Dizziness

Publication Title: 
Otolaryngology--Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

OBJECTIVE: To describe site capability and experience of the CHEER network (Creating Healthcare Excellence through Education and Research) to rapidly collect descriptive data on patients with tinnitus and dizziness visiting participating CHEER sites. STUDY DESIGN: Prospective observational data collection study over 6 months. SETTING: Twenty one community otology and otolaryngology practices in the United States.

Author(s): 
Witsell, David L.
Schulz, Kristine A.
Moore, Kathy
Tucci, Debara L.
CHEER Investigators
Publication Title: 
The American Journal of Clinical Hypnosis

The core issue regarding antidepressants for many clinicians is whether they perform significantly better than placebos.

Author(s): 
Yapko, Michael D.
Publication Title: 
Annals of Vascular Surgery

Cervical pain caused by the elongation of the styloid process (Eagle syndrome) is well known to otolaryngologists but is rarely considered by vascular surgeons. We report two patients with cerebrovascular symptoms of Eagle syndrome treated in our medical center in the past year. Case 1: an 80-year-old man with acromegaly presented with dizziness and syncope with neck rotation. The patient was noted to have bilateral elongated styloid processes impinging on the internal carotid arteries.

Author(s): 
Todo, Tsuyoshi
Alexander, Michael
Stokol, Colin
Lyden, Patrick
Braunstein, Glenn
Gewertz, Bruce
Publication Title: 
Journal of the American Academy of Audiology

BACKGROUND: Tinnitus affects approximately 30-50 million Americans. In approximately 0.5-1.0% of the population, tinnitus has a moderate to severe impact on their quality of life. Musculature and joint pathologies of the head and neck are frequently associated with tinnitus and have been hypothesized to play a contributing role in its etiology. However, specific physical therapy interventions to assist in improving tinnitus have not yet been reported. PURPOSE: To describe the examination and treatment intervention of a patient with subjective tinnitus.

Author(s): 
Cherian, Kay
Cherian, Neil
Cook, Chad
Kaltenbach, James A.
Publication Title: 
Cardiovascular Toxicology

Many plants of the Ericaceae family, Rhododendron, Pieris, Agarista and Kalmia, contain diterpene grayanotoxins. Consumption of grayanotoxin containing leaves, flowers or secondary products as honey may result in intoxication specifically characterized by dizziness, hypotension and atrial-ventricular block. Symptoms are caused by an inability to inactivate neural sodium ion channels resulting in continuous increased vagal tone. Grayanotoxin containing products are currently sold online, which may pose an increasing risk.

Author(s): 
Jansen, Suze A.
Kleerekooper, Iris
Hofman, Zonne L. M.
Kappen, Isabelle F. P. M.
Stary-Weinzinger, Anna
van der Heyden, Marcel A. G.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this study was to investigate the validity of cervical spine rotation as a test of patency of the vertebral arteries (VAs) and the internal carotid arteries (ICAs). DESIGN: A descriptive study was undertaken. SETTING: Testing was carried out in a private clinical vascular unit attached to a large Sydney public hospital. PARTICIPANTS: Twenty healthy volunteers, both male and female, who were free of risk factors commonly associated with vascular disease, participated in the study.

Author(s): 
Refshauge, K. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine the validity of the neck extension-rotation test as a clinical screening procedure to detect decreased vertebrobasilar blood flow that might be associated with dizziness. DESIGN: Secondary analysis of a clinical screening test. METHODS: Twelve subjects with dizziness reproduced by the extension-rotation test and 30 healthy control subjects had Doppler ultrasonography examination of their vertebral arteries with the neck extended and rotated. Vascular impedance to blood flow was measured and the presence of signs and symptoms of vertebrobasilar ischemia was recorded.

Author(s): 
Côté, P.
Kreitz, B. G.
Cassidy, J. D.
Thiel, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the immediate increment of improvement in vision that occurs when the spine is manipulated. CLINICAL FEATURES: Two juvenile patients (13-yr-old female cousins) were found to have constricted visual fields and diminished visual acuities. INTERVENTION AND OUTCOME: Spinal manipulation was associated with recovery of normal vision over seven treatment sessions. It was noted that significant improvement in vision occurred immediately after the spinal manipulation treatments. Full recovery of vision was attained by series of these steps.

Author(s): 
Stephens, D.
Gorman, F.
Bilton, D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Patients with nonspecific musculoskeletal disorders may vary in their response to treatment. This study set out to identify the predictors for either improvement or worsening in symptoms for which cervical spine manipulation is indicated. METHOD: A large prospective study recorded details on patients, their presenting symptoms, and type of treatment. At the end of the consultation, any immediate improvement or worsening in presenting symptoms was noted. At the follow-up visit, information was collected on the patients' self-reported improvement.

Author(s): 
Thiel, Haymo W.
Bolton, Jennifer E.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This study is part of an avenue of research exploring the effect of chiropractic care on balance in older adults. The purpose of this study was to (1) assess the use of the 7-item version of the Berg Balance Scale, (2) explore possible effects of an 8-week course of chiropractic care on balance as measured by the 7-item Short-Form Berg Balance Scale (SF-BBS) in adults 65 years or older with impaired balance, and (3) collect preliminary information on the possible relationships of dizziness and/or chronic pain to poor balance.

Author(s): 
Hawk, Cheryl
Cambron, Jerrilyn

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