Dr. Gans Posts Archives - Page 4 of 4 - The American Institute of Balance ®

Vestibular Migraine Post Hysterectomy

Published on: June 3, 2013

Migraine effects far more females than males, 3:1 and has long been recognized to have hormonal triggers. Females typically experience the onset of migraine (with and without aura) at puberty […]

VIDEO: HC-BPPV in 16 year old male with Spina bifida

Published on: April 30, 2013

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 […]

VIDEO: Positional Vertigo and Nystagmus in Multiple Sclerosis (M.S.)

Published on: April 15, 2013

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 […]

Brain vs. Ear…does it make a difference in Vestibular Rehabilitation (VR) Protocols and Efficacy?

Published on: April 2, 2013

Does the location of the lesion effect Vestibular Rehabilitation treatmentprotocols and outcomes? Why do some patients have spontaneous central compensation and others do not? Why do some patients have a […]

Benign Paroxysmal Positioning Vertigo (BPPV): Post Head Trauma including Impact, Concussion and Whiplash

Published on: March 19, 2013

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 […]

VIDEO: Cardiogenic vs. CNS Downbeat Nystagmus (DBN)

Published on: March 4, 2013

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 […]

Long–term benefit of Gans Repositioning Maneuver (GRM) and impact of non-labyrinthine medical co-morbidities in balance function.

Published on: February 26, 2013

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 […]

Migraine Anxiety Related Dizziness (MARD)

Published on: February 19, 2013

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, […]

Vertebral Basilar Insufficiencies (VBI) vs. non-classic BPPV

Published on: February 13, 2013

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 […]

Chronic dizziness and nausea post subarachnoid hemorrhage (SAH)

Published on: February 6, 2013

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, […]

New Research Indicates Vestibular Migraine May Persist for Years

Published on: January 29, 2013

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 […]