Adolfo M. Bronstein, MD and Thomas Lempert, MD, PhD.
Cambridge University Press, Cambridge, UK, 2007.
ISBN-13: 978-0-521-83791-0, $84.00.
Scope: This is a 221-page practical book on the assessment and treatment of the dizzy patient. There are 8 chapters written by 2 authors. The book is organized by patient presentation. There are 3 additional chapters covering anatomy, examination of the patient with vertigo, and the treatment of the dizzy patient. Each chapter begins with a table listing the differential diagnosis. At the end of each chapter is a section entitled “what to do if you don't have a clue”? There are 54 tables and several figures. Included is a CD-ROM with 45 video clips of the most common eye movement disorders found in patients with dizziness and video clips from individuals with normal eye movements. There are videos of how to treat benign paroxysmal positional vertigo and vestibular hypofunction.
Strengths: The strength of this book is its organization around patient clinical manifestations. The table of differential diagnoses at the beginning of each chapter make it very practical.
Weaknesses: The book is weighted toward inner ear disorders and vertigo. Imbalance is discussed to a limited degree. Fear of falling, perhaps the most common cause of imbalance seen in a dizzy clinic, is discussed in 1 paragraph. Some of the figures are not reproduced well or confusing, but these problems are minor.
Recommended Audience: This book should appeal to a wide variety of medical specialists and physicians-in-training who examine patients with dizziness. It will also be appropriate for physical therapists and audiologists.
Critical Appraisal: This is a very practical book that should be placed in the clinic or emergency room near where patients with dizziness are examined and treated. It will appeal most to physicians and allied health personnel who are relatively inexperienced in the field.
Ronald J. Tusa, MD, PhD
Department of Neurology