The Great Balancing Act: An Insider’s Guide to the Human Vestibular System

Author:   Jeffrey D. Sharon
Publisher:   Columbia University Press
ISBN:  

9780231218634


Pages:   256
Publication Date:   09 September 2025
Format:   Paperback
Availability:   Awaiting stock   Availability explained


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The Great Balancing Act: An Insider’s Guide to the Human Vestibular System


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Overview

What's the secret to keeping your balance? The ear does more than hear: it helps us stay stable by perceiving movements and gravity. Elegant sensors deep within the skull detect every twist, turn, and tumble, powering swift reflexes that keep vision and balance steady. This is the vestibular system. It's primordial and ubiquitous: every animal has one, and even plants have a rudimentary version. It works so well that we take it for granted—until it fails. How does this remarkable system function? What happens when it goes haywire? How can modern medicine treat vestibular disease? The Great Balancing Act tells the story of the vestibular system, from T. rex hearing organs to cochlear implants, and from the unsung power of hair cells to inner-ear problems in outer space. Combining neuroscience, history, and medicine, Jeffrey D. Sharon—a vestibular doctor and researcher—explains the sense of balance using accessible language and wry humor. He recounts how pioneering scientists solved the mysteries of the vestibular system and shows why it is necessary for spatial reasoning and abstract thought. Sharon explores the devastating consequences of vestibular problems such as vertigo, dizziness, and imbalance, offering an expert, patient-friendly look at emerging and future treatments. Engaging and entertaining, this book invites readers to discover a little-known yet vital part of ourselves.

Full Product Details

Author:   Jeffrey D. Sharon
Publisher:   Columbia University Press
Imprint:   Columbia University Press
ISBN:  

9780231218634


ISBN 10:   023121863
Pages:   256
Publication Date:   09 September 2025
Audience:   General/trade ,  General
Format:   Paperback
Publisher's Status:   Forthcoming
Availability:   Awaiting stock   Availability explained

Table of Contents

Introduction: A Sense of Wonder Part I. How We Got Here 1. An Aural History 2. How Cheetahs Prosper (Evolution) Part II. How It All Works 3. A Head Full of Hair Cells 4. The Eyes Have It: Vestibulo-Ocular Reflex 5. The Brains Behind the Operation 6. Don’t Fall for It: Vestibulospinal Reflexes 7. A Balanced Mind: Memory and Cognition Part III. When Things Go Wrong 8. Like a Rolling Stone: Benign Paroxysmal Positional Vertigo (BPPV) 9. Unsolved Mysteries: Vestibular Migraine and Ménière’s Disease 10. Senseless: Bilateral Vestibular Loss 11. A Hole in the Head: Superior Canal Dehiscence Syndrome Part IV. The Future 12. Restoring a Sense of Balance: The Vestibular Implant 13. Vestibular Rogaine: Hair Cell Regeneration 14. Spacing Out Part V. The Ending 15. Spinning Out of Control: Advice for Patients Epilogue: Vestibular Dreaming Illustrated Glossary Notes Bibliography Index

Reviews

Sharon’s The Great Balancing Act is an enlightening and engaging exploration of the human vestibular system—an essential yet often overlooked component of our daily lives. Sharon instills a sense of wonder about the intricate anatomy and function of this system, making it clear why he is a true vestibular enthusiast. With its compelling narrative, rich historical context, and scientifically rigorous yet accessible explanations, The Great Balancing Act is a must-read. -- Cynthia Ryan, executive director, Vestibular Disorders Association Sharon has written a thoughtful, engaging, and highly informative book on the vestibular system. He has achieved a brilliant balance between providing a high-level overview and an understandable description of the physiology of the system and the pathologies affecting its function. This book will be of interest and importance to all who desire an overview of the vestibular system as well as to patients who suffer from vestibular disorders. -- Lloyd Minor, Carl and Elizabeth Naumann Dean of the School of Medicine, vice president for medical affairs, Stanford University


Dr. Sharon’s The Great Balancing Act is an enlightening and engaging exploration of the human vestibular system—an essential yet often overlooked component of our daily lives. Sharon instills a sense of wonder about the intricate anatomy and function of this system, making it clear why he is a true vestibular enthusiast. With its compelling narrative, rich historical context, and scientifically rigorous yet accessible explanations, The Great Balancing Act is a must-read. -- Cynthia Ryan, MBA – Executive Director, Vestibular Disorders Association Dr. Sharon has written a thoughtful, engaging, and highly informative book on the vestibular system. He has achieved a brilliant balance between providing a high-level overview and an understandable description of the physiology of the system and the pathologies affecting its function. This book will be of interest and importance to all who desire an overview of the vestibular system as well as to patients who suffer from vestibular disorders. -- Lloyd Minor, M.D., Carl and Elizabeth Naumann Dean of the School of Medicine, Vice President for Medical Affairs, Stanford University


Author Information

Jeffrey D. Sharon is the director of the Balance and Falls Center and an associate professor in the Otology, Neurotology, and Skull Base Surgery Division at the University of California, San Francisco.

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