Management of Vertigo Santosh Kumar Swain
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1MANAGEMENT OF VERTIGO Made Easy®2
3MANAGEMENT OF VERTIGO Made Easy®
Santosh Kumar Swain MS (ENT) DNB (ENT) MNAMS Fellowship in Neuro-otology Associate Professor, Department of Otorhinolaryngology, Institute of Medical Sciences and Sum Hospital, Siksha O Anusandhan University Bhubaneswar, Odisha, India
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Management of Vertigo Made Easy®
First Edition: 2016
9789352500291
Printed at
5Dedicated to
My parents who gave me life and a value
My teachers who gave me knowledge and a profession, and
My patients who gave me appreciation and encouragement.
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7Preface
For the most medical practitioners, a heart-sinking moment is inevitable when confronted by a patient presenting with vertigo. The diagnosis and management of vertigo have always been an enigma because of the complexity of the balance system and inherent compensatory mechanisms as well as redundancy of functions render the system immune to most diagnostic tests. Management of Vertigo Made Easy® is written for everybody who wants to learn vertigo and treat dizzy patients. Medical students, interns, residents, primary care physicians, and consultants can use this book for proper management of vertigo patients. The most important point in managing vertigo patient is always to take good history. This is followed by appropriate examinations and investigations. Basic concepts in assessing, diagnosing and managing common peripheral vestibular disorders are briefly described, and special emphasis is given on how to rule out central vertigo. The book is a reader's delight and is sure to spark an interest in managing vertigo patients.
Santosh Kumar Swain
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9Acknowledgments
I am deeply indebted to my teacher and mentor Professors (Drs) Abhoy Kar, GC Sahoo, SN Panda, RN Samal, S Behera, RK Pattnaik, and KC Mallick, Souvagini Acharya, and Satyajit Mishra for their great moral support in writing this book.
I sincerely thank President Manoj Ranjan Nayak and Management Member Er GB Kar, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, for their great support behind this work.
I heartily thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President) and Mr Tarun Duneja (Director-Publishing) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for strong belief in the book for benefiting the medical fraternity.
I can never forget people, who came in my professional training to teach, appreciate and encourage my hard work, Professors Anand Job, Rita Ruby Albert, Achma Balraj, Rupa Vedanta, Christian Medical College, Vellore, Tamil Nadu, India.
I am very much thankful to Mahesh Ch Sahu, Somadatta Das of Central Research Laboratory, and Manoj Mishra and Susanta Kumar Khuntia of Central Library, for their help in editing the manuscript.
My patients are the another source of inspiration for attempting to write vertigo in simple and lucid manner.
Last but not least, I am grateful to my parents, wife (Swagatika) and son (Ishan), without their encouragement and cooperation, the book could never have been written.