China
Africa
Explore chapters and articles related to this topic
Balance Disorders
Published in Raymond W Clarke, Diseases of the Ear, Nose & Throat in Children, 2023
Many cases are due to normal maturation of the physiological systems that contribute to maintaining balance; the vestibular apparatus does not fully mature until well into the teenage years. Migrainous disorders are far more common in children than was previously acknowledged and often present atypically, not always with a headache. True vestibular disorders in children are uncommon and, when they occur, they tend to be self-limiting and characterised by early and effective compensation. Most presentations of ‘dizziness’ are due to non-vestibular pathology. Some causes of balance dysfunction in children are shown in Box 13.2.
Computational simulation of the vestibular system using a meshless particle method
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
C.F. Santos, Marco Parente, J. Belinha, R.M. Natal Jorge, Fernanda Gentil
Some vestibular conditions could influence the performance of the vestibular system. There are several external factors that could change the behaviour of complete the mechanism. The quality of life of someone suffering from the main symptom caused by vestibular disorders (vertigo), decrease significantly.
Stroke mimics
Published in Christos Tziotzios, Jesse Dawson, Matthew Walters, Kennedy R Lees, Stroke in Practice, 2017
Christos Tziotzios, Jesse Dawson, Matthew Walters, Kennedy R Lees
Migrainous vertigo refers to episodic vertigo in patients with a history of migraine. It is essentially a vestibular disorder manifesting with positional vertigo or dizziness and relies on exclusion of other causes.11 Isolated acute vertigo may be seen with brainstem ischaemia, although the latter is more commonly associated with other brainstem symptoms.
Effects of non-invasive brain stimulation (NIBS) on vestibulopathy disorders: a systematic review
Published in Hearing, Balance and Communication, 2023
Bruno Henrique de Souza Fonseca, Pedro Henrique Sousa de Andrade, Otávio Borges, Jessica Mariana de Aquino Miranda, Rodrigo Bazan, Luciane Aparecida Pascucci Sande de Souza, Gustavo José Luvizutto
The strengths of our review include a comprehensive search, assessment of eligibility, risk of bias, and use of the GRADE approach for rating the certainty of the evidence for each outcome. There were no language restrictions. The primary limitation of our review is the small number of RTCs, which can lead to a downgrade in the quality of evidence. Another question is the low number of patients. Despite the high prevalence of vestibular diseases, this systematic review approached 52 patients in total. Randomized prospective studies are very few in this area. In addition, this review was not having all the necessary information needed to conduct a meta-analysis as initially planned and we did not find good quality studies on transcranial magnetic stimulation (TMS) to include in this review. The great concern is related to using the same treatment for different diseases. Despite all patients having vestibular disorders, it represents a variety of causes and is even related to chronic vestibular diseases. Therefore, it is difficult to establish strong conclusions with a low number of patients with many different aetiologies and diseases representing vestibular disorders.
Vestibular assessment and management: survey of the current practices by audiologists in India
Published in Hearing, Balance and Communication, 2023
Sujeet Kumar Sinha, Niraj Kumar Singh
Regarding the clinical tests, most participants utilised the Romberg test, Fukuda stepping test, tests for cerebellar functioning and HINTS/HINTS plus in their setup for vestibular assessment and management. Among the objective tests, videonystagmography was the most common test used for the assessment, followed by VEMPs and vHIT. The professionals may use the vestibular evoked myogenic potentials and video head impulse test as both the tests are easy to administer and consumes significantly less time. The videonystagmography test gives information about both the peripheral and central vestibular system; hence, most professionals might depend on videonystagmography to diagnose vestibular disorders. In a similar study, Finan [18] also reported that videonystagmography is one of the most common tests employed in the USA to assess and manage vestibular disorders.
An exploration of significant others’ experience with ongoing vestibular disorders
Published in International Journal of Audiology, 2020
Lauren Story, Caitlin Barr, Richard Dowell, Jessica Vitkovic
Vestibular disorders are a common ailment, with diagnosed population prevalence estimates of up to 6.5% (Hülse et al. 2019). Experiencing vestibular symptoms can have substantial and far-reaching impacts on an individual’s life, such as psychological impact (Arroll et al. 2012; Piker et al. 2008; Sakagami et al. 2016), decreased balance confidence (Marchetti et al. 2011), and reduced quality of life (Guinand et al. 2012; Levo et al. 2013; Neuhauser et al. 2008; Porter and Boothroyd 2015). While there is more to understand, it is broadly accepted that vestibular disorders can have a significant impact on the person with the condition; however, given the daily life impact these disorders have on these individuals, little is currently known about the impact of vestibular disorders on family and support networks. It is important to consider this group as, although limited, current literature shows that significant others (SOs) play a role in everyday management of vestibular disorders; from supporting the person with vestibular dysfunction with everyday activities (Miffon and Guyot 2015), to increasing their share of general household responsibilities (Stephens et al. 2012). It is important to recognise that this role exists, and potentially needs to be supported.