2. Anatomy and Physiology The Inner ear => semicircular cancel

3. The Inner ear => Utricle saccule

4. The Vestibular Nerve

5. The Inner ear => Vestibular nerve

6. The Brainstem and Temporal lope

7. Sensory and motor inputs in balance

18. Investigate : Dix-Hallpike maneuver 1

19. Investigate : C aloric tests

21. Auditory brainstem response (ABR) Test

25. Treatment of vertigo 1. การรักษาจำเพาะสำหรับแต่ละโรค เช่น Cerebral Thrombosis รับไว้ในโรงพยาบาล ให้ Antiplatelet Brain Tumor Surgery BPPV รักษาโดยวิธีกายภาพบำบัด Modified Epley Meniere’s Disease Diuretic drug 2.Medication Anti Vertigo Drug : Antihistamines เช่น Dramamine , Bonamine , Phenergan Side effect Asthma , Glaucoma , Prostate Enlargement Beta histamine เช่น Merislon , Serc Side effect Asthma ,Peptic ulcer ,Pheochromocytoma Peripheral vasodilators & Cerebral activators เช่น Sturgeon , Sibelium Side effect Parkinsonism Anti Vomiting Drug : Plasil , Stemetil , Droperidol ,Motilium Side effect GI Bleeding ,Pheochromocytoma ,Epilepsy ,Hypotension ,Glaucoma , (Liver & Kidney disease) Minor Tranquillizers Diazepam Side effect Glaucoma , Drug Addict 3. Surgery Labryrinthectomy

31. The Dix-Hallpike test, also called the "Hallpike" is the definitive diagnostictest for Benign Paroxysmal Positional Vertigo (BPPV).

34. Home Exercise Therapy (Brandt-Daroff exercises).

35. Meniere’s disease Figure 1a: Normal membranous labyrinth 1b. Dilated membranous labyrinth in Meniere's disease (Endolymphatic Hydrops)

36. The Normal Inner Ear The hearing and balance nerve Carries information to the brain from both parts of the inner ear. D The hearing canal Collects sound information. C The balance canals Collect balance information. B The endolymphatic sac Keeps inner ear fluid at a constant level. A

37. The Abnormal Inner Ear The hearing and balance nerve Distorted information travels from the inner ear to the brain. D The hearing canal Swelling distorts or blocks sound information. C The balance canals Swelling in the balance canals distorts balance information. B The endolymphatic sac Backed-up fluid in the sac and inner ear leads to swelling and pressure. A

42. I ntratympanic gentamicin injection (ITGM)