Disorders of the Vestibular System

  • Larry E. DavisEmail author
  • Sarah Pirio Richardson


The chapter begins with a discussion of the anatomy and physiology of normal balance. The signs, symptoms, and pathophysiology of dizziness, vertigo, and presyncope are then discussed. The chapter ends with a full discussion of benign paroxysmal positional vertigo, vestibular neuritis, and Meniere’s disease or endolymphatic hydrops with attention paid to their pathophysiology, major clinical features, major laboratory findings, and principles of management and prognosis.


Vestibular system Vertigo Dizziness Benign paroxysmal positional vertigo Vestibular neuritis Meniere’s disease or endolymphatic hydrops Dysequilibrium Semicircular canals Nystagmus Videonystagmography 

Supplementary material

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Recommended Reading

  1. Baloh R. Dizziness, hearing loss, and tinnitus. Philadelphia: FA Davis; 1998. (Excellent straightforward book on causes of vertigo)Google Scholar
  2. Fife TD. Benign paroxysmal positional vertigo. Semin Neurol. 2009;29:500–8. (Excellent review of this syndrome and the Epley maneuver)PubMedCrossRefGoogle Scholar
  3. Goddard JC, Fayad JN. Vestibular neuritis. Otolaryngol Clin North Am. 2011;44:361–5. (Brief up-to-date review)Google Scholar
  4. Gates GA. Meniere’s disease review 2005. J Am Acad Audiol. 2006;17:16–25. (Good clinical, pathophysiology, and management review)Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2015

Authors and Affiliations

  1. 1.Chief Neurology ServiceDistinguished Professor of Neurology New Mexico VA Health Care SystemAlbuquerqueUSA
  2. 2.Department of Neurology Health Sciences CenterUniversity of New MexicoAlbuquerqueUSA

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