Vertigo. Vertigo / Dizziness. Sir Terence Cawthorne said: “ Labyrinthine disturbance may make one feel like the end of the world has arrived….” Doctor said: “ dealing with dizzy patient make me dizzy”. Definitions. Dizziness (vertigo):
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“ Labyrinthine disturbance may make one feel like the end of the world has arrived….”
“ dealing with dizzy patient make me dizzy”
spinning or hallucination of movement.
orthostatic hypotension ,syncope.
*three semicircular canals
( posterior ,horizontal, anterior). to detect:
*Utricle & saccule :( have otoconia embedded in a gel overlying the cilia, to detect
*Proprioception (skin, joints ,muscle receptors ,mainly neck & ankles).
**The brain stem computerise these 3 inputs with the help of cerebellum to maintain balance (head & balance).
*Hallpike (posterior canal)
*Caloric test (horizontal canal)
*to the causes.
(histamine analogues, betahistine.cinnerezin.).
*endolymphatic sac shunting
*Labyrinthectomy ( damage hearing):
-chemical / injection of gentamycin.
*Eply manoeuvre (BPPV).
*cocksacy cawthorne exercises.