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By Joseph M Furman and Stephen P Cass. Published by Oxford University Press, Oxford, 2003, pp 408, £65.00. ISBN 0-19-514579-8
This text is the second edition of the book by the same authors, entitled Balance disorders: a case-study approach. The text is superbly organised, well written, and provides practical, specific treatment regimes. The case studies are cross referenced. Additionally, there is an appendix of diagnoses by page, and references following each chapter as well as a complete bibliography at the end of the book. The text is divided into six parts. Part one provides background including the history and physical examination of the dizzy patient, vestibular and auditory system testing, and a brief introduction to anatomy and physiology. In particular, excellent and detailed additional neurotologically targeted specialised bedside tests have been included in the second edition. The book has tables outlining the neurological examination, the otologic examination, and specialised neurotological examination. Chapter seven (psychiatric aspects of vestibular disorders) is a new useful addition to the book, and provides useful references to help understand and treat the patient with dizziness and psychiatric disorders. Parts two through to six include 59 case studies. Parts two, three, and five present common and unusual neurotological disease entities, part four contains multiple diagnosis case studies, and part six contains case studies of controversial entities. There are 14 new additional case studies to these sections and the case studies from the first edition are updated with new references and discussions. Part four is an entirely new addition containing case studies of patients with multiple diagnoses, for example Meniere’s disease and migraine. In our experience, such combination of disease entities is common, and the authors directly address the issues facing the clinician treating these patients. This book provides a systematic approach to the dizzy patient, clinical detailed histories in a question and answer format that is easy to read, and treatment options. It is useful to both specialists and non-specialists from the level of medical student to balance disorder specialists. I highly recommend this book.