Neurology · Advanced

Otoneurology for neurologists and beyond

Dizziness will no longer leave you stumped: otoneurology for neurologists and allied specialists at the intersection of vestibulology and neurology.

24academic hours

Advancedlevel

Distance learningmode of study

Course curriculum

Introduction to dizziness
Definition of dizziness and its distinction from other symptoms. Epidemiology of dizziness. Classification of dizziness
Physiology and anatomy of the vestibular system
The middle ear, its system of cavities, the walls of the tympanic cavity and its contents, types of mastoid process structure, the auditory tube. Blood supply and innervation of the external and middle ear. The inner ear, its parts, the anatomy of the vestibule and semicircular canals of the cochlea, their blood supply
Diagnosis of dizziness
Patient interview and examination
Main neurovestibular tests: Halmagyi test (head impulse test), skew deviation test, HINTS test, positional tests, caloric tests, Unterberger test
Central vertigo
Algorithm for interviewing a patient with vertigo, typical accompanying symptoms and features of the development of various diseases accompanied by vertigo. Analysis of patients' clinical cases
Peripheral vertigo
Features of collecting complaints and history in patients with dizziness. Analysis of clinical cases of patients
Most common causes of vertigo in peripheral vestibular system pathology: benign paroxysmal positional vertigo, vestibular neuronitis, neurovascular conflict
Non-vestibular dizziness: causes, diagnosis and treatment
Etiology and epidemiology. Approaches to disease diagnosis, key clinical and instrumental tests, analysis of patient clinical cases
Benign paroxysmal positional vertigo
Etiology, epidemiology, and clinical presentation of benign paroxysmal positional vertigo (hereinafter — BPPV)
Diagnosis of BPPV. Treatment of BPPV. Differential diagnosis. Analysis of patients' clinical cases
Patient management strategy
Rational approaches to managing patients with dizziness; modern methods of differential diagnosis and therapy are presented. Analysis of patient clinical cases

A patient with dizziness is one of the most challenging in clinical practice: the symptom is nonspecific, while the causes lie at the intersection of neurology and otology. The course provides a practical otoneurological approach to the differential diagnosis of dizziness and balance disorders that is applicable in real-world practice.

You will master key maneuvers and tests, learn to distinguish peripheral causes from central ones, and choose management strategies. After the training, you will be more confident in handling complex vestibular complaints and will not miss conditions requiring urgent attention.

Marfin Sergey Aleksandrovich

Neurologist, cephalgologist, otoneurologist

Sergei Aleksandrovich Marfin is a neurologist specializing in cephalalgology and otoneurology, that is, in the diagnosis and treatment of headaches, dizziness, and tinnitus. Regular training in interventional techniques and rehabilitation allows him to share applied approaches to managing pain syndromes with colleagues.

Neurologist, cephalgologist, otoneurologist. Total work experience — 6 years.

Education

2018 — Omsk State Medical University, specialty "General Medicine"
2020 — residency in neurology, Siberian State Medical University
2022 — professional retraining "Healthcare Organization and Public Health", International Academy of Expertise and Evaluation

Continuing education

2021 — "Local injection therapy for pain syndromes" (Yekaterinburg)
2021 — "Interventional methods of treating pain syndromes" (Stavropol)
2022 — "Interventional methods of treating pain syndromes" (Stavropol)
2022 — "Neurorehabilitation in the medical rehabilitation system" (Saint Petersburg)
2022 — "Diagnosis and treatment of diseases accompanied by dizziness" (Moscow)
2022 — "Dizziness: modern approaches to diagnosis and therapy" (Moscow)
2022 — "Diagnosis and treatment of diseases accompanied by tinnitus" (Moscow)
2022 — "Management in Medicine MINI-MBA"
2023 — "Diagnosis and treatment of orofacial pain" (Moscow)

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