A 16 year-old male with a severe form of Spina bifida (lower body paralysis, AV shunt, and thoracic cavity) was referred to AIB by a pediatric otolaryngologist for evaluation of positional vertigo. There was no precedent otologic or acute onset episode, nor any auditory complaints. The provoked vertigo lasts only seconds, without any other associated… Continue Reading »
Positional vertigo with and without nystagmus may have either otologic or neurologic origins. The most common otologic condition we associate with transient vertigo and nystagmus lasting seconds is of course BPPV- PC or HC. In those cases, however, when it is not transient, we must consider a neurological origin. We are often asked to evaluate… Continue Reading »
Does the location of the lesion effect Vestibular Rehabilitation treatment protocols and outcomes? Why do some patients have spontaneous central compensation and others do not? Why do some patients have a faster and more successful recovery than do others? Although, we have recognized the location of the lesion as a critical variable, thanks to the… Continue Reading »
1.7 million Americans suffer concussions or mild TBI (mTBI) each year according to the Centers for Disease Control (2012). Almost one-half million ER visits as a result of head trauma each year are by children 14 years of age or younger. Older adolescents age 15-19 years and those aged 65 years and older are the… Continue Reading »
Dr. Gans demonstrates prior to the class practicing the manual portion of their certification process. March 2013: Vestibular Rehabilitation Workshop Share this! Tweet
His presentations will include: Balance Evaluation of Infants and Psychiatric Aspects of Vertigo. Sus presentaciones incluyen: Evaluación del equilibrio en los niños y aspectos psiquiátricos de Vértigo. Share this! Tweet
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Downbeat Nystagmus (DBN) is among the most common forms of centrally mediated positional provoked nystagmus. It may also be accompanied by a transient dizziness or vertigo. It is typically only seen in ears as the vertical component in an AC-BPPV or with stimulation (acoustic) of a Superior Canal Dehiscence. Although vertigo is typically associated… Continue Reading »
Patient C.L. a 92 year old female is seen at AIB for complaints of imbalance, falls and independent ambulation. She uses a wheeled walker. The patient was last seen in 2001 for a right ear PC-BPPV and successfully treated with GRM. At that time there were no reports of imbalance, hearing loss, or vision issues…. Continue Reading »
Described by Furman et al (2005) we see this condition in an increasing number of non-labyrinthine cases of internalized dizziness with heightened motion and visual disturbance. In fact, at AIB, in just the past 10 days we have seen a 49 year old female speech pathologist and a 33 year old female computer programmer. All… Continue Reading »
Current Neurology literature continues to present cases of vertebral basilar insufficiencies (VBI), vertebral artery ischemia (VA stroke) and cervical artery dissections (Choi JH et al, 2011, Kim BM et al 2011, Schievink WI and Debette S, 2011, Volker W et al, 2011). This should be of particular interest to clinicians examining patients with complaints of positional vertigo;… Continue Reading »
Kentucky Orthopedic Rehabilitation Therapy (KORT) a division of Select Medical Corp, the country’s largest outpatient physical therapy provider has AIB Certified in Vestibular Rehabilitation 43 of their therapists throughout their Kentucky and Indianapolis locations. The initial KORT group of 23 therapists trained by Dr. Gans in 2010 were re-certified. KORT’s Vestibular Rehabilitation Certified therapists are… Continue Reading »
This week at AIB a 52 year old female, post subarachnoid hemorrhage (SAH), was referred with chronic debilitating dizziness, nausea and emesis . Read the following case history, findings, impressions, plan and current research and the successful outcome. History: This week at AIB a 52 year old female was referred with chronic dizziness and nausea… Continue Reading »
Dr. Gans lectures the VNG: Interpretation and Report Writing Workshop to neurologists and audiologists from around the U.S. and internationally, including King Saud University in Saudi Arabia. Share this! Tweet
Vestibular migraine (VM) is among the most common causes of vertigo. Numerous studies have shown that the origin is within the central vestibular structures rather than the labyrinth itself, producing abnormal findings of both central and peripheral patterns including; vertical or torsional spontaneous nystagmus, gaze evoked nystagmus, and positional vertigo and nystagmus mimicking “non-classical” BPPV…. Continue Reading »
25 Physical Therapists from Central Florida, representing Select Medical Corporation, America’s largest physical therapy company and an AIB Rehabilitation Affiliate, completed their Vestibular Rehabilitation Workshop and Certification. The workshop attendees learn vestibular anatomy, physiology, disorders, and evidenced-based rehabilitation protocols for all forms of vestibular dysfunction and outcome measures. Visit dizzy.com for details and calendar for all AIB… Continue Reading »
FOR IMMEDIATE RELEASE November 16, 2012 Contact: Rochelle Yellowdy Phone: 800.245.6442 Email: ryellowdy@dizzy.com AIB Education Foundation Offers New Workshop Largo, FL – 25 Audiologists and Physicians from throughout the USA and Canada attended the New Advances in Auditory Vestibular Assessment & Diagnosis 3-day Workshop. Noted experts, James W. Hall III, Ph.D. and Richard E…. Continue Reading »
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Distance education can get trained technicians “on the ground” and allow large populations in remote areas to gain access to quality hearing care. Article by Richard E. Gans, Ph.D. published in the Hearing Review October 2012. Download Article Share this! Tweet
FOR IMMEDIATE RELEASE August 16, 2012 Contact: Rochelle Yellowdy Phone: 727-398-5728 Email: ryellowdy@dizzy.com The American Institute of Balance joins state coalition in observing Falls Prevention Awareness Day, Sept. 22, 2012 Largo, Florida – The American Institute of Balance will join with the Florida Older Adult Falls Prevention Coalition (FCOA) to recognize Saturday, September 22, 2012,… Continue Reading »
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