Sam Ranger

Audiologist with a special interest in balance, husband to a lovely wife, Christian and Musician

[Sam Ranger @SamuelRanger]

@RFCLatest Ryan Bertrand

[Sam Ranger @SamuelRanger]

@RFCLatest Brendan Rodgers - not good for Reading but, hard to argue that he isn't a good manager when you look at his career.

[Fabrizio Romano @FabrizioRomano]

❤️ 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 @SamuelRanger]

@stable_program Hi, I wondered whether you have a reference for the statement normal healthy adults lose their balance several times a day? Thanks

[Maximilian U. Friedrich @vertigologist]

🚨 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: https://t.co/ntXn4aDgPT

[Maximilian U. Friedrich @vertigologist]

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!

[Sam Ranger @SamuelRanger]

@arielmarilyn thanks for your talk on using justice appraisal in balance hypervigilance. Something that I've not heard before but makes a lot of sense and a useful tool to understand underlying issues that might be impacting rehabilitation.

[Sam Ranger @SamuelRanger]

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!

[Sam Ranger @SamuelRanger]

Thanks Petroc Sumner at the @BSNOtology conference breaking down visual hypersensitivity and comparing results with different conditions.

[UCLH @uclh]

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: https://t.co/2WM2T9FYgS #FNDaware @BrainAppeal

[Sam Ranger @SamuelRanger]

@GalactusJack We really liked your talk today. Really helpful illustration about walking through the darkest valley and God faithfully with us.

[David Jay @DavidJay1982]

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. https://t.co/YqOjdSLHAO Thanks!

[Sam Ranger @SamuelRanger]

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.

[FND Hope International @FNDHope]

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: https://t.co/4m2oEpdp8c #NeuroTwitter #FND

[Sam Ranger @SamuelRanger]

@FTalentScout Bradley Barcola? Seems to be a forgotten talent, 5 goals, 8 assists, 10 big chances created in only 15 starts (26 appearances).

[Sam Ranger @SamuelRanger]

@wythycc_sports Thanks very much. Will hopefully come by another week ☺️

[Sam Ranger @SamuelRanger]

@wythycc_sports are there any teams playing matches at longley lane tomorrow? Was thinking about popping round if there is one to watch.
Thanks!

[Michael Okun @MichaelOkun]

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. https://t.co/2tF1quklmG

[Sam Ranger @SamuelRanger]

@LisBteamdizzy @JudeG27 @Mersey_Care @wendyheckels I'm cautious to suggest 60% vestibular dysfunction in fallers based on a lot of studies using headshake alone to confirm dysfunction, but vestibular screening is certainly beneficial with option for further vestibular tests when positive or an indicative history.

[Sam Ranger @SamuelRanger]

@EllieMo73186623 @EdTankPhysio Yes, I agree, somewhere <50% sounds accurate. But when the papers use HST in iso (particularly in supine + only 3beats), 8% +ve CP, non-significant overt saccade on vHIT/HT for vestibular, or poor pursuit/saccades alone suggest central vestibular there's going to be inflated %