Vestibular Pathology

Teaching Methodologies

– Lectures
– Lectures/Seminars by experts in the field.
– Analysis and discussion of exemplary clinical cases
The analysis and discussion of pathologies, as well as the assessment of clinical cases, prepares the student to be able, as a worker, to have a critical and best-practice attitude in the guidance of patients. The aim is for students to be able to discuss patients taking into  account a multidisciplinary approach, working with otorhinolaryngologists, neurologists and physiotherapists.

Continuous Assessment:
-Written Test: 60% of the final grade, with a minimum passing grade of 9.5 points. The use of Artificial Intelligence (AI) is not allowed; + Review Article (Assignment): 35% of the final grade, with no minimum passing grade.
The use of AI is allowed for summarization and structuring but must be explicitly indicated and cited. Attendance: 5% of the final grade.
Final Grade Formula: (Continuous Assessment): Written Test*60%+Review Article*35%+Attendance*5%
Exam-Based Assessment:
Exam: 100% of the final grade, with a minimum passing grade of 9.5 points. The use of AI is not allowed.

Learning Results

The student should be able to:
– Understand the pathophysiology of vestibular disorders.
– Identify and characterize the main vestibular pathologies, considering signs and symptoms.
– Understand the use of patient-reported outcome measures (PROMs) to assess the impact of vestibular dysfunction on patients’ various functional, physical, emotional and quality of life domains.
– Correlate clinical presentation with the results of complementary vestibular exams.
– Understand the available medical and surgical treatments and their impact on vestibular function.
– Review recent studies on vestibular pathology.
– Learn about new technologies and methods for assessing vestibular function.
– To be aware of future perspectives in the treatment and diagnosis of vestibular pathology.

Program

1. Epidemiology of vestibular syndromes, disorders and diseases.
2. The main vestibular syndromes (Acute, Episodic and Chronic vestibular syndromes, and differential diagnosis).
3. Acute Vestibular syndrome (infectious, inflammatory, vascular, trauma, intoxication, metabolic, ..).
4. Episodic Vestibular syndrome (bppv, vestibular migraine, recurrent vertigo of childhood, Meniere Disease, Vestibular paroxysmia, motion sickness, mal de debarquement, tumor, other central diseases).
5. Chronic Vestibular syndrome (unilateral and bilateral vestibulopathy, degenerative, central positional vertigo, functional vestibular disorders (3PD, persistent mal de debarquement), psychiatric disorders, other central disease).
6. Vestibular manifestations of systemic disease fitting into the vestibular syndromes ( Syphilis, mitochondrial disorders, Autoimmune, Genetic, infection, inflammatory).

Internship(s)

NAO

Bibliography

Brandt T. Vertigo Its Multisensory Syndromes 2nd ed. Springer. ISBN 3540199349
Bronstein AM, ed. Oxford Textbook of Vertigo and Imbalance. Oxford University Press; 2013. ISBN-13: 978-0199608997.
Costa S, Henriques MM, eds. Exames Audiovestibulares. Círculo Médico; 2024. no prelo;
Leight JR, Zee DS. The Neurology of Eye Movements.5th ed. Oxford University Press. 2015. ISBN 978-0-19-996928-9;
Lemos J, Subtil J, Costa S, eds. Otoneurologia. Círculo Médico; 2023. ISBN: 978-989-54122-8-0.
Sauvage JP. Vertiges. Manuel De Diagnostic et De Rehabilitation. Elsevier Health Sciences; 2020: ISBN 9782294769610
Zuma e Maia FC, Mangabeira Albernaz, Carmona S. Otoneurologia Atual. Thieme Revinter. ISBN: 978-8537205914

https://www.thebaranysociety.org/icvd-consensus-documents/
https://www.otoneuro.pt/livros/