Progressive and Degenerative Peripheral Vestibular Disorders
Autor: | Christine Little, Maura K. Cosetti, Jennifer Kelly |
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Rok vydání: | 2021 |
Předmět: |
Pediatrics
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Usher syndrome Physical examination General Medicine Disease medicine.disease Autoimmune Diseases Serology Radiography Radiation therapy Natural history Otorhinolaryngology Ototoxicity medicine Humans business Meniere Disease Meniere's disease |
Zdroj: | Otolaryngologic Clinics of North America. 54:959-971 |
ISSN: | 0030-6665 |
Popis: | Initial diagnosis of peripheral vestibulopathy requires a detailed history, physical examination, and, in some cases, audiovestibular testing, radiographic imaging, or serology. Differentiation of a peripheral vestibulopathy as progressive or degenerative is often nuanced and influenced by a characterization of a patient's symptoms or natural history over time. A diverse group of vestibular pathology may fit into this category, including Ménière's disease, autoimmune conditions, congenital pathologies, ototoxic medications, radiation therapy, and perilymphatic fistula. Differentiation among these entities may be guided by initial or subsequent symptomatology, with various combinations of audiovestibular testing, serology, and imaging. Treatment options are disparate and disease-specific, ranging from observation to medical management or surgical intervention, underscoring the need for astute investigation and diagnosis. |
Databáze: | OpenAIRE |
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