Otoneurology Curriculum for Medical Students
Adapted from: Scherokman B, Cannard K, Miller JQ, AAN Undergrad education Committee.
What should a graduating medical student know about Neurology ? Neurology 1994: 44:
1170-1176. Local links are given when available.
Maintained by Timothy C. Hain,
MD,Chicago IL, USA.
A. Assess dizziness
- Define vertigo and contrast it with other symptoms patients call dizziness (i.e.
lightheadedness, presyncope, cognitive symptoms, ataxia).
- List common causes of disequilibrium (imbalance without vertigo)
- Describe the following vestibular examination findings
- Describe the bedside technique for the hanging head test (Hallpike Maneuver)
- Calorics: describe and differentiate
the effect of placing cold water in the ear of an awake patient versus
a comatose patient.
- Identify the clinical features used to distinguish among the following:
- Benign paroxysmal positional vertigo
- Vestibular neuritis
- Menieres disease
- Brainstem TIA with vertigo
- Acoustic Neuroma
B. Assess auditory symptoms
- Define tinnitus
- Discuss findings on Rinne and Weber testing for conductive
versus sensorineural hearing loss.