Vertigo Vestibular Disorders And Cognitive Impairment In The Elderly

Dizziness and vertigo are common symptoms in older people and affect their health and quality of life. Meantime, dizziness, and vertigo can increase the risk of falls by affecting balance and gait. Previous studies have shown that falls are one of the major problems in the elderly and are considered one of the "geriatric giants" (mobility, falls, continuity, and improved intelligence/memory), leading to a significant contribution of mobility. In addition, dizziness has also been correlated with cognitive dysfunction. Patients often complain of mental fogginess and difficulties with memory and attention. Bigelow et al. (2016) found that patients with vestibular disorders had a four-fold increase in cognitive impairment, with 12% reporting activity limitation due to memory problems or confusion.

This Research Topic is the second volume of the Research Topic "Challenges and Current Research Status of Vertigo/Vestibular Diseases". Please see the first volume here. Vertigo or vestibular disorders have become a common handicap across the globe, which poses a great burden on health care resources. Vertigo is not a disease entity per se, but rather a leading symptom of many etiologically different diseases. These conditions include dysfunction of the vestibular system, both peripheral (inner ear, vestibular nerve) and central (brainstem, cerebellum), functional dizziness, and diseases of other causes, including blood pressure regulation disorders, such as orthostatic dizziness, and adverse drug reactions. Previous studies demonstrated that vestibular disorders might be a modifiable condition and a possible target for secondary prevention of cognitive impairment due to aging, dementia, social isolation, late-life depression, frailty, and increased risk of mortality. To date, the assessment strategy for patients with vertigo or vestibular disorders has not been fully developed. Vertigo or vestibular disorders are mechanistically complicated, highly prevalent, difficult to differentiate from other conditions, and may lead to vestibular or mental disability. Further understanding of the etiology, pathophysiology, diagnosis and treatment of peripheral, central, and functional vestibular vertigo syndromes as well as their management through this research program or project will benefit patients and their families, thus reducing the economic burden on society at large. The editors welcome any types of manuscripts --- Original Research, Opinions, Review, and Systematic Review concerning vertigo/vestibular disorders. The subjects include but are not limited to the following: • Epidemiological investigation of vertigo or vestibular disorders • Molecular and genetic studies of vertigo or vestibular disorders • Differential diagnosis of peripheral and central positional vertigo • Differentiation and treatment of Meniere's disease, vestibular migraine and their comorbidities • Recurrence and residual symptoms of benign paroxysmal positional vertigo • Inner ear malformation and vestibular dysfunction • Vestibular migraine and sleep disorders • Paroxysmal ataxia and dizziness • Vertigo and balance disorders (falls, abnormal gait, instability, etc.) • Vestibular testing and imaging in patients with vertigo or vestibular disorders • Cognitive impairment and vestibular disorders • Multisensory integration and vestibular disorders • Mental diseases (anxiety, depression, insomnia, etc.) and vertigo disorders • Research on vestibular compensation and rehabilitation training • Social and psychological aspects and burdens in people with vertigo • Vertigo and dizziness in older adults • Persistent postural-perceptual dizziness (PPPD) • Functional brain states in vertigo/dizziness • Neuroimaging in vertigo/dizziness

Vertigo or vestibular disorders have become a common handicap across the globe, which poses a great burden on health care resources. Vertigo is not a disease entity per se, but rather a leading symptom of many etiologically different diseases. These conditions include dysfunction of the vestibular system, both peripheral (inner ear, vestibular nerve) and central (brainstem, cerebellum), functional dizziness, and diseases of other causes, including blood pressure regulation disorders, such as orthostatic dizziness, and adverse drug reactions. Previous studies demonstrated that vestibular disorders might be a modifiable condition and a possible target for secondary prevention of cognitive impairment due to aging, dementia, social isolation, late-life depression, frailty, and increased risk of mortality.

Get a quick, expert overview of dizziness and vertigo from childhood through old age with this concise, practical resource. Drs. Bradley W. Kesser and Tucker Gleason have assembled a leading team of experts to address timely clinical topics of interest to otolarynologists and other health care providers who see patients with these common problems. Covers key topics such as the clinical exam and diagnostic techniques, assessment and differential diagnosis in the pediatric population, dizziness and vertigo in the adolescent and the elderly, evaluation of dizziness in the litigating patient, vHIT, positional vertigo in all age groups, vestibular neuritis, migraine-associated vertigo, Meniere’s disease, medication-related dizziness in the older adult, and more. Includes information on dizziness demographics and population health, as well as development of the vestibular system and balance function. Consolidates today’s available information and experience in this important area into one convenient resource.

In the light of the latest clinical research, this second edition has been completely rewritten to provide a timely monograph on the differential diagnosis and management of vertigo. The book is divided into sections covering the major subdivisions of vertigo, including peripheral labyrinthine disorders; central vestibular disorders; benign paroxysmal positional, vascular, traumatic and familial vertigo; vertigo in childhood and in the elderly, and related to drugs. Each includes a full description of the clinical features and diagnosis, and the author stresses the relationship between management and the underlying pathological mechanism. Written by a leading authority in the field this will be of interest to all who treat vertigo patients, as well as researchers working in related areas.

Vertigo and dizziness rate among the most frequently occurring presenting complaints in neurology and in general medical practice. Since most patients do not have acute complaints at the time of examination, the clinician requires keen judgment in making a diagnosis, as patients often report confusing, real, or hypothetical causes of their problems. An improvement in the scientific understanding of vestibular physiology in recent years has led to the development of new diagnostic tests and more effective therapies. However, many of these advances have been slow to be adopted into routine clinical practice. Part of the Oxford Neurology Library (ONL) series, Vertigo and Dizziness helps clinicians improve their management of patients with these conditions. The text provides an overview of clinical vestibular physiology as well as of the latest developments in bedside examination, diagnosis/differential diagnosis, and state-of-the-art therapy. Vertigo and Dizziness serves as an essential clinical guide for neurologists, otorhinolaryngologists, and trainees in those disciplines, and for general practitioners and medical students.

Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. These symptoms can originate from many different organs and systems, such as the inner ear, general medical conditions, neurological and psychological disorders. The Oxford Textbook of Vertigo and Imbalance provides an up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance. This textbook is conceptually divided into three sections, detailing the scientific basis, general clinical issues, and specific diseases diagnosed in clinical practice that are responsible for complaints of dizziness and imbalance. Individual chapters address benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, stroke, and Ménière's disease. Additional chapters follow a syndrome-based approach and cover multiple conditions, including cerebellar disorders, bilateral vestibular failure and gait, and psychological disorders. The print edition is complemented by an online version, which allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint. It serves a useful clinical reference for neurologists, otorhinolaryngologists, audio-vestibular physicians, and senior trainees in those specialties.