This textbook offers a straightforward overview of vertigo management. It is easy to read. There are 25 references but I cannot see that they are cited in the text. I find it difficult to identify who the audience would be for this book. I see and manage patients with vertigo but I have no specialist interest in it and have not updated my knowledge on vertigo for five years.

Unfortunately I learned nothing new from the text. It is too straightforward for an ENT clinician to want to read it. Therefore it must be for trainees or medical students. I cannot see that they would pick up a separate textbook on vertigo, when the topic is well covered in most general ENT texts.

I was looking forward to the sections on investigations – as I’ve never quite got to grips with these – and management, looking for up to date evidence on how to treat my patients. However the descriptions of the investigations are as vague as any other textbook and the two brief pages on pharmacotherapy were threadbare. Surely there is a place to critically review the evidence for the medication commonly used to treat vertigo? It is so widely used. Primary care practitioners will be none the wiser on how to medically treat patients from reading these two pages.

The role of a grommet, commonly employed for Ménière’s, is not discussed. Vestibular rehabilitation is an area that does have level one evidence for its use in vertigo. Very little is mentioned in the book about this.

In summary; straightforward to read but I cannot identify an audience for this book.

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James O’Hara

The Freeman Hospital, Newcastle upon Tyne, UK.

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