Audiologist with a special interest in balance, husband to a lovely wife, Christian and Musician
Manchester
Joined July 2010
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Sam Ranger retweeted
❤️ Gabriel Jesus on his celebration: “It’s very clear where I’m wearing this t-shirt. Jesus saved my life from the beginning, when I was born, I didn’t know it yet. Through the tough moments in my life, I realised we are nothing without Jesus, so I want to glorify his name”.
Sam Ranger retweeted
🚨 Unsure what and when to order imaging for a dizzy patient? History is key. Here’s your quick guide 🧵 based on the latest ACR (American College of Radiology) guidelines.
🧭 Brief episodic, positional vertigo: No imaging required. Liberate BPPV!
🧭 Acute & persistent, peripheral vertigo: Consider non-contrast MRI (schwannoma?)
🧭 Acute vertigo with neurological signs: Prioritize MRI, but CT might be suitable.
🧭 Chronic dizziness: MRI typically recommended at least once.
Detailed guidelines here: acsearch.acr.org/docs/69477/…
Sam Ranger retweeted
That’s a wrap. Summary:
1. Pendular nystagmus looks sinusoidal. Think dorsal pons and MS.
2. Jerk nystagmus looks sawtooth. Think vestibular, peripheral and central.
3. Saccadic oscillations look square. Think opsoclonus, neurodegeneration and work up carefully. Hope you enjoyed!
Thanks Raymond Van de Berg for sharing at @BSNOtology conference on vestibular implants. Amazing how quickly central compensation occurs and looking forward to seeing how this progresses over the coming years!
Thanks Petroc Sumner at the @BSNOtology conference breaking down visual hypersensitivity and comparing results with different conditions.
Sam Ranger retweeted
Each individual living with #FunctionalNeurologicalDisorder (#FND) will experience different symptoms.
Watch our series of videos and learn about the different strategies you can use to help improve your symptoms.
Find out more: buff.ly/40fFdMM #FNDaware @BrainAppeal
Sam Ranger retweeted
Calling all audiology balance clinical leads. Please could you take 5 mins to fill out this survey on how/when you use vHIT? This will inform a section of a lecture at BAA 2023 on the last ten years of vHIT research and clinical practice in the UK. bit.ly/vhitsurv Thanks!
Brilliant resource for helping with FND, both for adults and paediatrics. A lot of elements of it would be beneficial for those with PPPD and panic attacks too.
Excited to reveal👉The FND Workbook: Ways to Rewire for Children and Adolescents w/ FND. This collaborative project w/ the @FNDSociety Peds SIG was created for providers to support patients between diagnosis and treatment. Find it at: fndhope.org/wp-content/uploa… #NeuroTwitter #FND
Sam Ranger retweeted
Looking for a treatment for ringing in your ears? This randomized trial showed using bisensory (auditory and somatosensory) stimuli could reverse altered neural patterns and lessen #tinnitus. Pretty cool. jamanetwork.com/journals/jam…
Interesting paper on possible reasons for selective semicircular canal impairment on vHIT. audiologyonline.com/intervie…
Sam Ranger retweeted
Cortical lesions and electrical stimulation sites associated with vertigo map to a common functional network highlighting the insula. Honored to be part of this journey into the terra incognita of vestibular circuits spearheaded by Yanran Li @foxmdphd academic.oup.com/braincomms/…
Sam Ranger retweeted
1/Do questions about brainstem anatomy cause you to suddenly get a case of locked in syndrome?!
Do you try to localize the lesion or just wait for the MR?
Here’s a #tweetorial to help you w/brainstem #anatomy & localization!
#medtwitter #meded #neurotwitter #neurorad #radres
Sam Ranger retweeted
ED diagnostic errors are more common for atypical symptoms. For stroke, dizziness or vertigo increases the odds of misdiagnosis 14-fold over motor symptoms (those with dizziness and vertigo are missed initially 40% of the time). Addressing diagnostic errors is challenging!
New Hopkins/AHRQ report @ bit.ly/3vcfcPP highlights critical new insights into the frequency, distribution, and causes of ED diagnostic error & harms. @HopkinsMedicine @JHM_Armstrong @AHRQNews. See the coverage nyti.ms/3hzRERr. #patientsafety #ptsafety #improvedx
Sam Ranger retweeted
The Bárány Society position statement on 'Cervical Dizziness' - lots more research needed before we get to a diagnostic criteria. I would also add that people with PPPD should be routinely screened out of these trials. content.iospress.com/article…
I enjoyed presenting my poster on Ocular Counter Roll in a clinical setting at #BAAconf PDF is available here. @PaulRadomskij tinyurl.com/OCRposter
'You can't listen when you're speaking' Prof Sophie Scott. Proven with fMRI. The wise words are true. #BAAconf
