Timothy C. Hain, MD

Professor of Neurology, Otolaryngology, and Physical Therapy/Human Movement Science, Northwestern University Medical School, Chicago IL, USA.
OFFICE PHONE NUMBER: 312-274-0197
OFFICE LOCATION: Chicago Dizziness and Hearing , 645 N Michigan, Suite 410, Chicago 60611
WEB SITE: http://www.dizziness-and-balance.com
EMAIL ADDRESS: t-hain@northwestern.edu
FAX NUMBER: 312-274-0198
EDUCATION: MD and Neurology Residency: University of Illinois, Chicago IL. Fellowship: Johns Hopkins University (Neurophysiology and Neuro-ophthalmology). Board certified in Neurology (1981)

Dr. Hain is locally known as the "Dizzy Doctor". Dr. Hain's clinical activities naturally "revolve" around evaluating and treating dizzy individuals as well as persons with hearing loss, tinnitus and hyperacusis. The rest of his time is spent on research projects aimed at improving the care of hearing impaired or dizzy patients (especially those with gentamicin toxicity or perilymph fistula), mathematical modeling of vocal and head motor control, and driving his children around. He is particularly interested in Benign Paroxysmal Positional Vertigo as well as vestibular ototoxicity. Dr. Hain also likes the architecture of Frank Lloyd Wright and Pinot Grigio wine. Dr. Hain was selected to be included in the Best Doctors in America on several occasions.

Dr. Hain in the News:

Here is a list of recent media articles that use Dr. Hain as a source.

Upcoming talks:

Assessment, interpretation and Management of Balance Disorders. Two day course with Alan Desmond, Au.D.. Sponsored by Micromedical Techology. Oct 23-25, 2008. Location: Chicago (near O'Hare airport)

Vestibular Rehabilitation. Numerous talks at the Northwestern University (similar content to courses listed below). Early October, 2008. Location: Chicago, Illinois, Dept of Physical Therapy/Human Movement Sciences.

Recent talks including some of the presentations:

Treatment of Migraine Associated Vertigo (MAV). American Neurotologic Society, Orlando, May 5, 2008.

Vestibular Rehabilitation. Numerous talks at the Rehabilitation Institute of Chicago. April 17-19, 2008. Location: Chicago, Illinois.

Triceps VEMP's. End of March, 2008. Location: Kyoto, Japan. Barany Society meeting

Treatment of BPPV, April 13, 2008. American Academy of Neurology annual meeting 2008. Location: Chicago.

"Bedside to bench and back, Challenging Conventional Wisdom, Migraine". 35 minute talk. Feb 16, 2008 ARO midwinter meeting. Phoenix Az.

"Positional vertigo --office diagnosis and treatment" (handout) CME presentation for Northwestern Memorial Hospital,June 7th 2007, Feinberg, 3rd floor Conference Room 7:00 am  - Conf D, 12:00 PM - Conf D

American Academy of Neurology annual meeting - two talks: Treatment of BPPV, and Drug treatment of Vertigo. May 2, 2007.

Vestibular Rehabilitation: Evaluation and Treatment of Common Vestibular Dysfunction (Midwestern University, May 10-11, 2007). This course (run by Janet Helminski, Ph.D, P.T.) will largely duplicate the contents of the sold out March 2007 RIC course (see below).

Vestibular Rehabilitation. Numerous talks at the Rehabilitation Institute of Chicago (see link) Mar 15-17, 2007

Dizziness Update. Year in Internal Medicine conference January 24-26, 2007 at the Northwestern Memorial Hospital’s Conference Center One hour -- dizziness update , CME.

Recent and eagerly anticipated advances in Hearing Disorders, American Hearing Research Foundation 50th anniversary(2006)

Napa valley ENG course. (2006)

5th Biennial Balance Center Symposium. Barrow Neurological Institute Jan 26-27, 2006, Phoenix AZ. Here are a few of the lecture handouts in pdf format.

Illinois Academy of Audiology Convention (Chicago) Jan 28,06, Otoneurology approach to the Dizzy Patient 1.5 hrs (lecture handout)

Rehabilitation Institute of Chicago course on Vestibular Rehabilitation (Chicago) Mar 16-18, 06.

Dizziness and Imbalance (for the public) Chicago, Aug 24, 2006 (pdf)

PUBLICATIONS:

Dr. Hain has been writing for a long time about dizziness and related issues. He also has contributed substantially to several popular web sites on dizziness. Dr. Hain also has produced some video and CD based materials (see end).

--- Journal Articles --- Click on underlined text to go to Pubmed abstract. While the PDF's of these papers are NOT online, most are available in PDF form on the site-DVD.

• Robinson DA, Zee DS, Hain TC, Holmes AM, Rosenberg LF: Alexander's law -- its behavior and origin in the human vestibulo-ocular reflex. Ann. Neurology., 16:714-722, 1984.
• Kapoula ZA, Robinson DA, Hain TC: Motion of the eye immediately after a saccade. Experimental. Brain Research., 61:386-394, 1986.
• Hain TC, Zee DS, Mordes M: Blink-induced saccadic oscillations. Annals Neurology., 19:299-301, 1986.
• Hain TC: A model of the nystagmus induced by off-vertical axis rotation. Biological Cybernetics, 54:337-350, 1986.
• Fetter M, Hain TC, Zee DS: Influence of eye and head position on the vestibulo-ocular reflex. Experimental. Brain Research., 64:208-216, 1986.
• Lasker AG, Zee DS, Hain TC, Folstein S: Saccadic eye movements in Huntington's Disease: Initiation defects and distractibility. Neurology, 37: 364-370, 1987.
• Zee DS, Hain TC, Carl JR: Abduction nystagmus in internuclear ophthalmoplegia. Annals Neurology., 21:383-388, 1987.
• Hain TC, Fetter M, Zee DS: Head-shaking nystagmus in unilateral peripheral vestibular lesions. American J. Otolaryngology., 8:36-47, 1987.
• Kapoula Z, Hain TC, Zee DS, Robinson DA: Adaptive changes in post-saccadic drift induced by patching one eye. Vision Research, 27:1299-1307, 1987.
• Hain TC, Zee DS, Maria B: Tilt-suppression of the vestibulo-ocular reflex in patients with cerebellar lesions. Acta Otolaryngology. (Stockh), 105:13-20, 1988.
• Lasker AG, Zee DS, Hain TC, Folstein SF, Singer H: Saccades in Huntingtons disease: Slowing and dysmetria. Neurology, 38:427-431, 1988.
• Levin S, Luebke A, Hain TC, Zee DS, Robinson DA, Holzman PS: Smooth pursuit eye movements in schizophrenics: quantitative measurements with the search-coil Technique. J. Psych. Research, 22:195-206, 1988.
• Furman J, Hain TC, Paige G: Central adaptation model of the vestibulo-ocular and optokinetic systems. Biological. Cybernetics., 61:255-264, 1989.
• Tijssen M, Straathof C, Hain TC, Zee DS: Optokinetic afternystagmus in humans: normal values of amplitude, time constant and asymmetry. Annals Otology, Rhinolology, Laryngology, 98:741-746, 1989.
• Wei D, Hain TC, Proctor L: Head-shaking nystagmus: associations with canal paresis and hearing loss. Acta Otology. 108: 362-367, 1989.
• Hain TC, Luebke A: Phoria adaptation in patients with cerebellar lesions. Investigative Ophthalmology. 1990.
• Fletcher WA, Hain TC, Zee DS: Optokinetic nystagmus and afternystagmus in human beings: relationship to nonlinear processing of information about retinal slip. Experimental Brain Research, 1990.
• Hain TC, Buettner UE: Static roll and the vestibulo-ocular reflex (VOR). Experimental Brain Research. 82:463-471, 1990.
• Ashe J, Hain TC, Zee DS: Microsaccadic oscillation -- a new clinical syndrome. Brain, 114, 461-472, 1991.
• Hain TC, Zee DS: Abolition of optokinetic afternystagmus by aminoglycoside ototoxicity. Annals Otology. 100:580-583, 1991.
• Hain TC, Patel G: Slow-cumulative Eye Position to Quantify Optokinetic Afternystagmus. Annals Otology. 101:255-260, 1992.
• Zee DS, Hain, TC: Clinical Implications of Otolith-Ocular Reflexes. American Journal of Otology, 13, 152-157, 1992.
• Hanson DG, Logemann JA, Hain TC: Differential diagnosis of spasmodic dysphonia: a kinetic perspective. J. Voice 6, 3-, 1992.
• Tusa RT, Zee DS, Hain TC: Voluntary control of congenital nystagmus, Clinical Vision Sciences 7, 195-210, 1992.
• Herdman SJ, Sandusky AL, Hain TC, Zee DS, Tusa RJ: Characteristics of postural stability in patients with gentamicin toxicity. J. Vestibular Research. 4:71-80, 1994.
• Hain TC, Herdman SJ, Holliday MS, Mattox D, Zee DS, Byskosh AT: The localizing value of optokinetic afternystagmus. Annals ORL, 806-811, 1994.
• Harvey SA, Hain TC, Adamiec LC: Modified liberatory maneuver: Effective treatment for benign paroxysmal positional vertigo. Laryngoscope 104:1206-1212, 1994.
• Hain TC: Treatment of Vertigo. The Neurologist. 1: 125-133, 1995.
• Young NM, Johnson JC, Mets B, Hain TC: Cochlear implants in young children with Usher's syndrome. Annals ORL, supplement 166, 104, 9, part-II, 342-345, 1995.
• Rascol O, Hain TC, Benazet M, Clanet M, Montastruc JL: Antivertigo Medications and Drug-Induced Vertigo. Drugs 50(5):777-791, 1995.
• Young NM, Mets M, Hain TC: Early Diagnosis of Usher Syndrome in Infants and Children. Am. J. Otology, 17:1, 30-34, 1996.
• Rogers MW, Hain TC, Hanke TA, Janssen I: Effects of stimulus parameters and inertial load on the incidence of protective stepping responses in healthy human subjects. Arch Phys Med Rehabil 77:363-368, 1996.
• Peng GCY, Hain TC, Peterson BW: A dynamical model for reflex activated head movements in the horizontal plane. Biological Cybernetics, 75, 309-319, 1996.
• Ostrowski VB, Hain TC, Wiet R: Pressure Induced Ocular Torsion. Archives in Otolaryngology-Head and Neck Surgery. 1997.
• Hain TC, Ostrowski, VB. Limits of Normal for Pressure Sensitivity in the Fistula Test. Audiology and Neuro-otology 2:384-390, 1997
• Voice F0 Responses to Manipulations in Pitch Feedback, Burnett TA, Freedland MB, Larson CR, Hain TC, J. Acoustical Soc America, 103, 3153-3161, 1998
• Riggs LC, Shofner WP, Shah AR, Young MR, Hain TC, Matz GJ. Ototoxicity resulting from combined administration of metronidazole and gentamicin. Am J Otol 1999 Jul;20(4):430-4
• Hain TC, Hanna P, Rheinberger M. Mal de Debarquement Syndrome.Archives of Otolaryngology-Head Neck Surgery, 1999:125:615-620, Also see local link to Mal de Debarquement, and PDF file at Arch Otolaryngol site
• Hain TC, Fuller L, Weil L, Kotsias J. Effects of T'ai Chi on Balance. Arch Otolaryngol Head Neck Surg 1999 Nov;125(11):1191-5. Also see local link and PDF file on Arch Otolaryngol site.
• Keshner EA, Hain TC, Chen KJ. J Vestib Res 1999;9(6):423-34 Predicting control mechanisms for human head stabilization by altering the passive mechanics.
• Peng GC, Hain TC, Peterson BW. IEEE Trans Biomed Eng 1999 Nov;46(11):1269-80. Predicting vestibular, proprioceptive, and biomechanical control strategies in normal and pathological head movements.
• Hain TC, Burnett TA, Kiran S, Larson CR, Singh S, Kenney MK. Exp Brain Res 2000 Jan;130(2):133-41. Instructing subjects to make a voluntary response reveals the presence of two components to the audio-vocal reflex.
• Larson CR, Burnett TA, Kiran S, Hain TC. J Acoust Soc Am 2000 Jan;107(1):559-64. Effects of pitch-shift velocity on voice Fo responses.
• Hain TC, Helminski JO, Reis IL, Uddin K. Vibration does not improve results of the canalith repositioning procedure. Arch Otolaryngol Head Neck Surg, May 2000, 126(5) 617-22
• Fife TD, Tusa RJ, Furman JM, Zee DS, Frohman E, Baloh RW, Hain T, Goebel J, Demer J, Eviatar L. Assessment: vestibular testing techniques in adults and children: Report of the therapeutic and technology subcommittee of the American Academy of Neurology. Neurology, 2000, 55:10, 1431-1441
• Ostrowski V, Hain TC. Vectorial analysis of the Tullio's phenomenon associated with superior canal dehiscence. Otology and Neurotology, 22:61,2001
• Hain TC, Burnett TA, Larson CR, and Kiran S,. Effects of delayed auditory feedback (DAF) on the pitch-shift reflex. J. Acoustical Soc. Am 109 (5), May 2001 50.
• Larson CR, Burnett TA, Bauer JJ, Kiran S, Hain TC. Comparison of voice F0 responses to pitch-shift onset and offset conditions. J. Acoust Soc Am, 110 (6), Dec 2001, 2865-2648
• Peterson BW, Choi H, Hain T, Keshner E, Peng GC. (2001) Dynamic and kinematic strategies for head movement control. Ann N.Y.Acad Sci. 942:381-93.
• Chiu B, Hain TC. Periodic alternating nystagmus provoked by an attack of Meniere's disease. J. Neuro-ophthalmology 2002;22:107-109
• Chen KJ, Keshner EA ,Peterson BW, Hain TC, Modeling head tracking of visual targets. JVR 12, 2002, 25-33
• Mamikoglu B, Wiet RJ, Hain T, Check IJ. Increased CD4+ T cells during acute attack of Meniere's disease.Acta Otolaryngol 2002 Dec;122(8):857-60
• Hain TC, Uddin M. Pharmacological treatment of vertigo CNS Drugs 2003;17(2):85-100
• Simoneau M,. Tinker S, Hain TC, and Lee WA. Effects of predictive mechanisms on head stability during forward trunk perturbation. Exp Brain Res .148(3): 338-49. (2003).
• Hoistad DL. and Hain TC. "Central hearing loss with a bilateral inferior colliculus lesion." Audiol Neurootol 8(2): 111-3. ,2003.
• Brenner M, Hoistad D, Hain TC. Prevalence of thyroid dysfunction in Meniere's Disease. Archives of Oto HNS, 130/2 226-228 (2004)
• Squires, T.M., et al., A mathematical model for top-shelf vertigo: the role of sedimenting otoconia in BPPV. J Biomech, 2004. 37(8): p. 1137-46.
• Yacovino DA, Hain TC. (Article in Spanish) [Neck vibration: Usefulness in neurotology] Rev Neurol. 2004 Jun 1-15;38(11):1061-6.
• Furman, J.M. and T.C. Hain, "Do try this at home": self-treatment of BPPV. Neurology, 2004. 63(1): p. 8-9.
• Yi Xu, Charles Larson, Jay Bauer, Timothy Hain "Compensation for pitch-shifted auditory feedback during the production of Mandarin tone sequences. JASA, 2004.
• Yacovino, D. A. and T. C. Hain. "[The pharmacology of vestibular disorders]." Rev Neurol39(4): 381-7. (2004)
• Moon I, Hain TC Delayed Quick Spins following Vestibular Nerve Section Respond to Anticonvulsant Medication. Otol Neurotol 26:82-85 (2005)
• Hain, T. C., T. M. Squires and H. A. Stone (2005). "Clinical implications of a mathematical model of benign paroxysmal positional vertigo." Ann N Y Acad Sci1039: 384-94.
• Helminski, J. O., I. Janssen, D. Kotaspouikis, Hain TC. (2005). "Strategies to prevent recurrence of benign paroxysmal positional vertigo." Arch Otolaryngol Head Neck Surg 131(4): 344-8.
• Gurses S, Dhaher Y, Hain TC, et al. (2005). "Perturbation parameters associated with nonlinear responses of the head at small amplitudes." Chaos 15(2): 2005.
• Bauer J, Mittal J, Larson CR, Hain TC. Vocal responses to unanticipated perturbations in voice loudness feedback: An automatic mechanism for stabilizing voice amplitude. JASA April 2006 119(4) 2363-2371
• Hain, TC. Head-shaking Nystagmus and New Technology (Editorial). Neurology. 68: 17, 1333-1334 (2007)
• Keshner, E. A., J. Streepey, et al. (2007). "Pairing virtual reality with dynamic posturography serves to differentiate between patients experiencing visual vertigo." J Neuroengineering Rehabil 4(1): 24.
• Larson, C. R., J. Sun, et al. (2007). "Effects of simultaneous perturbations of voice pitch and loudness feedback on voice F0 and amplitude control." J Acoust Soc Am 121(5 Pt1): 2862-72.
• Helminski JO, Hain TC. Evaluation and Treatment of Benign Paroxysmal Positional Vertigo. Annals of Long-Term Care: Clinical Care and Aging 2007;15[6]:33-39)
• Unsteady Influences. Hain TC, Ostrowski T. Advances in Rehabilitation, 11/2007 (Menieres's disease)
• Chang CP, Hain TC. "A theory for treating visual vertigo due to optical flow" CyberPsychology and Behavior. 9-2007
• Hain TC,  Cherchi M (2008). "Pulse-synchronous torsional pendular nystagmus in unilateral superior canal dehiscence." Neurology 70(14): 1217-8.

BOOK CHAPTERS:

• Hain TC: Vertigo. in: Current Therapy in Neurology (Ed. R. Johnson), 1990, also In: Current Therapy in Internal Medicine (Ed. Kassirer), B. C. Decker, 1991, and also in press for 2006.
• Hain TC, Zee DS: The Dizzy Patient: Diagnostic Approaches. In: Controversies in neurology (Ed. V. Hachinski, 1992).
• Hain TC: Oculomotor Testing: Background. in Handbook of Balance Function Testing (Ed. Jacobson and Newman), Mosby, 1992 (2nd edition)
• Hain TC: Oculomotor Testing: Interpretation. in Handbook of Balance Function Testing (Ed. Jacobson and Newman), Mosby, 1992 (2nd edn)
• Zee DS, Hain TC: Otolith-ocular reflexes. in The Vestibulo-Ocular Reflex and Vertigo (Ed. Sharpe JA, Barber HO), Raven, 1993 (Pdf available)
• Hain TC, Spindler J: Head-Shaking Nystagmus. In The Vestibulo- Ocular Reflex and Vertigo (Ed. Sharpe JA, Barber HO), Raven, 1993 (Pdf available)
• Hain TC, Hillman MA: Physiology of the vestibular system. in Vestibular Rehabilitation (Ed. S. Herdman), FA Davis, 1993 (also see 2nd edn)
• Hain TC, Herdman SJ. Dizziness in the Elderly. (Ed Sage JI, Mark MH) Practical Neurology of the Elderly. Marcel Dekker Pub, New York, NY 1996.
• Hain TC. Vertigo and Disequilibrium. In: Current Treatment in Neurologic Disease, 5th edn, Eds. R. Johnson and J. Griffin, p 8-12, 1997, also In: Current Therapy in Adult Medicine, 4th edn, Kassirir JP and Greene HL, Mosby, p 1358-1361, 1997.
• Hain TC. Approach to the Vertigo Patient In J. Biller (ed). Practical Neurology, Lippincott-Raven, Philadelphia, 1997 (2nd edn in press)
• Hain TC, Micco A. Disorders of the VIII cranial Nerve. Textbook of Clinical Neurology. , Goetz and Pappert, 1998. (2nd edn in press)
• Hain TC, Kotsias J, Pai CY. Tai Chi: Applications to Neurology. Chapter 19. Alternative and complementary treatment in Neurologic Illness, Weintraub MI, Ed. (Micozzi MS, senior editor). Churchill Livingstone, 2001. 248-254
• Hain TC. Approach to the Vertigo Patient. (Chapter) In J. Biller (ed). Practical Neurology, 2nd Edn Lippincott-Raven, Philadelphia 2002
• Hain TC, Micco A. Cranial Nerve 8: Vestibulocochlear Nerve. Textbook of Neurology, Goetz and Pappert Ed, Saunders, 1998, 184-201
• Hain TC, Kotsias J, Pai CY. Tai Chi: Applications to Neurology. Chapter 19. Alternative and complementary treatment in Neurologic Illness, Weintraub MI, Ed. (Micozzi MS, senior editor). Churchill Livingstone, 2001. 248-254
• Hain TC, Micco A. Cranial Nerve 8: Vestibulocochlear Nerve. Textbook of Neurology, Goetz and Pappert Ed, Saunders, 2003, (2nd Edn)
• Hain TC, Helminski JC. Vestibular Reflexes. Encyclopedia of Neurological Sciences. (Eds: Aminoff M, Daroff R). Vol 4, pp 657-660, Academic Press, San Diego, 2003
• Hain TC, Helminski JC. Ototoxic Medications. Kent RD (ed), The MIT encyclopedia of communication disorders. pp 518-520, MIT Press, 2003
• Hain TC, Yacovino D. Episodic Vertigo. In Conn’s Current Therapy 2005
• Hain TC, Yacovino D. Mal de Debarquement. In Geriatric Otolaryngology (Calhoun KH, Eibling DE Eds) Marcel Dekker, NY, NY. 2006, 125-133
• Hain TC, Helminski JO. Physiology of the vestibular system. in "Vestibular Rehabilitation" (Ed. S. Herdman), 2007
• Hain TC, Helminski JO. Mal de Debarquement. in "Vestibular Rehabilitation" (Ed. S. Herdman, 2007)
• Hain TC, Rudisill H. Practical Anatomy and Physiology of the Oculomotor System.  Chapter for the Handbook of Balance Function (ed. Jacobson, 2008)
• Hain TC. Approach to the Vertigo Patient  In J. Biller (ed). Practical Neurology 2nd edition, Lippincott-Raven, Philadelphia, (2008)

Other Output: DVD's (see www.adb-order.com to order these)

• Site DVD -- a DVD that contains Dr. Hain's entire web site plus movies. About 1 gigabyte.
• BPPV DVD -- a DVD that illustrates home exercises for BPPV. Also available in Spanish.
• Understanding your Dizziness and Balance disorder DVD -- a DVD that contains general material concerning several common types of dizziness (Migraine, vestibular neuritis, Meniere's disease, bilateral vestibular weakness).
• Tai Chi DVD. This is an instructional video for Tai Chi for balance.

Notes and rants

Whatsoever things are true, whatsoever things are honest, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things.

Phillippians 4:8