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Neurootological Aspects of Medical Expertise in Whiplash Asso
Neurootological Aspects of Medical Expertise in Whiplash Asso
March 23-26,
2000
Docteur Raymond BONIVER
O.R.L.
Collaborateur et Maître de
Conférences à l’Université de
LIEGE
NEUROOTOLOGICAL
ASPECTS OF MEDICAL
EXPERTISE IN WHIPLASH
ASSOCIATED DISORDERS
INTRODUCTION
The legal redress for bodily injury goes
back to the very ancient concept of « Eye
for an eye - tooth for a tooth ». It is really
a kind of revenge fee for body lesions.
The financial compensation is the
civilised way to restore justice.
The need for a referee to avoid excess
compensation has quickly appeared.
This referee is the expert. He has to be
neutral and must detail the extent of the
lesions.
When it comes to evaluating bodily
injury, not only are the same terms
concerning invalidity, incapacity, etc.,
not used throughout the various
countries, but also the same terms - for
example, invalidity, have a different
sense from one country to the other. The
laws and their interpretations are also
different.
NEUROPHYSIOLOGY
GUIDE FOR
OTONEUROLOGICAL
APPROACH
Equilibrium Tests
1. Oculomotricity study
• Saccadic tests
• Pursuit tests
• Optokinetic tests
2. Vestibulo-ocular reflex study
• Spontaneous nystagmus:
• Head shaking nystagmus (Vidéo 1)
• Position and positioning nystagmus
• Rotatory tests
• Caloric tests
3. Posture tests
4. Gait tests
5. Various: . Vegetative disturbance analysis
. Cortico-equilibrium tests
Audiological Tests
These include:
1. Tonal audiometry
2. Supra-threshold audiometry
3. Speech audiometry
4. Tests for malignering
5. Evoked potentials
• BERA
• Middle latency
• Cortical audiometry
6. Tympanogram and stapedius reflex
7. Acoustic otoemission
Other Cranial Nerve Examinations