Abstract
Patients with primary otologic disorders are at risk of a number of neurologic manifestations, in part due to the close proximity of the inner ear to the central nervous system and cranial nerves. Patients presenting with acute vestibulopathy may have either an inner ear problem or a posterior fossa lesion in the brain; distinguishing these two possibilities is crucial to rapid triage and diagnosis. A variety of otoneurologic manifestations of systemic disorders should be considered when patients with these diseases present with new neurologic or otologic symptoms. This chapter focuses on these conditions as well as the neuro-otologic manifestations of aging, including loss of balance and hearing difficulties.
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