Perspectives in vestibular diagnostics and therapy
Identifieur interne : 002276 ( Main/Merge ); précédent : 002275; suivant : 002277Perspectives in vestibular diagnostics and therapy
Auteurs : Arneborg Ernst [Allemagne]Source :
- GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery [ 1865-1011 ] ; 2012.
Abstract
Vestibular diagnostics and therapy ist the mirror of technological, scientific and socio-economics trends as are other fields of clinical medicine. These trends have led to a substantial diversification of the field of neurotology.
The improvements in diagnostics have been characterized by the introduction of new receptor testing tools (e.g., VEMPs), progress in imaging (e.g., the endolymphatic hydrops) and in the description of central-vestibular neuroplasticity.
The etiopathology of vestibular disorders has been updated by geneticists (e.g., the description of the COCH gene mutations), the detection of structural abnormalities (e.g., dehiscence syndromes) and related disorders (e.g. migraine-associated vertigo).
The therapeutic options were extended by re-evaluation of techniques known a long time ago (e.g., saccus exposure), the development of new approaches (e.g., dehiscence repair) and the introduction of new drug therapy concepts (e.g., local drug delivery).
Implantable, neuroprosthetic solutions have not yet reached experimental safety and validity and are still far away. However, externally worn neuroprosthetic solution were introduced in the rehab of vestibular disorders (e.g., VertiGuard system).
These and related trends point into a medical future which is characterized by presbyvertigo as classical sign of the demographic changes ahead, by shortage of financial resources and a medico-legally over-regulated, even hostile environment for physicians in clinical medicine.
Url:
DOI: 10.3205/cto000078
PubMed: 22558055
PubMed Central: 3341582
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Perspectives in vestibular diagnostics and therapy </title><author><name sortKey="Ernst, Arneborg" sort="Ernst, Arneborg" uniqKey="Ernst A" first="Arneborg" last="Ernst">Arneborg Ernst</name><affiliation wicri:level="1"><nlm:aff id="A1">HNO-Klinik, Unfallkrankenhaus Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>HNO-Klinik, Unfallkrankenhaus Berlin</wicri:regionArea><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22558055</idno><idno type="pmc">3341582</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3341582</idno><idno type="RBID">PMC:3341582</idno><idno type="doi">10.3205/cto000078</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002747</idno><idno type="wicri:Area/Pmc/Curation">002747</idno><idno type="wicri:Area/Pmc/Checkpoint">001620</idno><idno type="wicri:Area/Ncbi/Merge">002009</idno><idno type="wicri:Area/Ncbi/Curation">002009</idno><idno type="wicri:Area/Ncbi/Checkpoint">002009</idno><idno type="wicri:Area/Main/Merge">002276</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Perspectives in vestibular diagnostics and therapy </title><author><name sortKey="Ernst, Arneborg" sort="Ernst, Arneborg" uniqKey="Ernst A" first="Arneborg" last="Ernst">Arneborg Ernst</name><affiliation wicri:level="1"><nlm:aff id="A1">HNO-Klinik, Unfallkrankenhaus Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>HNO-Klinik, Unfallkrankenhaus Berlin</wicri:regionArea><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion><wicri:noRegion>Unfallkrankenhaus Berlin</wicri:noRegion></affiliation></author></analytic><series><title level="j">GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery</title><idno type="eISSN">1865-1011</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Vestibular diagnostics and therapy ist the mirror of technological, scientific and socio-economics trends as are other fields of clinical medicine. These trends have led to a substantial diversification of the field of neurotology.</p><p>The improvements in diagnostics have been characterized by the introduction of new receptor testing tools (e.g., VEMPs), progress in imaging (e.g., the endolymphatic hydrops) and in the description of central-vestibular neuroplasticity. </p><p>The etiopathology of vestibular disorders has been updated by geneticists (e.g., the description of the COCH gene mutations), the detection of structural abnormalities (e.g., dehiscence syndromes) and related disorders (e.g. migraine-associated vertigo). </p><p>The therapeutic options were extended by re-evaluation of techniques known a long time ago (e.g., saccus exposure), the development of new approaches (e.g., dehiscence repair) and the introduction of new drug therapy concepts (e.g., local drug delivery). </p><p>Implantable, neuroprosthetic solutions have not yet reached experimental safety and validity and are still far away. However, externally worn neuroprosthetic solution were introduced in the rehab of vestibular disorders (e.g., VertiGuard system).</p><p>These and related trends point into a medical future which is characterized by presbyvertigo as classical sign of the demographic changes ahead, by shortage of financial resources and a medico-legally over-regulated, even hostile environment for physicians in clinical medicine. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Andreas, M" uniqKey="Andreas M">M Andreas</name></author><author><name sortKey="Debong, B" uniqKey="Debong B">B Debong</name></author><author><name sortKey="Bruns, W" uniqKey="Bruns W">W Bruns</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allum, Jhj" uniqKey="Allum J">JHJ Allum</name></author><author><name sortKey="Carpenter, Mg" uniqKey="Carpenter M">MG Carpenter</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sortKey="Bach Y Rita, P" uniqKey="Bach Y Rita P">P Bach-Y-Rita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Basta, D" uniqKey="Basta D">D Basta</name></author><author><name sortKey="Steinhagen Thiessen, E" uniqKey="Steinhagen Thiessen E">E Steinhagen-Thiessen</name></author><author><name sortKey="Govercin, M" uniqKey="Govercin M">M Gövercin</name></author><author><name sortKey="Ernst, A" uniqKey="Ernst A">A Ernst</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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