Balance Disorders Flashcards
Possible Causes of balance disorders(MALPAM):
MALPAM • Meniere’s disease • Acoustic neuroma • Labyrinthine concussion • Perilymphatic fistula • Autoimmune inner ear disease • Multiple sclerosis
The inner ear accounts for______% of the known causes of balance problems which elicit symptoms of ____________ or ___________
- 50-60
- dizziness
- vertigo
BPPV stands for:
Benign Paroxysmal Positional Vertigo
One of the most common causes of dizziness is ____________.
BPPV
Characteristics of BPPV:
–Benign: it is not life-threatening
–Paroxysmal: it comes in sudden, brief spells
–Positional: it gets triggered by certain head
positions or movements
–Vertigo: a false sense of rotational movement
Signs and symptoms of BPPV: (VLDNVN)
- Vertigo
- Loss of balance or unsteadiness
- Dizziness
- Nystagmus = rhythmic eye movements
- Vomiting
- Nausea
BPPV is usually triggered by specific changes in the _______________.
position of the head
Often the cause for BPPV is unknown or _________.
idiopathic BPPV
BPPV is most common in people age _______ and older.
50
BPPV is often associated with minor to severe ___________.
head injuries
Semicircular canals contain sensory receptor cells that _______________.
monitor rotational movement
______ and _________ (i.e. otolith organs) contain sensory receptor cells that monitor the head’s position related to gravity.
- Utricle
- saccule
BPPV is caused by dislodged _________ falling into the wrong parts of the vestibular labyrinth.
otoconia
Involuntary movements of eyes from side to side _______ is a common symptom of BPPV.
nystagmus
____________ is a surgical procedure in which the problematic semicircular canal is plugged with small bone chips and human fibrinogen glue to stop the movement of endolymph and foreign particles within the canal so that it no longer sends false signals to the brain.
Canal plugging
The success rate for canal plugging surgery is approximately _____ percent.
90
Two ways for an audiologist to diagnose BPPV:
- Electronystagmography (ENG)
- videonystagmography(VNG)
The purpose of an ENG or VNG is to detect ________
nystagmus
_______ uses surface electrodes top record
eye movements.
ENG
_______ which uses small cameras; video recording of eye movements
VNG
Various __________ can treat benign paroxysmal positional vertigo (BPPV).
Canalith Repositioning Procedures
The _____________ consists of head maneuvers that move _______ from the location in the vestibular labyrinth inner ear, which cause dizziness, to other parts that do not.
Canalith Repositioning Procedure