ENT vs. Neurology Cases

[pigicorn]

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It seems to me that there are certain conditions (i.e. those with vestibular signs, etc) that could be referred to either ENT or a neurology for non-surgical management. Could anyone comment on the overlap between these specialties and how these kinds of cases tend to get divided between ENT and neurology clinics?

 

[Fah-Q]

It seems to me that there are certain conditions (i.e. those with vestibular signs, etc) that could be referred to either ENT or a neurology for non-surgical management. Could anyone comment on the overlap between these specialties and how these kinds of cases tend to get divided between ENT and neurology clinics?

Central causes of vertigo --> neurology --> MRI --> vestibular rehab

Peripheral causes of vertigo --> ENT --> MRI --> vestibular rehab

Dizzy patients sent to me --> I burn the referring doc's house down

 

[OtoHNS]

Central causes of vertigo --> neurology --> MRI --> vestibular rehab

Peripheral causes of vertigo --> ENT --> MRI --> vestibular rehab

Dizzy patients sent to me --> I burn the referring doc's house down

Haha, yeah pretty much. I feel like my job is to figure out if the patient's "dizziness" is in fact inner ear related and if so to treat the problem. Most dizzy patients regardless of their underlying problem will get better with time and/or physical therapy/vestibular rehab. A lot of the time, "dizziness" is just being off balance due to a combination of a. being old, b. deconditioning due to c. multiple comorbidities and d. being on dozens of medications. There's no easy fix for that.