Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T02:08:34.991Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of the dizzy patient: experience from a multidisciplinary neurotology clinic

Published online by Cambridge University Press:  29 June 2007

Judith M. Heaton ,
Jason Barton ,
Paul Ranalli ,
Felix Tyndel ,
Ryan Mai  and
John A. Rutka
Judith M. Heaton
Affiliation:
Departments of Otolaryngology, The Toronto Hospital, University of Toronto, Toronto, Canada.
Jason Barton
Affiliation:
Departments of Neurology, The Toronto Hospital, University of Toronto, Toronto, Canada.
Paul Ranalli
Affiliation:
Departments of Neurology, The Toronto Hospital, University of Toronto, Toronto, Canada.
Felix Tyndel
Affiliation:
Departments of Neurology, The Toronto Hospital, University of Toronto, Toronto, Canada.
Ryan Mai
Affiliation:
Departments of Otolaryngology, The Toronto Hospital, University of Toronto, Toronto, Canada.
John A. Rutka*
Affiliation:
Departments of Otolaryngology, The Toronto Hospital, University of Toronto, Toronto, Canada.
*
Address for correspondence: Dr J. Rutka, Staff Otolaryngologist, The Toronto Hospital, Toronto General Division, 7EN-Rm 222, 200 Elizabeth Street, Toronto, Ontario, Canada, M5G 2C4.
Get access Rights & Permissions [Opens in a new window]

Abstract

In 1993 a multidisciplinary neurotology clinic was established at the Toronto Hospital, University of Toronto, Where patients with symptoms of dizziness were assessed by both otolaryngologists and neurologists. The results from the first 400 patients seen in consultation are described. The disease pathologies identified in this patient population with dizziness showed some significant differences from other published series, which we believe reflects the specialized tertiary nature of referrals to this clinic. A model for the collaborative investigation of the dizzy patient is provided consistent with the current trend towards multidisciplinary approaches in medicine.

Keywords

Outpatient clinicshospitalDizzinessMultidisciplinary
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 19 - 23
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barber, H. (1984) Vestibular neurophysiology. Otolaryngology Head and Neck Surgery 92: 55–58.Google ScholarPubMed
Barber, H., Dionne, J. (1971) Vestibular findings in vertebro-basilar ischaemia. Annals of Otology, Rhinology and Laryngology 80: 809–812.Google Scholar
Barber, H., Wright, G. (1973) Positional nystagmus in normals. Advances inOtorhinolaryngology 19: 273–280.Google ScholarPubMed
Cawthorne, T., Hewlett, A. (1954) Menière's disease. Proceedings of the Royal Society of Medicine 47: 663–670.Google ScholarPubMed
Davis, L. (1994) Dizziness in elderly men. Journal of the American Geriatrics Society 42: 1184–1188.Google ScholarPubMed
Dix, M., Hallpike, C. (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Annals of Otology, Rhinology and Laryngology 61: 987.CrossRefGoogle ScholarPubMed
Drachman, D., Hart, C. (1972) An approach to the dizzy patient. Neurology 22: 323–334.CrossRefGoogle Scholar
Epley, J. (1992) The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Otolaryngology – Head and Neck Surgery 107: 399–404.CrossRefGoogle ScholarPubMed
Fujimoto, M., Rutka, J., Mai, M. (1993) A study into the phenomenon of head-shaking nystagmus: Its presence in a dizzy population. Journal of Otolaryngology 22: 376–379.Google Scholar
Halmagyi, G., Curthoys, I. (1988) A clinical sign of canal paresis. Archives of Neurology 45: 737–739.Google ScholarPubMed
LeLiever, W., Barber, H. (1983)Recurrent vestibulopathy. Journal of Otolaryngology 12: 61–63.Google Scholar
Nedzelski, J., Barber, H., McIlmoyl, L. (1986) Diagnoses in a dizziness unit. Journal of Otolaryngology 15: 101–104.Google Scholar
Romberg, M. (1846) Lehrbuch der NervenKrankheiten des Mennschen A. Duncker, Berlin.Google Scholar
Rutka, J. (1994) Dizziness and vertigo: What's being missed? Continuing Medical Education 6: 75–83.Google Scholar
Rutka, J., Barber, H. (1986) Recurrent vestibulopathy: third review. Journal of Otolaryngology 15: 105–107.Google ScholarPubMed
Semont, A., Freyss, G., Vitte, E. (1988) Curing BPPV with a liberatory maneuvre. Advances in Otorhinolaryngology 42: 290–293.Google Scholar
Wells, M., Yande, R. (1987) Vertigo in a district NHS hospital. Journal of Laryngology and Otology 101: 1235–1241.CrossRefGoogle Scholar