State Requirement Info
Presented by Andrea Castellucci, MD
Presented by Karen Morris, MS, CCC-A
2 courses found
1
https://www.audiologyonline.com/audiology-ceus/course/superior-canal-dehiscence-syndrome-clinical-37278
Superior Canal Dehiscence Syndrome: Clinical-Instrumental Aspects and Atypical Scenarios
Besides typical symptoms and signs (including pulsatile tinnitus, hyperacusis, pressure/sound-induced torsional nystagmus, conductive hearing loss and lowered thresholds of air-conducted VEMPs) an analysis of the relevant literature reveals a certain clinical polymorphism induced by superior canal dehiscence (SCD). In addition to asymptomatic persons or subjects with SCD presenting exclusively with cochlear symptoms (only partly explained by the so-called “near-dehiscence syndrome”), SCD cases mainly presenting with atypical/refractory/recurrent positional vertigo and/or Meniere-like vertigo spells have been recently described. Moreover, if surgical occlusion of the superior canal (SC) results in symptoms control inducing a selective SC hypofunction, clinicians my sometimes accidentally detect a reduced SC VOR gain in asymptomatic patients with wide-sized dehiscence. These findings led authors to propose the occurrence either of a natural SC plugging (complete or incomplete) by middle fossa dura prolapsing into the canal lumen or a dispersion of mechanical energy through the dehiscence. Typical and atypical scenarios is presented. A subsample of patients from the personal series with a complete otoneurologic assessment (audiometry, VOG eye recording, air/bone-conducted cervical/ocular VEMPs, video head impulse test) is selected to explain these emerging theories on possible pathomechanisms.
auditory, textual, visual
129
USD
Subscription
Unlimited COURSE Access for $129/year
OnlineOnly
AudiologyOnline
www.audiologyonline.com
Superior Canal Dehiscence Syndrome: Clinical-Instrumental Aspects and Atypical Scenarios
Besides typical symptoms and signs (including pulsatile tinnitus, hyperacusis, pressure/sound-induced torsional nystagmus, conductive hearing loss and lowered thresholds of air-conducted VEMPs) an analysis of the relevant literature reveals a certain clinical polymorphism induced by superior canal dehiscence (SCD). In addition to asymptomatic persons or subjects with SCD presenting exclusively with cochlear symptoms (only partly explained by the so-called “near-dehiscence syndrome”), SCD cases mainly presenting with atypical/refractory/recurrent positional vertigo and/or Meniere-like vertigo spells have been recently described. Moreover, if surgical occlusion of the superior canal (SC) results in symptoms control inducing a selective SC hypofunction, clinicians my sometimes accidentally detect a reduced SC VOR gain in asymptomatic patients with wide-sized dehiscence. These findings led authors to propose the occurrence either of a natural SC plugging (complete or incomplete) by middle fossa dura prolapsing into the canal lumen or a dispersion of mechanical energy through the dehiscence. Typical and atypical scenarios is presented. A subsample of patients from the personal series with a complete otoneurologic assessment (audiometry, VOG eye recording, air/bone-conducted cervical/ocular VEMPs, video head impulse test) is selected to explain these emerging theories on possible pathomechanisms.
37278
Online
PT90M
Superior Canal Dehiscence Syndrome: Clinical-Instrumental Aspects and Atypical Scenarios
Course: #37278Level: Advanced1.5 Hours
AAA/0.15 Advanced; ACAud inc HAASA/1.5; AHIP/1.5; BAA/1.5; CAA/1.5; Calif. SLPAB/1.5; IACET/0.2; IHS/1.5; Kansas, LTS-S0035/1.5; NZAS/2.0; SAC/1.5
Besides typical symptoms and signs (including pulsatile tinnitus, hyperacusis, pressure/sound-induced torsional nystagmus, conductive hearing loss and lowered thresholds of air-conducted VEMPs) an analysis of the relevant literature reveals a certain clinical polymorphism induced by superior canal dehiscence (SCD). In addition to asymptomatic persons or subjects with SCD presenting exclusively with cochlear symptoms (only partly explained by the so-called “near-dehiscence syndrome”), SCD cases mainly presenting with atypical/refractory/recurrent positional vertigo and/or Meniere-like vertigo spells have been recently described. Moreover, if surgical occlusion of the superior canal (SC) results in symptoms control inducing a selective SC hypofunction, clinicians my sometimes accidentally detect a reduced SC VOR gain in asymptomatic patients with wide-sized dehiscence. These findings led authors to propose the occurrence either of a natural SC plugging (complete or incomplete) by middle fossa dura prolapsing into the canal lumen or a dispersion of mechanical energy through the dehiscence. Typical and atypical scenarios is presented. A subsample of patients from the personal series with a complete otoneurologic assessment (audiometry, VOG eye recording, air/bone-conducted cervical/ocular VEMPs, video head impulse test) is selected to explain these emerging theories on possible pathomechanisms.
2
https://www.audiologyonline.com/audiology-ceus/course/vemp-testing-and-analysis-with-35991
VEMP Testing and Analysis with the GSI Audera Pro
The GSI Audera Pro™ includes the VEMP Analysis Module which can be utilized by the clinician when analyzing cervical and optical VEMP recordings. This course will review collection protocols, how to perform and how to analyze oVEMP and cVEMP test data. VEMP CPT codes will be discussed.
auditory, textual, visual
129
USD
Subscription
Unlimited COURSE Access for $129/year
OnlineOnly
AudiologyOnline
www.audiologyonline.com
VEMP Testing and Analysis with the GSI Audera Pro
The GSI Audera Pro™ includes the VEMP Analysis Module which can be utilized by the clinician when analyzing cervical and optical VEMP recordings. This course will review collection protocols, how to perform and how to analyze oVEMP and cVEMP test data. VEMP CPT codes will be discussed.
35991
Online
PT30M
VEMP Testing and Analysis with the GSI Audera Pro
Course: #35991Level: Intermediate0.5 Hours
AAA/0.05 Intermediate; ACAud inc HAASA/0.5; BAA/0.5; CAA/0.5; IACET/0.1; IHS/0.5; Kansas, LTS-S0035/0.5; NZAS/1.0; SAC/0.5
The GSI Audera Pro™ includes the VEMP Analysis Module which can be utilized by the clinician when analyzing cervical and optical VEMP recordings. This course will review collection protocols, how to perform and how to analyze oVEMP and cVEMP test data. VEMP CPT codes will be discussed.