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Vestibular paroxysmia, diagnostic controversy clarified?

Historically, the cause of vestibular paroxysmia (VP) had been attributed to neurovascular compression of the eighth cranial despite the observation that such compression is very common in asymptomatic subjects. This paper, part of International Classification of Vestibular Disorders (ICVD) by...

New diagnostic criteria for Ménière’s disease – an international consensus

Most readers are familiar with the American Academy diagnostic criteria for Ménière’s disease (MD) but a significant minority will be aware of other criteria from Japan and Korea. This new effort is a collaboration between these three bodies and the...

A diagnostic survey of dizziness

The prevalence of self-reported dizziness and that requiring medical consultation is remarkably high. Cardiac and neuropathic comorbidities, often associated with these patients confuse the diagnosis. In this multicentre study, the prevalence and characteristics of various diagnostic groups, for example, Benign...

Peripheral nerve stimulation for chronic refractory pain

Peripheral nerve stimulation (PNS) plays an important role in treating chronic refractory pain syndromes that manifest in limited distributions and overlap with areas of neurologic innervation. The process is generally thought to capitalise on the inhibition and activation of pain-related...

MRI in diagnosis Meniere’s disease: what is the evidence?

The utility of magnetic resonance imaging (MRI) in the diagnosis of Meniere’s disease (MD) has attracted a lot of interest recently. It is well accepted that the saccule is the most common vestibular organ affected by endolymphatic hydrops (EH) and...

Continuous Ambulatory Vestibular Assessment (CAVA)

This article presents initial test findings using a novel system called CAVA - Continuous Ambulatory Vestibular Assessment. Akin to the 24-hour ECG tape to identify cardiac arrhythmias, this system aims to continuously monitor the presence of a nystagmus pattern in...

Balance and vestibular disorders Issue I

To skip directly to features, click the links below: Welcome from the editor - by Prof Peter Rea How to evaluate and treat the dizzy patient: non-medical diagnosis-based strategies - by Richard E Gans Diagnosis and treatment of BPPV with...

Changing behaviour with a human factors approach

The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

The Surgical Skills Centre in BACO 2018: pride of place

Simulation in medical training is gaining prominence with every passing year, and BACO will have a large space showcasing this area. We hear from the organisers. In recognition of the developing importance of simulation in surgical training, BACO 2018 has...

Juvenile Nasopharyngeal Angiofibroma

This book was first published in 2017 in India and PJ Wormald is one of the Associate Editors. It consists of 16 chapters with exceptional surgical photographs, as well as scans of different imaging modalities and illustrations. It is a...

Diseases of Ear, Nose & Throat

This book is a very enthusiastic attempt by the author to cover all aspects of ENT in approximately 600 pages. In doing so, the author at times has lost the audience he is trying to capture. Some aspects have reasonable...

Paediatric vestibular evaluation

Richard E Gans is a renowned expert in the areas of vestibular evaluation and rehabilitation techniques. In the first of two articles (see here for the second article), Dr Gans gives an overview of the approach he and his team...