RESUMO
After a reminder of the semiology and pathophysiology of balance disorders (vertigo and dizziness), the author considers the disabilities and incapacities that result from these disturbances.
Après un rappel de la séméiologie et de la physiopathologie des vertiges, l'auteur envisage les invalidités et incapacités qui en résultent.
Assuntos
Tontura , Vertigem , Tontura/diagnóstico , Tontura/etiologia , Humanos , Vertigem/diagnóstico , Vertigem/etiologiaRESUMO
Fundamentals in expertise medicine. The author describes how a medical expert appointed to assess damages to physical integrity must proceed. The individual is appointed an expert either directly by the Court of Justice, or appointed sapiteur by a colleague in order to give his opinion on a subject in which he is specialized.
Assuntos
Avaliação da Deficiência , Prova Pericial/legislação & jurisprudência , Médicos/legislação & jurisprudência , Bélgica , Humanos , Imperícia/legislação & jurisprudênciaRESUMO
Vestibular dysfunction and other causes of dizziness may trigger psychiatric disorders, but vertigo may be a symptom of psychiatric illness. Specialists dealing with vertigo must keep these interrelationships in mind to provide their patients with the best possible care.
Assuntos
Transtornos Mentais/complicações , Vertigem/psicologia , HumanosRESUMO
This paper will provide an introduction to the use of virtual environments for vestibular re-education. The author illustrates some of the ways in which researchers are using virtual reality to improve therapy for vertigo. Users of virtual reality must make adaptations to avoid mismatches between perception due to virtual reality and that due to vestibular and proprioceptive subsystems. Virtual reality may be an interesting new way of studying vestibular compensation in normal and pathological conditions.
Assuntos
Interface Usuário-Computador , Vertigem/reabilitação , Humanos , Resultado do Tratamento , Vertigem/fisiopatologia , Vestíbulo do Labirinto/fisiopatologiaRESUMO
The author describes the pathology, the symptoms and the treatment of these vertigo.
Assuntos
Doença de Meniere , Neuronite Vestibular , Diagnóstico Diferencial , Humanos , Doença de Meniere/diagnóstico , Doença de Meniere/patologia , Doença de Meniere/terapia , Neuronite Vestibular/diagnóstico , Neuronite Vestibular/patologia , Neuronite Vestibular/terapiaRESUMO
The author describes how to use kinesitherapy in the treatment of vertigo, particularly benign positional vertigo and vertigo due to labyrinthine lesions.
Assuntos
Cinesiologia Aplicada , Vertigem/terapia , Doenças Vestibulares/terapia , Humanos , PosturaRESUMO
After summarizing the neurophysiological aspects of whiplash injury, the author proposes a guide for neurootological evaluation in relation to the pathophysiology of the injury.
Assuntos
Avaliação da Deficiência , Traumatismos em Chicotada/diagnóstico , Traumatismos em Chicotada/fisiopatologia , Nervos Cranianos/fisiopatologia , Técnicas de Diagnóstico Otológico , HumanosRESUMO
In Belgium and in France, tinnitus has to be considered together with the study of hearing loss to determine a degree of disability.
Assuntos
Medicina Legal , Zumbido , Audiometria , Bélgica , Surdez , Avaliação da Deficiência , Potenciais Evocados Auditivos do Tronco Encefálico , França , Humanos , Zumbido/fisiopatologiaRESUMO
This paper defines the benign paroxysmal vertigo (BPV). It recalls the etiopathogenicity of this syndrome and describes the different types of BPV and their treatment by "liberatory maneuvers". The paper also discusses the need for an otoneurological examination to reach an exact diagnosis.
Assuntos
Vertigem/terapia , Adulto , Idoso , Humanos , Pessoa de Meia-Idade , Nistagmo Fisiológico , Postura , Vertigem/complicações , Vertigem/etiologiaRESUMO
The author gives new information on medicolegal sight of professional deafness in relation to his paper published in this review in 1995.
Assuntos
Surdez/etiologia , Doenças Profissionais/etiologia , Saúde Ocupacional/legislação & jurisprudência , Bélgica , Surdez/prevenção & controle , Avaliação da Deficiência , Perda Auditiva Provocada por Ruído/etiologia , Perda Auditiva Provocada por Ruído/prevenção & controle , Humanos , Doenças Profissionais/prevenção & controle , Indenização aos Trabalhadores/legislação & jurisprudênciaRESUMO
This paper defines the benign paroxysmal vertigo (BPV). It recalls the ethiopathogeny of the syndrome and describes the different types of BPV and their treatment by "liberatory maneuvers". The paper also discusses the need for an otoneurological examination to achieve an exact diagnosis.
Assuntos
Vertigem , Humanos , Nistagmo Fisiológico , Postura , Vertigem/diagnóstico , Vertigem/etiologia , Vertigem/terapia , Testes de Função VestibularRESUMO
The interest of slow vertex response audiometry (cortical evoked response audiometry), mainly in the diagnosis of pseudohypacousis is reported. The procedure is of interest to forensic audiometry.
Assuntos
Audiometria de Resposta Evocada/métodos , Prova Pericial , Transtornos Autoinduzidos/diagnóstico , Transtornos da Audição/diagnóstico , Audiometria/métodos , Córtex Cerebral/fisiologia , Transtornos da Audição/fisiopatologia , HumanosAssuntos
Olfato/fisiologia , Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/fisiopatologia , Humanos , Manometria , Transtornos do Olfato/etiologia , Transtornos do Olfato/fisiopatologia , Condutos Olfatórios/fisiologia , Transtornos de Sensação/diagnóstico , Transtornos de Sensação/fisiopatologiaRESUMO
Thirty patients suffering from perennial allergic rhinitis took part in a cross-over, double-blind study during which they were treated for 3 two-week periods with either 10 mg cetirizine nocte or 60 mg terfenadine given morning and evening, or with a placebo. Both the active products were found to significantly improve the symptoms when compared to placebo (p less than or equal to 0.001). Cetirizine helped to reduce the symptoms of a blocked nose to a significantly greater extent than terfenadine (p less than or equal to 0.05). A significantly larger number of patients (p less than or equal to 0.05) preferred cetirizine (17/30) to terfenadine (6/30). Four patients taking cetirizine, and six of those taking terfenadine, reported a mild sedative effect.