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Dizziness is a symptom, not a disease. Once you have identified the cause of the symptoms, you can take targeted action against them. This book helps to recognize and understand reasons, connections, and ways. The book was written in such a way that one understands the individual clinical pictures, medical bases and investigation methods without previous medical knowledge. In the book, the reader also finds a particular column to the topic dizziness training and self-help with acute complaints. Care was taken to ensure that the book was large and legible so that older patients and those affected could also read it thoroughly. Especially dizzy patients find it difficult to concentrate on small letters. The authors run one of the largest privately run vertigo clinics in Sinsheim Germany and have specialized in so-called hopeless cases. They are experts in rare diseases and treat patients from all over the world.
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Seitenzahl: 84
Veröffentlichungsjahr: 2019
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Vertigo is not fate
second updated and revised new edition
© 2019 Dr. Bodo Schiffmann
Publishing and Printing: tredition GmbH, Hamburg ISBN
978-3-7482-2921-6 (Paperback)
978-3-7482-2922-3 (Hardcover)
978-3-7482-2923-0 (e-Book)
The book, including its parts, is protected by copyright. Any use without the consent of the publisher and the author is prohibited. This applies in particular to electronic or other reproduction, translation, distribution and making publicly available.
Inhaltsverzeichnis
1. What's Vertigo?
2. About the book and the unique font size
3. About the authors
4. What is vertigo?
4.1. Dizziness as pleasure or displeasure
4.2. Dizziness through the eyes
4.3. To whom is this book addressed?
4.4. Why do many doctors know so little about dizziness?
5. How does dizziness develop?
5.1. The organ of hearing and balance
5.1.1. The hearing organ
5.1.2. The organ of equilibrium
5.1.3 the problem with me is the Ear Stones
5.1.4. What does the fluid do in the organ of equilibrium?
5.1.5. Can the body switch off the organ of equilibrium?
5.1.6. Dizziness due to misinformation
5.2. What is a nystagmus?
5.3. VOR (Vestibulo - ocular reflex)
6. How can dizziness be made visible and examined?
6.1. The medical history
6.2. Which examinations should be carried out?
6.3. Why are examinations carried out again and again, although previous findings are available?
6.4. What does 5-receptor diagnostics mean?
6.5. VNG (Video - Nystagmo - Graphics)
6.6. ENG (Electro Nystagmo Graphie)
6.7. Stand tests after Romberg and Unterberger
6.7.1. Romberg standing test
6.7.2. Unterberger Stepping Attempt
6.8. Posturography
6.9. positional inspection
6.10. V-KIT or HIT (Video-Head-Impulse-Test)
6.11. Tone audiometry
6.12. (VEMP's) Vestibular Evoked Myogenic Potentials
6.13. Brain Stem Audiometry / BERA / FAEP
6.14. SVV Subjective Visual Vertical
6.15. SHV Subjective Haptic Vertical
7. Frequent clinical pictures
7.1. Morbus Menière
7.2. Neuropathia vestibularis
7.3. Benign paroxysmal positional vertigo
7.4. cervical vertebrae vertigo
7.5. Polyneuropathy
7.6. Sudden deafness
7.7. Vestibular migraine
7.8. Vestibularisparoxysmia
7.9. Vestibularis schwannoma / Acoustic neuroma
7.10. Archway dehsizenes
7.11. Multiple sclerosis
7.12. Round window membrane rupture
7.13. Dizziness in a middle ear infection
7.14. Dizziness due to stress
7.15. Psychogenic - or fearful vertigo
8. Is vertigo curable? ?
8.1. Therapies without purpose and goal
8.2. Proven and beneficial therapies
9. Who can help me?
9.1. How do I find the right doctor?
10. Vertigo training
10.1. Repositioning maneuvers
10.2. Semont positioning maneuver for the right side
10.1.2. Semont positioning maneuver for the right side
10.1.3. Barbecue - storage for the horizontal archway on the right side
10.1.4. Liberation maneuver by Rhako
10.2. General dizziness workout
10.2.1. Training for the horizontal arcade Targeted stimulation of the horizontal arcade
10.2.2. Training for the front and rear arches
10.2.3. Training of the Utriculus (1) 200
10.2.4. Training of the Utriculus (2)
10.2.5. Training the sacculus (1)
10.2.6. Training the sacculus (2)
10.3. Dizziness training with the swivel chair
11. Knows how - tricks hardly anyone knows:
12. If I have a diagnosis, I should arrange for follow-up examinations ?
13. What I wanted to say:
I wish you much pleasure with my book. If my english is partly not perfect, please have sympathy. I translated the book myself and struggled a lot with it. I had a lot of fun translating it for you.
Thanks for reading
Yours
Bodo Schiffmann
Jan. 2019
1. What's Vertigo?
To understand the dizziness of an affected patient, it is essential to question expressions. The universal language of examiner and patient is not self-evident. It is a great challenge to put into words the feeling or limitation of a sense organ.
2. About the book and the unique font size
This book was written to give patients, relatives, interested parties and of course doctors easy access to the complex clinical picture or symptom of "dizziness."
In this book, we have consciously paid attention to a larger and easier to read font, because many vertigo patients find it difficult to read small fonts in a relaxed way. This can even lead to dizziness because if the writing is too small, the eyes can no longer suppress the feeling of dizziness.
Since we also care for many elderly patients, we also want to help visually impaired people to read our book.
So please do not be surprised that the typeface resembles a children's book. This is precisely the intention.
3. About the authors
Dear Reader
May we introduce ourselves?
Our names are Mechthild Schiffmann and Bodo Schiffmann, and we work as ENT doctors in Sinsheim.
We run one of the largest privately managed vertigo clinics and have made our hobby our profession.
If you want to deal with vertigo patients seriously, your initiative must go beyond your profession - we see this area as our vocation.
In the Sinsheim Dizziness Outpatient Clinic, we currently treat more than 10,000 dizziness patients from Germany and abroad (as of 2018).
A unique feature of our ambulance is that we are delighted to take care of the socalled hopeless cases.
These are the patients that no one believes and can or wants to help anymore. Many of our patients are not even believed to be suffering from dizziness.
Of course, we can't work miracles or help every patient, but believe us: we try.
It makes us happy and proud that we have been able to restore the self-esteem of many patients by finding the cause of the dizziness.
Nothing is worse than when nobody believes you anymore: family, friends, colleagues and last but not least doctors.
We have often been able to offer new impulses and help, and that fills us with joy and a little pride.
We have written this book to give nonmedical practitioners a chance to find out about the causes of dizziness, the interrelationships between them, modern diagnostic methods and treatment options.
We wish you much pleasure and hopefully also knowledge and success after reading this book.
Dr. Bodo Schiffmann wrote the book from his point of view. However, the contents is being discussed and revised jointly by Mechthild and Bodo Schiffmann.
4. What is vertigo?
The neurologist Hermann Oppenheimer (1858 - 1919) defined this description of dizziness in 1894.
"Dizziness is a sensation of displeasure arising from a disturbance in the relationship of our body in space."
4.1. Dizziness as pleasure or displeasure
Children love the feeling of dizziness. You can linger for hours on children's carousels, turning faster and faster, swinging, seesawing and turning in circles. They love the feeling of staggering like a drunk after descending, getting out or stopping. This feeling is great fun for them.
They use the phenomenon caused by the inertia of the fluid in our organ of equilibrium in the ear.
On the other hand, it is precisely this feeling that gives many patients just the opposite of lust, i.e., lack of desire, and so severely restricts them in their lives.
Although the children in our example, they feel vertigo. This feeling is different on a seesaw, (Mainly function of the sacculus - a gravity organ) - on a swing (Mainly utriculus - also gravity organ) or the carousel on the children's playground. Here the horizontal arcade is stimulated - an organ for the perception of rotational accelerations.
So it matters where the dizziness comes from.
Many patients would already benefit from doctors learning or recognizing that there are not only white and black but also many shades of grey.
The most typical of all the questions a patient has to face is:
"Do you suffer from a rotary swindle or a sway swindle?"
Here a lack of understanding on the part of the doctor or therapist becomes discernible because he does not know that dizziness can have completely different facets than just turning or swaying.
Besides, if the patient is unlucky, he has already made a big mistake with this statement. Because many physicians learn the motto during their training:
"Sway dizziness is fear dizziness.“
This mnemonic is unfortunately wrong.
"Sway swindling is often not fear to swindle."
Swaying is by no means the expression of an anxiety disorder, but the typical symptom of diseases of the ear - stone - or gravity organs (otolithic organs).
These ear stones are needed to amplify gravity so that we do not fall over. They help us to notice when we tip over or when we have a „drop - side.“
Without this organ, the pilot of your holiday plane would presumably be inclined to land - not only likely, because this case is even medically documented. For this reason, pilots are encouraged to trust their instruments (the horizon) first and only then their senses, because senses can be deceived.
4.2. Dizziness through the eyes
Did you know that the eye is our most crucial vertigo organ?
Why don't you go to a cinema or even better a 3D cinema and watch a roller coaster ride? You will undoubtedly feel every curve and every hill.
On the other hand, our eyes are also used as a balance to suppress dizziness.
Have you ever tried dancing waltzes with your eyes closed?
It is better always to choose the same point while dancing and fix it again after every turn. Alternatively, look at your partner.
The physician speaks of fixation suppression.
The eye suppresses the organ of equilibrium and has a higher priority.
But when the eyes are distracted, you feel dizziness while working at the computer and in crowds.
Because the eyes no longer suppress the organ of equilibrium, you again feel the unbalanced function of the organ of balance.
As a rule, this medical history or anamnesis is unfortunately sufficient for a doctor to give a patient a diagnosis of stress, panic or anxiety disorder. Unfortunately, many doctors and therapists disregard the fixation suppression described above or what is much more likely:
They do not know this cause or the context or the mechanism.
Of course, there's dizziness born of fear. I don't want to deny that, but most patients who turn to the Sinsheim Dizziness Clinic for help are not afraid of fraud, but the eye is merely unable to cope with two tasks at the same time.
