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Book Reviews
December 1999

Dizziness, Hearing Loss, and Tinnitus

Author Affiliations


Arch Neurol. 1999;56(12):1533-1534. doi:

This outstanding book is composed of 224 pages divided into 12 chapters. Part I (chapters 1-4) provides an excellent and concise review of the anatomy and physiology of the middle and inner ear and of the central vestibular and auditory systems. Part II (chapters 5-9) discusses pertinent elements of the history and examination of patients with vestibular or auditory symptoms. Individual chapters are devoted to vestibular signs and symptoms, evaluation of vestibular function (including discussions of commonly used laboratory tests), evaluation of hearing, and approaches to the patient with dizziness and/or tinnitus. Chapters 8 and 9 feature well-organized tables that summarize distinguishing features or symptoms of patients' clinical histories (eg, "distinguishing between vestibular and nonvestibular causes of dizziness"). A series of flow diagrams illustrates the logical analysis of various presenting symptoms (eg, "acute spontaneous vertigo"). Part III (chapters 10-12) discusses diagnosis and treatment of common neurotologic disorders and symptomatic treatment of vertigo and tinnitus. The text is clearly written, with a good balance between conciseness and completeness. Important points are highlighted by marginal notes and a large number of illustrations are included that complement the text. A list of references is provided for each chapter and a comprehensive index is included.