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Dizziness after Traumatic Brain Injury: Neurological Aspects
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Young Seo Kim, Seon Jae Im, Hak Seung Lee
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Res Vestib Sci. 2019;18(3):59-63. Published online September 15, 2019
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DOI: https://doi.org/10.21790/rvs.2019.18.3.59
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Abstract
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- Vertigo, dizziness, and disequilibrium are common symptoms following concussion or traumatic brain injury. Dizziness and vertigo may be the result of trauma to the peripheral vestibular system or the central nervous system, or, in some cases, may be due to anxiety, depression, or posttraumatic stress disorder; these mechanisms are not mutually exclusive. While most peripheral vestibular disorders can be identified by testing and examination, those without inner ear causes that have persisting complaints of dizziness and motion sickness are more difficult to understand and to manage. Some of these patients exhibit features compatible with vestibular migraine and may be treated successfully with migraine preventative medications. This paper reviews the neurological causes of persisting dizziness, the possible mechanisms, and the pathophysiology, as a framework for patient management and for future research.
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Dizziness in Traumatic Brain Injury: Visual-Vestibular Dysfunction, Neurotological Approach
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Seong-Hae Jeong
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Res Vestib Sci. 2019;18(2):27-31. Published online June 15, 2019
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DOI: https://doi.org/10.21790/rvs.2019.18.2.27
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Abstract
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- Traumatic brain injury (TBI) could give rise to variable clinical manifestations based on the involved structures of our bodies. Although there are no structural abnormalities proven, the patients with mild TBI suffer from chronic dizziness and imbalance. Herein, I will discuss the visuo-vestibular interaction and neurotological finding in TBI, which could demonstrate the clue to the diagnosis and management in dizzy patients with TBI.