Carol Foster Md Vertigo Treatment Pdf Reader

1. Vertigo Exercises Dr Carol Foster
2. Carol Foster Vertigo Treatment

Histamine and related medicationsHistamine was first advocated over 50 years ago by the migraine group because the intense facial flushing it causes was hoped to reflect increased perfusion to the ear. This has not stood the scrutiny of time. Niacin was also used for a similar reason, and like histamine it has faded from use.Betahistine is a modern analog, although the mechanism of action has been attributed to central vestibular effects as well as to vascular effects. Recent work suggests that it has positive effects on cochlear blood flow. A 2001 Cochrane review has found no definitive evidence of efficacy in the treatment of the vertigo spells, and no effect on hearing or tinnitus. It continues to be a popular drug in Europe and Canada, but is not approved in the United States based on lack of efficacy. Therapeutic rationaleThe migraine group does not advocate these surgeries because they believe hydrops is not a critical factor in causation of attacks.

Vertigo Exercises Dr Carol Foster

Carol Foster Vertigo Treatment

The hydrops group, however, has long felt that elevated endolymph pressures cause the distention of hydrops, and so have devised these treatments to shunt endolymph and relieve this pressure. At the University of Colorado, shunts are performed infrequently, more often in those with bilateral disease, and when control cannot be achieved with treatment of vascular risk factors. Complete, lifelong control of vertigo is rarely achieved by shunting.