Dizziness: Prevalence, Risk Factors and Management


Francesco Martines, PhD (Editor) – Associate Professor of Audiology, Universita’ Degli Studi Di Palermo; Chief of Audiology Unit, Policlinico “P. Giaccone” Hospital, Palermo, Italy
Pietro Salvago (Editor) – Medical Doctor and Consultant, Universita’ Degli Studi Di Palermo Palermo, Italy

Series: Neuroscience Research Progress

BISAC: MED057000

Target Audience: ENT Specialists, Audiologists

Vertigo and dizziness are two conditions whose prevalence throughout an individual’s lifespan is estimated to range from 20% to 50% with a marked incidence regarding women. Starting from the frequency of these symptoms, the book explores different aspects of the otoneurology field and the vestibular diseases, from the anatomy of vestibular organs to the pharmacological, surgical and rehabilitative treatment of posterior labyrinth disorders. In particular, the benign paroxysmal positional vertigo (VPPB), Meniere’s disease and dizziness in patients suffering from temporomandibular joint disorders and vertebral fractures are described. A focus on specific techniques to evaluate vestibular disorders is included and the video head impulse test (vHIT) and vestibular evoked myogenic potentials (VEMPs) application are shown to study each part of the posterior part of the inner ear.

A specific chapter is dedicated to the management of postural disorders in vestibular dysfunctions, from the postural evaluation to the many different protocols of vestibular rehabilitation. The principles of pharmacotherapy are described; medications to treat dizziness and vertigo can include anticholinergics, antihistamines, benzodiazepines and other drugs including antiemetics, sympathomimetic and calcium antagonists.

Finally, the principles underlying the surgical strategies in the management of the vertiginous patients, furthermore a general description of the technical aspects of each procedure are provided to show indications, potentials, limits, and contraindications of vestibular surgery.

Table of Contents


Chapter 1. Anatomy and Physiology of Peripheral and Central Vestibular System
(Federica Scalia, Francesco Cappello, Giuditta Gambino, Giuseppe Giglia, Giuseppe Ferraro and Pierangelo Sardo – Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy)

Chapter 2. The Epidemiology of Dizziness and Vertigo
(Alberto Firenze, MD, and Maria Lampasona, MD – Pro.Mi.Se. Department, University of Palermo, Italy, et al.)

Chapter 3. Clinical Application of Video Head Impulse Test
(Anuj Kumar Neupane and Sujeet Kumar Sinha – School of Audiology and Speech Language Pathology, Bharati Vidyapeeth (Deemed to be University), Pune India, et al.)

Chapter 4. An Insight into the Clinical Applications of VEMP
(Niraj Kumar Singh, PhD and Sujeet Kumar Sinha, PhD – Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Mysore, Karnataka, India)

Chapter 5. Complex Forms of Benign Paroxysmal Positional Vertigo
(Roberta Priola, MD, Federico Sireci, MD, Francesco Lorusso, MD, Angelo Immordino, MD, and Francesco Dispenza, PhD, MD – U.O.C. Otorinolaringoiatria, AOU Policlinico of Palermo, University of Palermo, Italy)

Chapter 6. Meniere’s Disease: Therapeutic Options
(Sergio Ferrara, MD, Antonio Corrao, and Francesco Dispenza, MD, PhD – Bi.N.D. Department – University of Palermo, Palermo, Italy, et al.)

Chapter 7. Body Balance and Postural Control in Patients with Dizziness
(Francesco Martines, MD, PhD, Valerio Giustino, MSc, Francesco Dispenza, MD, PhD, Francesco Galletti, Serena Rizzo, MD, Pietro Salvago, MD, PhD and Giuseppe Messina, MD – Istituto Euromediterraneo di Scienza e Tecnologia – IEMEST, Palermo, Italy, et al.)

Chapter 8. The Role of Temporomandibular Disorders in the Genesis of Dizziness and Vertigo
(Roberta Priola, MD, Francesco Dispenza, MD, Giuseppe Messina, MD, Serena Rizzo, MD, Pietro Salvago, PhD, and Federico Sireci, MD – ENT Section, A.O.U.P. “Paolo Giaccone,” University of Palermo, Palermo, Italy, et al.)

Chapter 9. Using Videonystagmography to Assess the Vestibular Profile of Patients Receiving Care at a Hospital in Southern Brazil
(Adriana Laybauer Silveira and Adriane Ribeiro Teixeira – Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil, et al.)

Chapter 10. Postural Disorders in Patients with Dizziness: From Postural Analysis to Vestibular Rehabilitation Programs
(Giuseppe Messina, Valerio Giustino, Antonio Corrao, Serena Rizzo, Pietro Salvago and Francesco Martines – Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy, et al.)

Chapter 11. Benign Paroxysmal Positional Vertigo in the Geriatric Population
(Cecilia Albi, Virginia Corazzi, Chiara Bianchini, Stefano Pelucchi and Andrea Ciorba – ENT and Audiology Department, University Hospital of Ferrara, Italy)

Chapter 12. Assessment and Rehabilitation Program in Dizziness Patients Presenting Vertebral Fractures
(Valeria Sanfilippo, MD, Valerio Giustino, Giulia Letizia Mauro, MD, Francesco Martines, MD, PhD, Giuseppe Messina, MD, and Serena Rizzo, MD – University of Palermo, Di.Chir.On.S. Department, Section of Physical Medicine and Rehabilitation, Palermo, Italy, et al.)

Chapter 13. Pharmacological Treatment of Dizziness
(Fulvio Plescia, PhD, Emanuele Cannizzaro, PhD, MD, Angela Cavallaro, Luigi Cirrincione, MD, and Francesco Martines, PhD, MD – Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties “Giuseppe D’Alessandro,” University of Palermo, Italy, et al.)

Chapter 14. Surgical Treatment of Otological Vertigo and Dizziness
(Francesco Freni, Francesco Ciodaro, Cosimo Galletti, Rocco Bruno, Bruno Galletti and Francesco Galletti – Otolaryngology Unit, Department of Human Pathology and Pediatrics “G. Barresi,” University of Messina, Messina, Italy)


Editor’s Orchid ID

Francesco Martines : https://orcid.org/0000-0002-8616-4481
Pietro Salvago : https://orcid.org/0000-0001-8570-3212

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