Vestibular Syndromes

AVS · BPPV · Menière's · Vestibular Migraine · HINTS exam · Treatment protocols · Pharmacology · Bárány Society · One-time purchase

Vestibular Syndromes is a comprehensive clinical reference for neurologists, stroke physicians, emergency doctors, and neurology trainees managing dizziness and balance disorders.

Content is organised around the three major vestibular syndrome frameworks Acute (AVS), Episodic (EVS), and Chronic (CVS) with dedicated sections for clinical examination, treatment protocols, and pharmacology.

ACUTE VESTIBULAR SYNDROME (AVS)

• Vestibular Neuritis epidemiology, HINTS findings, investigations, prognosis
• Labyrinthitis distinction from vestibular neuritis, aetiology, red flags
• Posterior Circulation Stroke PICA/AICA territories, Wallenberg syndrome, HINTS central features
• Other Central Causes Wernicke's encephalopathy, MS/CIS, drug/toxic causes

EPISODIC VESTIBULAR SYNDROME (EVS)

• BPPV posterior and horizontal canal, Dix-Hallpike findings, Epley manoeuvre
• Vestibular Migraine ICHD-3 / Bárány Society 2022 diagnostic criteria
• Ménière's Disease AAO-HNS 2020 criteria, drop attacks, clinical course

CHRONIC VESTIBULAR SYNDROME (CVS)

• PPPD (Persistent Postural-Perceptual Dizziness)
• Bilateral Vestibular Hypofunction
• Central and functional vestibular disorders

EXAMINATION

• HINTS and HINTS Plus protocol
• Head Impulse Test, nystagmus assessment, test of skew
• Dix-Hallpike and Roll Test technique

TREATMENT & PHARMACOLOGY

• Particle repositioning manoeuvres
• Vestibular rehabilitation
• Vestibular suppressants, antiemetics, migraine prophylaxis

Content is evidence-based, referencing NEJM, Stroke, Lancet Neurology, AAO-HNS, and Bárány Society guidelines. Designed for rapid bedside and on-call reference.

For educational and professional reference use only. Not a substitute for clinical judgement. One-time purchase · No subscription · Works fully offline.