiologist and vestibular specialist practicing in the High Point/ Greensboro, NC area.  This entry will appeal to us vestibular geeks who sit around thinking about how the inner ear and brain work together. Lay readers will struggle with some of the terminology. A case of PICA…without eating all
Aug. 15, 2011

Fall Risk Questionnaire and Physician’s Guide – Part V

Alan Desmond
Fall Prevention, Part V – Desmond Fall Risk Questionnaire: a fifteen-item self-assessment designed to identify common risk factors for falling, and a physician’s guide with suggestions for management.    Fall Risk Questionnaire and Physician Guide Desmond Fall Risk Questionnaire Please answer all questions Name __________________________Date ________________   1.    ___Yes / No___ Have you had a fall or near fall in
Aug. 09, 2011

Fall Prevention –Developing a Fall Risk Questionnaire – Part IV

Alan Desmond
In an effort to quickly identify potential risk factors, I developed a fall risk questionnaire several years ago that I use routinely in my practice.( A copy of the questionnaire and accompanying “Physician’s Guide will be posted next week). The Fall Risk Questionnaire is a 15 item checklist to be filled out by the patient prior to examination. This allows
Jul. 29, 2011

Fall Prevention – Examination – Part III

Alan Desmond
Why is there so much disagreement regarding the best way to minimize the risk of falling?                                                    A review of several recent studies regarding the cause of falling reveals different assessments, different treatments, and different health care specialists involved. This makes it very difficult to effectively compare or reproduce findings. For example, in one study vestibular function was evaluated through
Jul. 24, 2011

Fall Prevention – Risk Factors – Part II

Alan Desmond
          What are the most common risk factors for falling? Lists of risk factors for falling often differ depending on the type of specialist performing the evaluation or the type of evaluation performed.  One thing that nearly everyone agrees on, the more risk factors present, the higher the chance of falling.  This is more eloquently stated by Tinetti  et al
Jul. 18, 2011

Fall Prevention – A Huge Problem

Alan Desmond
Over the next few weeks, we will take a look at the subject of “Fall Prevention.” This should more accurately be described as “Fall Reduction”, or “Minimization of Fall Related Injury.” It is impossible to prevent falls entirely. Accidents happen. Nonetheless, falling in the elderly is a huge health care problem. So even if we don’t have the answer, it
Jul. 08, 2011

New Website for Audiology and ENT Continuing Education

Alan Desmond
A new web based educational site is currently being developed through the American Institute of Balance Education Foundation (AIB). The URL is  www.CME2go.com   According to Dr Richard Gans, founder and director of AIB: “We here at AIB also have a new global educational platform you may be interested in, The American Institute of Continuing Medical Education.   “It is perhaps the
Jun. 29, 2011

Dizziness in the Emergency Department –Part II

Alan Desmond
  What typically happens when a patient goes to the Emergency Room for the complaint of dizziness? When a patient presents with the complaint of vertigo or dizziness in the Emergency Room,  the most common diagnostic procedures performed are blood tests (including CBC, ECG, Glucose, BUN and Creatinine), Pulse Oximetry, Chest X-Ray, Urinalysis, Cardiac monitoring and CT/MRI (Kerber et al.,
Jun. 15, 2011

Dizziness in the Emergency Department –Part I

Alan Desmond
Last week, we explored various techniques to view nystagmus, and I made the suggestion that every Emergency Room in the country should have a pair of video goggles available. To better understand why I made this suggestion, let’s take a look at what happens most often when a patients goes to the Emergency Room with the complaint of “dizziness.” Dizziness
Jun. 12, 2011

Why in the world is there not a set of infra-red videonystagmography goggles in every emergency room in the country?

Alan Desmond
Nystagmus are best viewed using infrared videonystagmography, however, other techniques can partially reduce visual fixation known to suppress vestibular nystagmus. Alternative viewing techniques include Frenzel’s glasses or direct observation assisted by a penlight, otoscope, or ophthalmoscope. Observation Techniques Compared Guidetti, Monzani, and Rovatti (2006) compared three observation techniques (direct visual observation, Frenzel’s glasses and infra-red assisted videonystagmography) used in the examination