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March 1968

Dizziness and Vertigo, Diagnosis and Treatment.

Arch Ophthalmol. 1968;79(3):354. doi:10.1001/archopht.1968.03850040356029

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This monograph contains contributions from 21 authors covering the anatomy, physiology, history, examination techniques, clinical syndromes, and treatment of dizziness and vertigo. The contributors were given free rein to express a "searching, even partison approach" to their subjects. This approach makes critical reviewing difficult and time-consuming since the reader must act as his own editor and maintain a vigilance for facts versus fiction and prejudice.

There is a six page chapter on the ocular causes of vertigo. The author states "there is no truly ocular vertigo" and then goes on to redefine vertigo as "an unsteadiness or disorientation caused by a conflict in the data gathered by the eyes, the labyrinth, and the proprioceptive receptors." These symptoms are produced, according to the author, by extraocular muscle paralysis, uncomfortable spectacles, great heights, and travel. However, he does not define unsteadiness or disorientation. By unsteadiness he does not mean ataxia and by

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