Dizziness Depot

Sep. 02, 2014

BPPV Home Treatment

Alan Desmond
Which treatment is most effective? Last week, I finished my blog post online pharmacy lasix with best prices today in the USA with a question regarding the relative effectiveness of different home exercises for BPPV. This question has been pondered by others for several years. As early as 1999 (roughly eight years before the iPhone was introduced and while Bill
Aug. 27, 2014

BPPV: CRP versus Home Exercises

Alan Desmond
online pharmacy tobradex with best prices today in the USA online pharmacy purchase arava online generic Last week’s post described an experiment we did that showed us that home exercises for suspected BPPV were very effective. What, then, is the benefit of undergoing in-office Canalith Repositioning (CRP) treatment? Before we begin, I think it’s important to discuss the natural course
Aug. 19, 2014

BPPV: Home Exercise Experiment

Alan Desmond
Last week, I posed the question,” So, what do you do with a patient that presents with a history suggestive of BPPV, yet all vestibular exams, including the Dix-Hallpike, are negative? We decided to do a little experiment. All patients fitting the above description were considered to possibly have “inactive BPPV.” There were 132 patients in this group. We broke
Aug. 12, 2014

BPPV Diagnostic Criteria

Alan Desmond
Last week’s blog covered two recent studies indicating that BPPV is far more common than most patients or physicians realize. As I have written previously, I suspect this is largely the result of lack of appropriate testing in the Primary Care and Emergency Medicine arenas. Many patients with BPPV never undergo the Dix-Hallpike test as recommended in the Clinical Practice
Aug. 05, 2014

BPPV Prevalence

Alan Desmond
Once again, more common than you think This week I am posting two recent abstracts related to the prevalence of BPPV in both the young adult and geriatric population. I have long been a believer that there is much more BPPV out there than most physicians (and even many vestibular specialists) realize. As far back as 15 years ago, I
Jul. 29, 2014

Origins of VNG

Alan Desmond
Working with a Pioneer This week’s blog is a little bit about me and my path, but mostly about a pioneer in our field who helped me along that path. I think this may be interesting because this pioneer was neither an audiologist, neurologist or ENT specialist. In fact, he was not a physician. But rather, he was trained as
Jul. 22, 2014

ENG versus VNG: Part VI

Alan Desmond
Cost-Effectiveness online pharmacy glucophage online with best prices today in the USA online pharmacy order ozempic no prescription with best prices today in the USA VNG using infrared video recordings offer several advantages in terms of patient flow and cost effectiveness. The most obvious is the reduction in time needed to complete an ENG examination. In our office, an average
Jul. 15, 2014

ENG versus VNG: Part V

Alan Desmond
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Jul. 08, 2014

ENG Versus VNG: Part IV

Alan Desmond
ENG Versus VNG: Which Is Better? Artifact buy champix online buy champix online no prescription Artifact affects both ENG and VNG recordings, but not from the same source. With ENG (electronystagmography), the recording is subject to contamination from ambient muscle electrical activity and artifact associated with eye blinks. Eye blinks can occur with the eyes open or closed. Many patients
Jul. 01, 2014

ENG versus VNG: Part III

Alan Desmond
online pharmacy anafranil with best prices today in the USA online pharmacy buy xenical online no prescription Potential Calibration Errors As a reminder, Electronystagmogaphy (ENG) is based on recording changes in the corneoretinal potential, with these changes assumed to correspond to eye movements. However, there are other factors that cause a change in corneoretinal potential, putting test accuracy at risk.