Vestibular disorders
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Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society Open
This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic cr…
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Benign paroxysmal positional vertigo: Diagnostic criteria Open
This article presents operational diagnostic criteria for benign paroxysmal positional vertigo (BPPV), formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society. The classification reflects current knowle…
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Persistent postural-perceptual dizziness (PPPD): a common, characteristic and treatable cause of chronic dizziness Open
Persistent postural-perceptual dizziness (PPPD) is a newly defined diagnostic syndrome that unifies key features of chronic subjective dizziness, phobic postural vertigo and related disorders. It describes a common chronic dysfunction of t…
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Classification of vestibular signs and examination techniques: Nystagmus and nystagmus-like movements Open
This paper presents a classification and definitions for types of nystagmus and other oscillatory eye movements relevant to evaluation of patients with vestibular and neurological disorders, formulated by the Classification Committee of th…
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Use of Virtual Reality Tools for Vestibular Disorders Rehabilitation: A Comprehensive Analysis Open
Classical peripheral vestibular disorders rehabilitation is a long and costly process. While virtual reality settings have been repeatedly suggested to represent possible tools to help the rehabilitation process, no systematic study had be…
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Vestibular migraine and recurrent vertigo of childhood: Diagnostic criteria consensus document of the Classification Committee of Vestibular Disorders of the Bárány Society and the International Headache Society Open
This paper describes the diagnostic criteria for “Vestibular Migraine of Childhood”, “probable Vestibular Migraine of Childhood” and “Recurrent Vertigo of Childhood” as put forth by the Committee for the Classification of Vestibular Disord…
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SARS-CoV-2 (COVID-19) and audio-vestibular disorders Open
To describe the audio-vestibular disorders related to the newly SARS-CoV-2 infection, including the possible ototoxicity side-effects related to the use of drugs included in the SARS-CoV-2 treatment protocols. A systematic review was perfo…
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Milestones in the development of a vestibular implant Open
Purpose of review Bilateral vestibular deficits exist and their prevalence is more important than believed by the medical community. Their severe impact has inspired several teams to develop technical solutions in an attempt to rehabilitat…
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Vestibular Deficits in Neurodegenerative Disorders: Balance, Dizziness, and Spatial Disorientation Open
The vestibular system consists of the peripheral vestibular organs in the inner ear and the associated extensive central nervous system projections-from the cerebellum and brainstem to the thalamic relays to cortical projections. This syst…
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A review on screening tests for vestibular disorders Open
Although many studies have reported on tests of the vestibular system a valid and reliable, evidence-based screening battery for easy clinical use remains elusive. Many screening tests attempt to assess the vestibulo-ocular reflex. Therefo…
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Management of Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo Open
Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vestibular vertigo. It is caused by free-floating otoconia moving freely in one of the semicircular canals (canalolithiasis) or by otoliths adhered to the c…
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A Conceptual Framework for the Progression of Balance Exercises in Persons with Balance and Vestibular Disorders. Open
There is little information in peer-reviewed literature to specifically guide the choice of exercise for persons with balance and vestibular disorders. The purpose of this study is to provide a rationale for the establishment of a progress…
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Vestibular Thresholds: A Review of Advances and Challenges in Clinical Applications Open
Vestibular disorders pose a substantial burden on the healthcare system due to a high prevalence and the severity of symptoms. Currently, a large portion of patients experiencing vestibular symptoms receive an ambiguous diagnosis or one th…
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Care Gaps and Recommendations in Vestibular Migraine: An Expert Panel Summit Open
Vestibular migraine (VM) is an increasingly recognized pathology yet remains as an underdiagnosed cause of vestibular disorders. While current diagnostic criteria are codified in the 2012 Barany Society document and included in the third e…
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Vestibular disorders following different types of head and neck trauma Open
This review focuses on the published literature on vestibular disorders following different types of head and neck trauma. Current knowledge of the different causes and underlying mechanisms of vestibular disorders, as well as the sites of…
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“SO STONED”: Common Sense Approach of the Dizzy Patient Open
The history taking of a dizzy patient is of utmost importance in order to differentiate the possible etiologies of vertigo. The key factors that allow a first approximation of diagnosis identification are based on the time profile, symptom…
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Machine Learning Techniques for Differential Diagnosis of Vertigo and Dizziness: A Review Open
Vertigo is a sensation of movement that results from disorders of the inner ear balance organs and their central connections, with aetiologies that are often benign and sometimes serious. An individual who develops vertigo can be effective…
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Opinion and Special Articles: Remote Evaluation of Acute Vertigo Open
Patients with acute vestibular disorders are often a diagnostic challenge for neurologists, especially when the evaluation must be conducted remotely. The clinical dilemma remains: Does the patient have a benign peripheral inner ear proble…
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Health‐related quality of life and functional impairment in acute vestibular disorders Open
Background and purpose Acute vestibular symptoms have a profound impact on patients’ well‐being. In this study, health‐related quality of life (HRQoL) and functional impairment were investigated prospectively in patients with different per…
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Prevalence of Vestibular Disorder in Older People Who Experience Dizziness Open
Dizziness and imbalance are clinically poorly defined terms, which affect ~30% of people over 65 years of age. In these people, it is often difficult to define the primary cause of dizziness, as it can stem from cardiovascular, vestibular,…
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Vestibular Functioning in Children with Neurodevelopmental Disorders Using the Functional Head Impulse Test Open
Several studies in children with neurodevelopmental disorders (NDDs) including autism spectrum disorders (ASDs), reading impairment, or attention deficit/hyperactive disorder (ADHD) pointed toward a potential dysfunction of the vestibular …
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Identification of New Biomarkers of Posturo-Locomotor Instability in a Rodent Model of Vestibular Pathology Open
The vestibular system plays a crucial role in maintaining postural balance. Unilateral vestibular lesions result in a typical syndrome characterized by postural imbalance, altered locomotor patterns and gaze stabilization, as well as cogni…
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Chronic vertigo: treat with exercise, not drugs Open
#### What you need to know Chronic vertigo is a challenging problem. Currently patients are generally treated in general practice with betahistine (off-label use), while stronger evidence exists for the effectiveness of vestibular rehabili…
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Clinician’s perspectives in using head impulse-nystagmus-test of skew (HINTS) for acute vestibular syndrome: UK experience Open
Background Acute vestibular syndrome (AVS) features continuous dizziness and may result from a benign inner ear disorder or stroke. The head impulse-nystagmus-test of skew (HINTS) bedside assessment is more sensitive than brain MRI in iden…
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Physical Therapy for Posterior and Horizontal Canal Benign Paroxysmal Positional Vertigo: Long-term Effect and Recurrence: A Systematic Review Open
Introduction Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, and it is characterized by episodes of vertigo roundabout when the head is moved. A systematic review was performed using the most important scie…
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Gender differences in audio-vestibular disorders Open
In the last years, the attention to the role of gender in physiopathology and pharmacology of diseases in several medical disciplines is rising; however, the data on the relationship between gender and audio-vestibular disorders are still …
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Feasibility of integrating vestibular rehabilitation and cognitive behaviour therapy for people with persistent dizziness Open
NCT02655575. Registered 14 January 2016-retrospectively registered.
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Central vestibular dysfunction: don’t forget vestibular rehabilitation Open
VR works on the vestibular system through repetition of specific physical exercises that activate central neuroplastic mechanisms to achieve adaptive compensation of the impaired functions. VR has become a mainstay in the management of pat…
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Clinical Evaluation of Patients with Vestibular Dysfunction Open
Dizziness is a common reason for outpatient neurology consultation. Oftentimes, a complete workup by general practitioner, including MRI brain fails to reveal a cause. Some patients would have also undergone an ENT evaluation before approa…
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Advances in the Diagnosis and Treatment of Vestibular Disorders: Psychophysics and Prosthetics Open
Although vestibular disorders are common and often disabling, they remain difficult to diagnose and treat. For these reasons, considerable interest has been focused on developing new ways to identify peripheral and central vestibular abnor…