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Medical Management of Vestibular Disorders and Vestibular Rehabilitation

Dizziness". Presyncopal faintnessLoss of balanceLight-headednessPsychologic disordersVestibular disease. Vestibular Labyrinth. 3 semicircular canalsrotational movementcupula2 otolithic organs - utricle

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Medical Management of Vestibular Disorders and Vestibular Rehabilitation

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    1. Medical Management of Vestibular Disorders and Vestibular Rehabilitation Kevin Katzenmeyer, MD Jeffery Vrabec, MD April 12, 2000

    2. “Dizziness” Presyncopal faintness Loss of balance Light-headedness Psychologic disorders Vestibular disease

    3. Vestibular Labyrinth 3 semicircular canals rotational movement cupula 2 otolithic organs - utricle & saccule linear acceleration macula

    4. Balance Vestibular system Visual system - VOR Proprioceptive system - VSR

    5. Associated Systems Vestibular & Visceral systems nucleus of solitary tract rostral ventrolateral medullary reticular formation parabrachial nucleus brainstem sympathetic output neuroendocrine regions of hypothalamus limbic regions of forebrain

    6. Medical Treatment No ideal drug Symptomatic tx control acute sx Specific tx target underlying cause

    7. Neurophysiological Model

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