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Surgery Congress 2019 Journal of Advanced Surgical Research | ISSN: 2591-7765 | Volume 3
Page 29
July 22-23, 2019 | Brussels, Belgium
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
SURGERY AND
TRANSPLANTATION
4th International Conference and Expo on
VERTIGO- AN OVERVIEW
Debashis Acharya
Primary Health Care Corporation (PHCC), Qatar
Statement of the Problem: Provides an overview of vertigo and its management. It is useful for students of
vertigo and clinicians managing vertigo. It introduces clinicians to a systematic approach of assessing dizzy
patients. Vertigo is a very difficult subject to master. The cornerstone of managing a dizzy patient is first and
foremost a good history. This is followed by appropriate examination and investigations. The general practi-
tioner is the first expert to be involved in the management of dizzy patient followed by specialists in particular
Otorhinolaryngologists, Audio vestibular Medicine Specialists and Neurologists and finally, allied healthcare
personnel. The key concepts in assessing, diagnosing and managing common vestibular disorders are briefly
described. Differential diagnosis of vertigo along with certain characteristic traits is mentioned. Etiology and
pathophysiology of associated symptoms of dizziness are discussed. Importance of timing and triggering fac-
tors are highlighted. Discussion on balance and gait along with role of nystagmus in differentiating central
from peripheral vertigo is done. Usage of certain specific drugs including special role of Betahistidine is men-
tioned. Vertigo from peripheral vestibular diseases normally improves within two to three months from a num-
ber of processes known as cerebral compensation. Here vestibular rehabilitation exercises play a very crucial
part in management of a dizzy patient. Special vestibular investigations like ENG/VNG is computer based and
runs a battery of tests which assess the occulomotor function of the affected patient. Video head impulse test
(VHIT) and Vestibular Evoked Myogenic Potentials (VEMP) are done for diagnosing vestibular neuritis. The role
of traditional Caloric testing and EcochG which is a variant of BSERA cannot be undermined in a dizzy patient.
Newer methods to assess balance like Dynamic posturography, Rotatary chair are computer driven tests for an-
alysing vision, proprioception and vestibular function. These are useful to detect malingering. Finally, summary
and conclusions are drawn upon.
Debashis Acharya, Adv Surg Res 2019, Volume 3
Debashis Acharya is passionate about Otorhinolaryngology (ENT) and completing 25 years in the field including his training period
at Delhi, India. He is an ex-Indian Army Medical Corps officer (Lieutenant Colonel) served as ENT Specialist in the forces for approxi-
mately 12 years till 2008 when he left the services.
BIOGRAPHY