28/08/2025
Course I: Vestibular Diagnosis & Management
الكورس يعادل 24 ساعة من التعليم المستمر المعتمد
TOTAL CME CREDIT POINTS 24.00 CMEP
Course I: Vestibular Diagnosis & Management APPROVED BY EGYPTIAN ASSOCIATION OF CONTINUING MEDICAL EDUCATION DEVELOPMENT [EACMED]
Course I: Vestibular Diagnosis & Management
Session 1: June 14th, 2025
Topic: Foundations of Vestibular Anatomy & Physiology
• Lecture: Overview of the vestibular system (labyrinth, otoliths, semicircular canals), neural pathways, and vestibular-ocular reflex (VOR).
• Practice: 3D model assembly of the inner ear; VOR demonstration using Frenzel goggles.
Session 2: June 21st, 2025
Topic: Vestibular History-Taking & Bedside Examination
• Lecture: Key questions for dizziness/vertigo; bedside tests (HINTS exam, Romberg, Fukuda stepping).
• Practice: Partner-based history-taking drills; practice HINTS exam with simulated patients.
Session 3: June 28 th, 2025
Topic: Benign Paroxysmal Positional Vertigo (BPPV)
• Lecture: Pathophysiology, variants (posterior/anterior/lateral canal), diagnostic criteria.
• Practice: Dix-Hallpike and Roll maneuvers; canalith repositioning (Epley, BBQ roll) on treatment tables.
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Session 4: July 5 th, 2025
Topic: Vestibular Function Testing
• Lecture: Videonystagmography (VNG), caloric testing, rotary chair, and VEMPs.
• Practice: Caloric test simulation; nystagmus interpretation using VNG software.
Session 5: July 12 th, 2025
Topic: Acute Vestibular Syndromes
• Lecture: Vestibular neuritis vs. labyrinthitis; stroke mimics (e.g., PICA infarction).
• Practice: HINTS+ protocol for stroke identification; case-based MRI/CT analysis.
Session 6: July 19 th, 2025
Topic: Ménière’s Disease & Endolymphatic Hydrops
• Lecture: Pathogenesis, diagnostic criteria (AAO-HNS), medical/surgical management.
• Practice: Audiogram interpretation; glycerol test demonstration; dietary counseling role-play.
Session 7: July 26 th, 2025
Topic: Vestibular Migraine & PPPD
• Lecture: Diagnostic criteria (ICHD-3), links to migraine, Persistent Postural-Perceptual Dizziness (PPPD).
• Practice: Differential diagnosis exercises; vestibular migraine diaries; CBT techniques for PPPD.
Session 8: August 2nd, 2025
Topic: Central Vestibular Disorders
• Lecture: Cerebellar/brainstem lesions, MS, neurodegenerative causes.
• Practice: Gait analysis (tandem walk, Dynamic Gait Index); eye-tracking exercises for central nystagmus.
Session 9: August 9 th, 2025
Topic: Bilateral Vestibular Hypofunction
• Lecture: Etiologies (ototoxicity, autoimmune), compensation mechanisms.
• Practice: Customizing vestibular rehab (adaptation exercises, balance training with foam pads).
Session 10: August 16 th, 2025
Topic: Vestibular Rehabilitation Therapy (VRT)
• Lecture: Principles of VRT (habituation, adaptation, substitution); pediatric/geriatric adaptations.
• Practice: Designing VRT plans (gaze stabilization, Brandt-Daroff); balance board drills.
Session 11: August 23rd, 2025
Topic: Surgical Interventions & Emerging Therapies
• Lecture: Gentamicin perfusion, labyrinthectomy, vestibular implants, and regenerative medicine.
• Practice: Surgical video review; debate on treatment controversies (e.g., intratympanic steroids).
Session 12: August 30 th, 2025
Topic: Complex Cases & Multidisciplinary Management
• Lecture: Integrating ENT, neurology, PT, audiology, and psychology.
• Practice: Case simulations (e.g., BPPV + migraine); team-based management planning; final Q&A.
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Key Practice Tools Used:
• Frenzel goggles, infrared video systems
• VNG simulators, audiograms
• Treatment tables for repositioning maneuvers
• Balance boards, foam pads, gait belts
• Case study booklets, MRI/CT scans
• Patient simulation software
Learning Outcomes:
• Perform bedside vestibular exams (HINTS, Dix-Hallpike).
• Interpret VNG/caloric results and audiograms.
• Treat BPPV with repositioning maneuvers.
• Design individualized VRT programs.
• Differentiate peripheral vs. central causes of vertigo.
This course balances theory with hands-on skill development, preparing clinicians for real-world vestibular care.
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