Chapter

I am an Otologist, What Neurology do I Need to Know?

Thomas Lempert

in Oxford Textbook of Vertigo and Imbalance

Published on behalf of Oxford University Press

Published in print February 2013 | ISBN: 9780199608997
Published online February 2013 | e-ISBN: 9780191754227 | DOI: http://dx.doi.org/10.1093/med/9780199608997.003.0009

Series: Oxford Textbooks in Clinical Neurology

I am an Otologist, What Neurology do I Need to Know?

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Vertigo and dizziness reflect disturbed orientation in space and may result from vestibular, visual or somatosensory dysfunction, either in the periphery or within the central nervous system. Therefore, otologists who see dizzy patients need to be prepared to encounter and to handle not only inner ear but also neurological problems. This chapters explores four common clinical presentations: • acute persistent vertigo – how to recognize a stroke? • recurrent vertigo – when to consider vertebrobasilar TIAs? • dizziness during standing and walking – the neurological gait disorders, and • transient dizziness immediately after standing up – orthostatic hypotension. The focus will be on recognition and management rather than on complex neurophysiology. The key points to follow are summarized at the end of each section.

Chapter.  5229 words.  Illustrated.

Subjects: Neurology

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