Archives for Sensology and Neurootology in Science and Practice
From a major group of neurootological patients in our data-bank NODEC IV we have selected a group of patients who had suffered rhino-fronto-basal skull fractures. Some anatomical features lead to the concentration of cranial fractures to the base of the cranial vault. In case a strike hits the head frontally, forces coming from the face […]
A vertigem é um sintoma decorrente de uma alteração do aparelho vestibular, na porção periférica, central ou ambas. Inúmeras causas e doenças podem produzí-la, sendo definida como uma alucinação de movimento rotatório. As dificuldades na abordagem da etiologia e do tratamento com os métodos propedêuticos atuais, leva o médico muitas vezes a tratar a “tontura” […]
Depression is a mental state of depressed mood characterised by feelings of sadness, despair, and discouragement. Depression ranges from normal feelings of “the blues” through dysthymia to major depression. It in many ways resembles the grief and mourning that follow bereavement. There are often feelings of low self-esteem, guilt, and somatic symptoms such as eating […]
Between main postural reflexes, there are tonic labyrinth reflexes generated in otolith system as a results of earth gravity. The neck extensors action is a result of these reflexes and the medullar structures are their centers. It is known that the rigidity of decerebrated animals is caused by the fastigial nucleus damage and that this […]
Whiplash accidents may cause disturbances to the neck and/or CNS, primarily the brainstem. Neurootological findings are frequent. Posture is disturbed when the neck is held in a provocative position. Tjell et al have reported very high frequency of disturbances in the ocular pursuit tested with the neck turned. We tested 34 whiplash patients and 20 […]
To test the application of virtual reality (VR) on our patients we used a particular “helmet” connected to a personal computer. The rehabilitation training is divided in two phases: “passive” and “active”. RV 752 patients, 259 males and 393 females, had been submitted to the vestibular rehabilitation with VR. The patients were affected with: Paroxysmal […]
Vertigo is especially for older Patients an incapacitating and socially isolating disease. They seem to be drunk during the daytime and do not dare to go out. The treatment of the proprioceptive disorders are easily done manually and lead to lasting cure. Most important are the input cicuits of the so called small neck muscles […]
Dix and Hallpike firstly described Benign Paroxysmal Positional Vertigo(BPPV) in 1952. Since then, this disease have been widely recognized among clinicians. There are some charactstic symptoms such as, having critical head position, being pure rotatory nystagmus with the phenomenon of crescendo and decrescendo, having fatigue phenomenon on provocation of the vertiginous attack.. Pathogenesis of the […]
The aim of this study was to elaborate an algorithm of the detection of brainstem lesion according BAEP changes. The following questions were raised for this purpose: 1) which interpretation strategy of BAEP changes selects the most patients with brainstem lesions? 2) which BAEP abnormalities differentiate between mass lesions of posterior fossa and demyelinating encephalomyelitis? […]
When the vascular disorder of the cochleovestibular system is mentioned, the diagnosis is based on exclusion of other diseases. Since arteries of the cochleovestibular system cannot be directly visualized, physicians must deduce from the vascular risk factors and the vascular lesion of other territories to the vascular cochleovestibular disease. Authors analyzed neurootological and audiological examination […]
