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

I am an Otologist, What Neurology do I Need to Know?
Chapter:
I am an Otologist, What Neurology do I Need to Know?
Author(s):

Thomas Lempert

DOI:
10.1093/med/9780199608997.003.0009
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date: 23 January 2021

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.

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