About The Book

This thoroughly updated second edition of Manual of Pediatric Balance Disorders remains a vital resource for clinicians and students specializing in pediatric vestibular and balance disorders. The text is organized for effective use in the clinic, classroom, bedside, or laboratory, and is separated into four parts: Basic Mechanisms, Clinical Evaluation, Pediatric Vestibular Disorders, and Treatment. Each chapter ends with Self-Assessment Questions to aid in reader comprehension and address important chapter topics.

Manual of Pediatric Balance Disorders features contributions from 45 experts across the fields of otolaryngology, audiology, neurology, and physical therapy, and represents the distillation of years of cumulative clinical and research experience.

New to the Second Edition

  • New Co-Editor, Jacob R. Brodsky, MD, FACS, FAAP
  • Five new chapters with the latest research and findings on various testing and topics in pediatric balance disorders
    • Chapter 7. Video Head Impulse Testing (vHIT)
    • Chapter 12. New Horizons for the Evaluation of Functional Balance, Self-Motion Perception, Navigation, and Mobility
    • Chapter 13. Genetics and Metabolism in Pediatric Vestibular Disorders
    • Chapter 15. Benign Paroxysmal Positional Vertigo (BPPV)
    • Chapter 24. Vertigo, Dizziness and Mental Health
  • Fully rewritten chapters on migraine and concussion
  • Updated references and self-assessment questions throughout
  • Access to a PluralPlus companion website with videos and figures

About The Authors

Robert C. O’Reilly, MD, FACS is Director of the Balance and Vestibular Program at the Children’s Hospital of Philadelphia. He is Professor of Otolaryngology –Head and Neck Surgery at the Children’s Hospital of Philadelphia and the Perelman School of Medicine of the University of Pennsylvania.

Thierry Morlet, PhD is a Senior Research Scientist and Head of the Auditory Physiology and Psychoacoutics Laboratory at the Nemours / Alfred I. duPont Hospital for Children, Director of the Auditory Neuropathy program at Nemours, Adjunct Assistant Professor in the Department of Linguistics and Cognitive Science, College of Arts and Science at the University of Delaware, Adjunct Professor in Communication Sciences and Disorders, College of Health Sciences at the University of Delaware, and Adjunct Faculty at the Georges Osborne College of Audiology, Salus University.

Jacob R. Brodsky

Jacob R. Brodsky, MD, FACS, FAAP is an Assistant Professor of Otolaryngology at Harvard Medical School,  a Pediatric Otolaryngologist in the Department of Otolaryngology and Communication Enhancement at Boston Children’s Hospital, and the Director of the Balance and Vestibular Program at Boston Children’s Hospital.

Sharon L. Cushing, MD, MSc, FRCSC is a full-time pediatric otolaryngologist at The Hospital for Sick Children in Toronto, Canada, and an Associate Professor and Clinician Investigator in the Department of Otolaryngology Head and Neck Surgery at the University of Toronto.  She is the Director of the Cochlear Implant Program at the Hospital for Sick Children. Dr. Cushing has a clinical and surgical interest in disorders of the external, middle and inner ear, including hearing loss and vestibular dysfunction.  Her research interest include vestibular and balance function and dysfunction in children, and its association with hearing loss and cochlear implantation. 


Table oF Contents



About the Editors



Section I. Basic Mechanisms

Chapter 1. Anatomy and Embryology of the Vestibular Apparatus

Richard Vincent, Huseyin Isildak, Michael Teixido

Chapter 2. Physiology and Maturation of Balance Mechanisms

Thierry Morlet

Chapter 3. Vestibular Adaptation and Compensation

James O. Phillips

Section II. Clinical Evaluation

Chapter 4. History and Physical Examination of the Child With a Balance Disorder

 Sharon L. Cushing, Jessica R. Levi, and Robert C. O’Reilly

Chapter 5. Videonystagmography/Electronystagmography Testing with Children

Emily F. Zwicky

Chapter 6. Rotary Chair Testing

James O. Phillips

Chapter 7. Video Head Impulse Testing (vHIT)

Guangwei Zhou, Violette H. Lavender, and Vincent G. Wettstein              

Chapter 8. Vestibular-Evoked Myogenic Potential Testing (VEMP) Testing

Sylvette Wiener-Vacher and Guangwei Zhou

Chapter 9. Static Balance: Computerized Dynamic Posturography

Eugen Ionescu, Pierre Reynard, Nathalie Goulème, and Hung Thai-Van

Chapter 10. Dynamic Balance and Gross Motor Assessment

Anne Scofich and Renée Haldenby

Chapter 11. Gait Analysis

John Henley, Tim A. Niiler, and Freeman Miller

Chapter 12. New Horizons for the Evaluation of Functional Balance, Self-Motion Perception, Navigation, and Mobility

Jennifer L. Campos, Claire McSweeny, Karen A. Gordon, and Sharon L. Cushing

Section III. Pediatric Vestibular Disorder

Chapter 13. Genetics and Metabolism in Pediatric Balance Disorders

Lance H. Rodan and Melissa B. Ramocki

Chapter 14. Peripheral Vestibular Dysfunction

Sharon L. Cushing and Jane Lea

Chapter 15. Benign Paroxysmal Positional Vertigo (BPPV)

Sophie E. Lipson and Jacob R. Brodsky

Chapter 16. Vestibular Migraine and the Pediatric Migraine Variants

Henri Traboulsi, Margaretha L. Casselbrant, and Jacob Brodsky

Chapter 17. Vestibular Dysfunction in Pediatric Concussion

Jacob R. Brodsky

Chapter 18. Structural Lesions of the Central Nervous System

Shelly Wang and George M. Ibrahim

Chapter 19. Neurodegenerative Diseases

David R. Lynch, Abigail Lynch, and Kimberly Schadt

Chapter 20. Seizure Disorders

Christina Y. Go

Chapter 21. Pediatric Movement Disorders

Teesta Soman and Ana Marissa Lagman-Bartolome

Chapter 22. Ocular and Oculomotility Abnormalities in Children

Y. Arun Reginald

Chapter 23. Postural Orthostatic Tachycardia Syndrome

Stephanie A. Moody Antonio

Chapter 24. Vertigo, Dizziness, and Mental Health

Gillian Liberman, Wanda A. Dillon, Philip Gerretsen, and Sharon L. Cushing

Section IV. Treatment

Chapter 25. Multisensory Deficits

Joan Vertes

Chapter 26. Vestibular Rehabilitation

Michael Karl

Chapter 27. Environmental Adaptations

Morai Pena, Nicole Captain, and Janet Woodhouse

Chapter 28. Current and Future Research and Challenges

Sharon L. Cushing and Robert C. O’Reilly

Self-Assessment Answer Key



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