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February 1984

Clinical Neuro-otology

Author Affiliations

Galveston, Tex

Arch Otolaryngol. 1984;110(2):136. doi:10.1001/archotol.1984.00800280070022

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In this volume, Peter Rudge, a British neurologist, presents a well-balanced review of medical neuro-otology. For the otolaryngologist, this book provides important clinical and basic scientific aspects of neuro-otology that are essential in understanding and evaluating dizziness. Rudge includes overviews of (1) the anatomic and physiologic background of the vestibular and auditory systems, (2) the role of the neuro-otologic examination in clinical testing, with detailed discussions on the significance of neuro-otologic abnormalities, and (3) specific CNS diseases affecting the eighth nerve.

The strength of this volume is the author's use of his large clinical experience and basic science and clinical research perspectives to help explain rather complex neurophysiologic phenomena. For example, internuclear ophthalmoplegia, a well-recognized clinical eye disorder involving the medial longitudinal fasciculus, is explained by Pola and Robinson's pulse-mismatch theory, which results in undershooting of the adductor eye and relative overshooting in the abducting eye. However, as Rudge points

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