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Disorders
oftheVestibular
System
Diagnosis and Management
BenjaminT.Crane
LawrenceLustig
ChristopherdeSouza
Editors
123

Disorders of the Vestibular System

Benjamin T. Crane • Lawrence Lustig
https://t.me/medicina_free
Christopher deSouza
Editors
Disorders of the Vestibular
System
Diagnosis andManagement

Editors
https://t.me/medicina_free
Benjamin T. Crane
Department of Otolaryngology
University of Rochester
Rochester, NY, USA
Christopher deSouza
Department of Otolaryngology
Lilavati Hospital
Mumbai, Maharashtra, India
Lawrence Lustig
Department of Otolaryngology
Columbia University
New York, NY, USA
ISBN 978-3-031-40523-5 ISBN 978-3-031-40524-2 (eBook)
https://doi.org/10.1007/978-3-031-40524-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Switzerland AG 2023
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and
transmission or information storage and retrieval, electronic adaptation, computer software, or by similar
or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specic statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents
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1 The Anatomy of the Vestibular System . . . . . . . . . . . . . . . . . . . . . . . . . 1
Rafael da Costa Monsanto, Henrique Furlan Pauna,
and Sebahattin Cureoglu
2 The Physiology of the Vestibular System . . . . . . . . . . . . . . . . . . . . . . . 13
Jorge Spratley, Pedro Marques, and Pedro Alexandre
3 Tests to Evaluate the Vestibular System . . . . . . . . . . . . . . . . . . . . . . . . 27
Alexander Chern and Lawrence Lustig
4 Menière’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Hitomi Sakano and Benjamin T. Crane
5 Vestibular Neuritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
T. Logan Lindemann and Pamela C. Roehm
6 Third Mobile Window Syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Benjamin T. Crane and Lloyd B. Minor
7 Benign Paroxysmal Positional Vertigo . . . . . . . . . . . . . . . . . . . . . . . . . 121
Carol A. Foster
8 Traumatic Causes of Vertigo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Christopher de Souza, Rosemarie de Souza, Aishan Patil,
Adip Shetty, Vimal Someshwar, and Manish Srivastav
9 Vestibular Ototoxicity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Christopher de Souza, Rosemarie de Souza, and Aishan Patil
10 Balance and Vestibular Disorders in Children and Adolescents . . . . 179
Joshua Gurberg, Henri Traboulsi, and Jacob R. Brodsky
11 Vestibular Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Danielle M. Gillard and Jeffrey D. Sharon
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Contents
12 Persistent Postural-Perceptual Dizziness . . . . . . . . . . . . . . . . . . . . . . . 229
Jeffrey P. Staab
13 Psychological Morbidity in Patients with Vestibular Disorders . . . . . 247
Jeffrey P. Staab
14 Vestibular Rehabilitation: A Patient- Centered Approach . . . . . . . . . . 263
Eric R. Anson and Yoav Gimmon
15 Vestibular Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
E. Loos, N. Verhaert, E. Devocht, N. Guinand,
A. Perez-Fornos, C. Desloovere, and R. van de Berg
16 Aging and the Vestibular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Adam Thompson-Harvey and Yuri Agrawal
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333

Contributors
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Yuri Agrawal Division of Otology, Neurotology, and Skull Base Surgery,
Department of Otolaryngology—Head and Neck Surgery, Johns Hopkins University
School of Medicine, Baltimore, MD, USA
PedroAlexandre Department of Otorhinolaryngology, S.João University Hospital
Center, Porto, Portugal
Department of Surgery and Physiology, Faculty of Medicine University of Porto,
Porto, Portugal
Eric R. Anson Department of Otolaryngology, University of Rochester,
Rochester, NY, USA
Department of Neuroscience, University of Rochester, Rochester, NY, USA
Department of Physical Therapy, Strong Memorial Hospital, Rochester, NY, USA
Jacob R. Brodsky Department of Otolaryngology and Communication
Enhancement, Boston Children’s Hospital, Boston, MA, USA
Alexander Chern
NewYork-Presbyterian/Columbia University Irving Medical Center and Columbia
University Vagelos College of Physicians and Surgeons, New York, NY, USA
Benjamin T. Crane Departments of Otolaryngology, Neuroscience, and
Biomedical Engineering, University of Rochester, Rochester, NY, USA
Sebahattin Cureoglu Department of Otolaryngology, Head and Neck Surgery,
University of Minnesota, Minneapolis, MN, USA
Rafael da Costa Monsanto Otopathology Laboratory, Department of
Otolaryngology, Head and Neck Surgery, University of Minnesota,
Minneapolis, MN, USA
Department of Otolaryngology—Head and Neck Surgery,
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C. Desloovere Department of Neurosciences, Research Group ExpORL, KU
Leuven, University of Leuven, Leuven, Belgium
Department of Otorhinolaryngology—Head and Neck Surgery, University Hospitals
Leuven, Leuven, Belgium
Christopherde Souza Lilavati Hospital, Mumbai, India
Holy Family Hospital, Mumbai, India
Holy Spirit Hospital, Mumbai, India
Faculty SUNY Brooklyn, Brooklyn, NY, USA
LSUHSC, Shreveport, LA, USA
Contributors
Rosemarie de Souza
Mumbai, India
E. Devocht Department of ENT/Audiology, School for Mental Health and
Neuroscience (MHENS), Maastricht University Medical Center, Maastricht, The
Netherlands
Carol A. Foster Department of Otolaryngology—Head and Neck Surgery,
University of Colorado School of Medicine, Aurora, CO, USA
Danielle M. Gillard Department of Otolaryngology/Head and Neck Surgery,
University of California, San Francisco, CA, USA
Yoav Gimmon Department of Physical Therapy, Faculty of Social Welfare &
Health Studies, University of Haifa, Haifa, Israel
Department of Otolaryngology—Head and Neck Surgery, Sheba Medical Center,
Tel-Hashomer, Israel
N. Guinand Division of Otorhinolaryngology and Head-and-Neck Surgery,
Department of Clinical Neurosciences, Geneva University Hospitals, Geneva,
Switzerland
Joshua Gurberg Department of Otolaryngology—Head and Neck Surgery,
Pediatric Surgery, Montreal Children’s Hospital, Montreal, QC, Canada
T. Logan Lindemann Lewis Katz School of Medicine at Temple University,
Philadelphia, PA, USA
Department of Internal Medicine, BYL Nair Hospital,
E. Loos Department of Neurosciences, Research Group ExpORL, KU Leuven,
University of Leuven, Leuven, Belgium
Department of Otorhinolaryngology—Head and Neck Surgery, University Hospitals
Leuven, Leuven, Belgium
Department of ENT/Audiology, School for Mental Health and Neuroscience
(MHENS), Maastricht University Medical Center, Maastricht, The Netherlands
Lawrence Lustig Department of Otolaryngology—Head and Neck Surgery,
NewYork-Presbyterian/Columbia University Irving Medical Center and Columbia
University Vagelos College of Physicians and Surgeons, New York, NY, USA

Contributors
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Pedro Marques Department of Surgery and Physiology, Faculty of Medicine
University of Porto, Porto, Portugal
Section of Vestibular Disorders, Department of Otorhinolaryngology, S. João
University Hospital Center, Porto, Portugal
LloydB.Minor Department of Otolaryngology-Head and Neck Surgery, Stanford
Medicine, Stanford, CA, USA
ix
AishanPatil
Henrique Furlan Pauna Departamento de Otorrinolaringologia, Hospital
Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUC-PR),
Curitiba, Paraná, Brazil
A.Perez-Fornos Division of Otorhinolaryngology and Head-and-Neck Surgery,
Department of Clinical Neurosciences, Geneva University Hospitals, Geneva,
Switzerland
Pamela C. Roehm Division of Otolaryngology, St. Christopher’s Hospital for
Children, Philadelphia, PA, USA
Hitomi Sakano Department of Otolaryngology, University of Rochester,
Rochester, NY, USA
Jeffrey D. Sharon Department of Otolaryngology/Head and Neck Surgery,
University of California, San Francisco, CA, USA
AdipShetty Rajawadi Hospital, Mumbai, India
VimalSomeshwar KD Ambani Hospital, Mumbai, India
JorgeSpratley Department of Otorhinolaryngology, S.João University Hospital
Center, Porto, Portugal
Department of Surgery and Physiology, Faculty of Medicine University of Porto,
Porto, Portugal
Center for Health Technology and Services Research (CINTESIS), Health Research
Network (RISE-TL4), Porto, Portugal
Vascular Surgery, Borders General Hospital, Melrose, Scotland, UK
ManishSrivastav KD Ambani Hospital, Mumbai, India
Jeffrey P. Staab Department of Psychiatry and Psychology, Mayo Clinic,
Rochester, MN, USA
Department of Otorhinolaryngology—Head and Neck Surgery, Mayo Clinic,
Rochester, MN, USA
Adam Thompson-Harvey Department of Otolaryngology and Communication
Sciences, Medical College of Wisconsin, Milwaukee, WI, USA

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Contributors
Henri Traboulsi Division of Pediatric Otolaryngology, Department of Surgery,
Texas Children’s Hospital, Baylor College of Medicine, The Woodlands, TX, USA
R. van de Berg Department of ENT/Audiology, School for Mental Health and
Neuroscience (MHENS), Maastricht University Medical Center, Maastricht, The
Netherlands
N.Verhaert Department of Neurosciences, Research Group ExpORL, KU Leuven,
University of Leuven, Leuven, Belgium
Department of Otorhinolaryngology—Head and Neck Surgery, University Hospitals
Leuven, Leuven, Belgium
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