Chapter 127. Neuro-Otology

  1. Robert P. Lisak MD, FAAN, FRCP Parker Webber Chair Professor Chair Neurologist-in-Chief Chief2,3,
  2. Daniel D. Truong MD, FAAN Head4,
  3. William M. Carroll MBBS, MD, FRACP, FRCP(E) Head5 and
  4. Roongroj Bhidayasiri MD, FRCP Director6,7
  1. Kevin A. Kerber MD Assistant Professor

Published Online: 18 MAY 2010

DOI: 10.1002/9781444317008.ch127

International Neurology: A Clinical Approach

International Neurology: A Clinical Approach

How to Cite

Kerber, K. A. (2009) Neuro-Otology, in International Neurology: A Clinical Approach (eds R. P. Lisak, D. D. Truong, W. M. Carroll and R. Bhidayasiri), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444317008.ch127

Editor Information

  1. 2

    Wayne State University School of Medicine, Detroit, MI, USA

  2. 3

    Detroit Medical Center, Harper University Hospital, Detroit, MI, USA

  3. 4

    The Parkinson and Movement Disorder Institute, Memorial Neuroscience Institute, Orange Coast Memorial Medical Center, Fountain Valley, CA, USA

  4. 5

    Sir Charles Gairdner Hospital, Nedlands, Perth, Australia

  5. 6

    Chulalongkorn Comprehensive Movement Disorders Center, Chulalongkorn University Hospital, Bangkok, Thailand

  6. 7

    University of California at Los Angeles, School of Medicine, Los Angeles, CA, USA

Author Information

  1. Departments of Neurology and Otolaryngology, University of Michigan Health System, Ann Arbor, MI, USA

Publication History

  1. Published Online: 18 MAY 2010
  2. Published Print: 11 SEP 2009

ISBN Information

Print ISBN: 9781405157384

Online ISBN: 9781444317008



  • neuro-otology, multidisciplinary specialty with primary training stemming from otolaryngology or neurology;
  • International considerations in patients with neuro-otologic disorders;
  • clinical approach to patients with dizziness;
  • key components - in examination of dizzy patients;
  • mental status examination - excluding cognitive impairment as features of patient's presentation;
  • medication side effects, most common causes of dizziness in general;
  • neuro-otological examination - ocular motor function testing;
  • saccadic eye movements - fast eye movements bringing image of object quickly onto fovea;
  • optokinetic nystagmus and fixation suppression - of vestibular ocular reflex;
  • acute severe vertigo and recurrent attacks of vertigo


This chapter contains sections titled:

  • Introduction

  • Epidemiology

  • International considerations in patients with neuro-otologic disorders

  • Clinical approach to patients with dizziness

  • Common presentations of dizziness

  • Management of the patient with dizziness

  • Tests

  • Common presentations of hearing loss

  • Common presentations of tinnitus

  • Conclusion

  • Further reading