Deafness and vertigo

This review follows closely on the publication of significant handbooks and symposia concerned with neuro-otology, pharmacology of emesis, imaging, cochlear prostheses and aspects of vertigo which reflect the considerable advances that have been made in clinical and basic neuroscience in these areas in recent years. The value of the cochlear prosthesis has been demonstrated convincingly and may well be a model for the future of brain implantations in diverse disorders of the central nervous system. Imaging of the inner ear has made spectacular advances to provide invaluable aids to diagnosis. Neuro-otologists are becoming aware of the diversity of diseases, particularly those related to hormonal regulation, which may cause or exacerbate symptoms in patients with vertigo. Fortunately for the sufferer, a clearly focussed view is emerging of the pharmacology of overlapping and interrelated problems of emesis, vertigo and migraine which promises an early solution to their integrated management.