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Otol Neurotol 2019 Apr;40(4):436-440

Faculty of Medicine, University of Paris 5, Paris, France.

Background: Tinnitus is frequently associated with a major hearing handicap, which has a significant impact on the quality of life of patients.

Aims: The goal was to analyze risk factors for tinnitus in patients followed in general practices in Germany.

Methods: Patients who had received a first tinnitus diagnosis in one of 928 general practices between January 2014 and December 2017 were included in this study. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):220-224

Center of Vertigo Clinic Research of Aerospace, General Hospital of PLA Air Force, Beijing, 100142, China.

To analyze the clinical features of secondary benign paroxysmal positional vertigo (BPPV) and provide evidence for its precise diagnosis and treatment. There were 942 patients with vertigo related to BPPV, including 204 patients with primary BPPV, 592 patients with vestibular migraine (VM), 83 patients with Meniere's disease (MD), 48 patients with vestibular neuronitis (VN), and 15 patients with sudden sensorineural hearing loss (SSNHL) accompanied by vertigo.There were 127 patients with BPPV secondary to vertigo in MD, VN, VM, and SSNHL. Read More

Otol Neurotol 2019 Mar;40(3):372-374

Department of OtoRhinoLaryngology, Head and Neck Surgery, Clinical Sciences Lund University, Skåne University Hospital, Lund, Sweden.

Objective: To present findings that suggest steroid treatment within 24 hours of onset of vestibular neuronitis results in better restitution of vestibular function than treatment between 25 and 72 hours.

Patients: Thirty-three consecutive patients (17 men, 16 women, mean age 57 yr, range 17-85 yr) with acute vestibular neuronitis and treated with steroids within 72 hours after symptom onset. Patients were divided into two groups depending on if they were treated within the first 24 hours or not. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;53(12):899-903

National Center for Children's Health of China, Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children' s Hospital, Capital Medical University, Beijing Key Laboratory for Pediatric Diseases of Otolaryngology-Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing 100045, China.

To investigate the clinical characteristics, prognosis and affected branches of vestibular neuritis in children. Twenty-five patients with vestibular neuritis in ENT department, Beijing Children's Hospital, from October 2015 to October 2016, were collected. All patients were 4-14 (mean 9. Read More

Eur Radiol 2018 Nov 9. Epub 2018 Nov 9.

Department of Neuroradiology and MRI, Grenoble Alpes University Hospital - SFR RMN Neurosciences, Grenoble, France.

Purpose: 3D-FLAIR sequences with delayed acquisition after contrast medium injection have demonstrated new insights into blood-labyrinthine barrier (BLB) abnormalities in various diseases. The aim of this study was to assess the BLB in patients referred with unilateral acute vestibular syndrome (UAVS).

Materials And Methods: In this retrospective multicenter imaging study, we performed 3D-FLAIR and steady-state free precession (SSFP) sequences 4 h after contrast medium administration in 26 healthy volunteers and in 30 patients with UAVS. Read More

Neuroimage Clin 2018 9;20:1010-1017. Epub 2018 Oct 9.

Neuro-otology Unit, Division of Brain Sciences, Charing Cross Hospital, Imperial College London, London W6 8RP, UK. Electronic address:

Vestibular neuritis (VN) is characterised by acute vertigo due to a sudden loss of unilateral vestibular function. A considerable proportion of VN patients proceed to develop chronic symptoms of dizziness, including visually induced dizziness, specifically during head turns. Here we investigated whether the development of such poor clinical outcomes following VN, is associated with abnormal visuo-vestibular cortical processing. Read More

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(8):38-42

Sechenov First Moscow State Medical University, Moscow, Russia.

Aim: To study the efficacy of various methods of non-drug therapy of diseases manifested by vertigo and dizziness in neurological practice.

Material And Methods: Referral and final diagnoses were compared after neurovestibular examination of 599 patients (177 men and 422 women), aged 25 to 79 years (mean age 55 years), with various causes of vertigo. Patients underwent vestibular rehabilitation, trainings on the stabiloplatform with biological feedback (biofeedback), repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Read More

Am J Otolaryngol 2018 Nov - Dec;39(6):751-753. Epub 2018 Aug 29.

Department of Neurology, Ningbo No. 2 Hospital, Ningbo, Zhejiang 315010, PR China. Electronic address:

Purpose: To investigate the relationship between cerebrovascular risk factors, including carotid plaques, and vestibular neuritis (VN).

Materials And Methods: According to the inclusion and exclusion criteria, this retrospective study included 90 VN patients and 74 age- and sex-matched healthy controls from January 2016 to December 2017. All subjects' records of cerebrovascular risk factors, such as age, sex, height, weight, history of hypertension and diabetes mellitus, living habits, serum levels of glucose, lipids, glycosylated haemoglobin (HbA1c), creatinine (CR), albumin (ALB), haemoglobin (HGB); and results of carotid colour Doppler ultrasound, were obtained and compared. Read More

J Laryngol Otol 2018 Jun;132(6):550-553

Department of Otolaryngology,Sheffield Teaching Hospitals,University of Sheffield,UK.

Background: Visual vertigo is defined as a condition in which there is worsening or triggering of vestibular symptoms in certain visual environments. Previous studies have associated visual vertigo with an increased prevalence of underlying white matter lesions on brain imaging.

Method: This study evaluated the magnetic resonance imaging scans of the brain from a cohort of patients with visual vertigo, and compared the outcomes to an age- and gender-matched group of healthy volunteers. Read More

Acta Otolaryngol 2018 Sep 17;138(9):785-789. Epub 2018 Jul 17.

d Department of Otolaryngology-Head and Neck Surgery, Asan Medical Center , University of Ulsan , Seoul , Republic of Korea.

Background: The peak head velocity influences on the video head impulse test (vHIT) results, but it has been not known how much the difference is.

Aims: To evaluate the clinical evidence for the superiority of high-velocity compared to low-velocity vHIT.

Material And Methods: vHIT was performed in 30 patients with vestibular neuritis using two peak head velocities (mean 80 vs. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(13):1034-1037

Downbeat nystagmus is not rare and usually considered as a central nervous system disease. However, there are a lot of diseases that present with downbeat nystagmus only or downbeat component in nystagmus, including peripheral and central vestibular diseases and Chiari malformations. This review will briefly summarize the vestibulo ocular reflexes and the mechanisms of the downbeat nystagmus with a peripheral origin, and then common vestibular disease such as the anterior semicircular canal benign paroxysmal positional vertigo,posterior semicircular canal benign paroxysmal positional vertigo, posterior semicircular canal light cupula, Meniere's disease and inferior vestibular neuritis are reviewed. Read More

Acta Otorhinolaryngol Ital 2018 Apr;38(2):138-144

Department of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Italy.

Summary: Conjugated cyclotorsion of the eyes toward the affected side can commonly be observed in vestibular neuritis. The aim of this study was to assess the differences in cyclotorsion between the ipsi- and contralesional eye during selective involvement of the superior branch of the vestibular nerve. We studied binocular cyclotorsion through ocular fundus photographs in 10 patients affected by acute superior vestibular neuritis (SVN). Read More

Vestn Otorinolaringol 2018;83(3):4-10

N.I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation, Moscow, Russia, 117997.

This article is focused on the peculiar features of diagnostics and treatment of dizziness and vertigo in the patients presenting with vestibular neuronitis. The authors present the detailed overview of various theories concerning etiology and pathogenesis of this condition, describe the methods for its clinical and instrumental diagnostics (including its differential diagnostics from other diseases associated with acute dizziness and vertigo). Special attention is given to the methods of pharmacological and physical rehabilitation of the patients suffering from vestibular neuronitis. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jun;32(11):827-830

Department of Otolaryngology Head and Neck Surgery, the Affiliated Sixth People's Hospital of Shanghai Jiao Tong University, Shanghai, 200233, China.

To explore the epidemiological characteristics and to help accomplish accurate diagnosis and treatment strategies by analyzing the composition and clinical features of various diseases with acute constant vertigo.We retrospectively analyzed medical records (including name, sex, age, diabetes, hypertension, history of vertigo, family history, etc.),otoneurological examination, vestibular function tests and radiological examination of patients with acute vestibular syndrome. Read More

Handb Clin Neurol 2018 ;155:301-312

Pediatric Neurology, Inselspital University Children's Hospital, University of Bern, Bern, Switzerland.

Stroke in older age has reached epidemic proportions worldwide, and an increasing incidence has also been recognized in young adults and children. This chapter deals with stroke occurring in the cerebellum. Cerebellar stroke may present in a completely different way from common stroke syndromes in the anterior cerebral circulation. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;32(10):758-761

Departmant of ENT, Dalian Medical University Affiliated to Dalian City Center Hospital,Dalian, 116033,China.

To analyze the etiological characteristics of patients in department of ENT with chief complaint of vertigo or dizziness in order to reduce the rate of misdiagnosis and wrong treatment. A total of 3 137 patients in department of ENT with chief complaint of vertigo or dizziness from Sep 2015 to Sep 2017 were included and the etiologies were clarified retrospectively. And in which with any of the 8 kinds of disease including benign paroxysmal positional vertigo(BPPV), vestibular neuritis, vestibular migraine (VM), Meiniére disease, recurrent vestibular disease, sudden deafness with vertigo, psychogenic vertigo, posterior circulation ischemia (PCI) together 2 138 patients were further stratified analyzed by gender and age. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 May;31(9):678-681

Tianjin Institute of Otolaryngology,Department of Otolaryngology-Head and Neck Surgery,the First Central Hospital of Tianjin.

To study the characteristics and clinical value of spontaneous nystagmus in patients with peripheral vestibular dysfunction.Sixty cases with acute unilateral peripheral vestibular dysfunction were studied.All were diagnozed as vestibular neuritis(VN) . Read More

J Neurol 2018 Oct 4;265(Suppl 1):35-39. Epub 2018 Jun 4.

Department of Computer, Electric and Biomedical Engineering, University of Pavia, Pavia, Italy.

The functional head impulse test is a new test of vestibular function based on the ability to recognize the orientation of a Landolt C optotype that briefly appears on a computer screen during passive head impulses imposed by the examiner over a range of head accelerations. Here, we compare its results with those of the video head impulse test on a population of vestibular neuritis patients recorded acutely and after 3 months from symptoms onset. The preliminary results presented here show that while both tests are able to identify the affected labyrinth and to show a recovery of vestibular functionality at 3 months, the two tests are not redundant, but complementary. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Apr;32(7):547-550

Department of Otorhinolaryngology, General Hospital of Chinese People's Armed Police Forces,Beijing,100039,China.

To analyze the clinical characteristics of patients with cerebellar and brainstem infarction who initially presented with isolated vertigo to avoid misdiagnosing of this disease.Eleven patients with cerebellar and brainstem infarction who initially presented with isolated vertigo treated in our clinic between January 2014 and September 2017 were reviewed and the clinical characteristics and imaging presentation of the patients were evaluated.Vertigo as the first attack was in 5 cases, recurrent attacks was in 6 cases,10 cases were with vascular risk factors except for 1 case, initially diagnosed as vestibular neuritis was 4 cases, Meniere's disease was 1 case, posterior circulartion ischemia was 1 case,and unknown causes was 5 cases; delayed neurological symptoms and signs occurring was 4 cases, but not in other cases; finally determined by brain MRI as acute cerebellar infarction was 5 cases, brainstem infarction was 5 cases, and concurrent cerebellar and brainstem infarction was 1 case. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;32(9):647-652

Department of Neurology ，JingAn District ZhaBei Central Hospital, Shanghai， 200070, China.

To compare the results of caloric tests and video head impulse tests (VHIT) in patients with vestibular migraine (VM) and vestibular neuritis (VN), so as to provide help for the differential diagnosis of the two patients. Retrospectively analyze VM and VN patients within 2 weeks of onset from August 1, 2016 to December 31, 2017 in neurology clinic of the Changzheng Hospital of Second Military Medical University, all patients were examined by caloric tests and VHIT, and the results of the two groups were compared and analyzed.The 40 cases of VM patients， among them, 23 cases were abnormal in caloric test, 17 cases showed unilateral canal paresis, 6 cases showed bilateral weakness, the unilateral abnormality rate was higher than that of bilateral abnormality（<0. Read More

Otol Neurotol 2018 Apr;39(4):474-480

Epidemiology, QuintilesIMS, Frankfurt, Germany.

Aim: The aim of this study was to analyze the prevalence of dizziness- and vertigo-related diagnoses in ear, nose, and throat (ENT) practices in Germany and the associated demographic characteristics based on data from a representative nationwide practice database.

Method: The study sample included patients from 138 ENT practices in Germany who received dizziness- and vertigorelated diagnoses (ICD-10 code) between January 2012 and December 2015. Collected parameters included age, sex, insurance status, prescribed medication (anatomical therapeutic chemical [ATC] class), and referrals to other specialists and hospitals. Read More

PLoS One 2018 7;13(3):e0192705. Epub 2018 Mar 7.

Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.

Objective: Poor sleep quality has a number of significant negative effects on daytime function. However, few studies have examined sleep quality in patients with dizziness. Here, we investigated the potential association between sleep quality and various types of dizziness. Read More

J Neurol 2018 Oct 5;265(Suppl 1):44-47. Epub 2018 Mar 5.

Department of Neurology, Ege University Medical School, 35100, Bornova, Izmir, Turkey.

HINTS battery involving head impulse test (HIT), nystagmus, and test of skew is the critical bedside examination to differentiate acute unilateral peripheral vestibulopathy from posterior circulation stroke (PCS) in acute vestibular syndrome (AVS). The highest sensitivity component of the battery has been reported to be the horizontal HIT, whereas skew deviation is defined as the most specific but non-sensitive sign for PCS. Video-oculography-based HIT (vHIT) may have an additional power in making the differentiation. Read More

Ear Nose Throat J 2018 Jan-Feb;97(1-2):16-23

Otoneurology Unit, Lin Medical Center, Rotschild Ave. 35, Haifa 3515209, Israel.

We conducted a study to compare how well the head impulse test (HIT), without and with eye-movement recordings, would predict videonystagmographic (VNG) caloric test lateralization when performed by a resident and an experienced otoneurologist. This prospective, open-label, blinded study was conducted in an ambulatory tertiary care referral center. Our study population was made up of 60 patients-29 men and 31 women, aged 20 to 82 years (mean: 56. Read More

Vestn Otorinolaringol 2018;83(1):27-31

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.

Aim: The objective of the present study was to elucidate the mechanisms behind the compensation of the vestibular ocular reflex and evaluate the effectiveness of vestibular rehabilitation in the patients presenting with vestibular neuritis (VN) with the application of the video head-impulse test (vHIT) and the dynamic visual acuity test (DVAT).

Methods: The study included 26 patients with vestibular neuritis whose condition was assessed by scoring based on the dizziness handicap inventory, the dynamic visual acuity test, and the video head-impulse test with the evaluation of saccades and the degree of eye-head movement coordination (gain) before and after the course of vestibular rehabilitation.

Results: The study has demonstrated that the course of vestibular rehabilitation of the patients presenting with vestibular neuritis resulted in a significant decrease in the scores of dizziness estimated based on the dizziness handicap inventory and an improvement of dynamic visual acuity in the case of the complete gain recovery as well as in the case of persisting impairment of the gain and the development of sufficient 'covert' saccade. Read More

Am J Audiol 2018 Mar;27(1):19-24

Department of Hearing and Speech Sciences, Vanderbilt Bill Wilkerson Center, Nashville, TN.

Purpose: This clinical report is presented to describe how results of vestibular function testing were considered along with other medical history to develop a management plan that was ultimately successful.

Method: The patient underwent audio-vestibular assessment including comprehensive audiogram, videonystagmography, cervical vestibular evoked myogenic potential, and postural stability testing.

Results: Results from initial testing were most consistent with uncompensated peripheral vestibular dysfunction affecting the right superior vestibular nerve. Read More

Praxis (Bern 1994) 2018 Jan;107(2):87-93

1 Klinik für Neurologie, Kantonsspital St. Gallen.

Laryngoscope 2018 08 13;128(8):1946-1951. Epub 2018 Jan 13.

Department of Radiology, College of Medicine, Hanyang University, Seoul, Republic of Korea.

Objective: To investigate the clinical significance of 4-hour delayed-enhanced 3.0 Tesla three-dimensional (3D) fluid-attenuated inversion recovery (FLAIR) magnetic resonance (MR) imaging in acute vestibular neuritis.

Study Design: A prospective observational study. Read More

Ugeskr Laeger 2018 01;180(1)

Patients with acute central vestibular syndrome (AVS) can mimic acute peripheral vestibulopathy, which can mislead to a diagnosis of posterior fossa infarcts. Delayed diagnosis will prevent relevant treatment and may lead to severe disability and in worst case death. Understanding of AVS is extremely relevant for physicians in hospital and prehospital care to insure the right treatment. Read More

Auris Nasus Larynx 2018 Oct 16;45(5):916-921. Epub 2017 Dec 16.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbyeongwon-gil, Songpa-gu, Seoul, Korea. Electronic address:

Objective: Sensory organization test (SOT) is used to evaluate postural instability. We wanted to characterize the SOT findings in patients with acute vestibular neuritis (VN).

Methods: Eighty-seven patients with VN were enrolled. Read More

Orv Hetil 2017 Dec;158(51):2029-2040

Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.

Introduction And Aim: To diagnose acute vestibular syndrome (AVS) in a prospective study by a new bedside test (providing 1A evidence) based on oculomotor analysis and assessment of hearing loss. To assess the frequency of central and peripheral causes of acute vestibular syndrome in the emergency room. To establish the diagnostic accuracy of acute cranial computed tomography as compared to oculomotor analysis done by video oculography goggles and audiometry. Read More

Rehabil Nurs 2017 Sep/Oct;42(5):274-281

1 School of Health and Medical Sciences, Örebro University, Stockholm, Sweden2 Red Cross University College, Stockholm, Sweden3 Department of Clinical Neuroscience, Karolinska Institutet and Hospital, Stockholm, Sweden4 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Purpose: To explore the feasibility and possible outcomes of a nursing intervention in patients with peripheral vestibular disorders.

Design: A randomized controlled trial (RCT).

Methods: Thirty-six patients participated in the study: the intervention group (n = 18), who received the intervention, and patients in a control group (n = 18), who received standard care. Read More

Pract Neurol 2018 Apr 5;18(2):162-165. Epub 2017 Dec 5.

Department of Neurology, Wellington Hospital, Wellington, New Zealand.

The acute vestibular syndrome is common and usually has a benign cause. Sometimes, however, even experienced neurologists can find it difficult to determine the cause clinically. Furthermore, neuroimaging is known to be insensitive. Read More

Otol Neurotol 2017 12;38(10):e531-e538

*Division of Audiology and Neurootology, Department of ORL, University of Basel Hospital, Switzerland †Radboud University, Nijmegen, The Netherlands.

Background: Patients with an acute unilateral peripheral vestibular deficit (aUPVD), presumed to be caused by vestibular neuritis, show asymmetrical vestibular ocular reflexes (VORs) that improve over time. Questions arise regarding how much of the VOR improvement is due to peripheral recovery or central compensation, and whether differences in peripheral recovery influence balance control outcomes.

Methods: Thirty patients were examined at aUPVD onset and 3, 6, and 13 weeks later with four different VOR tests: caloric tests; rotating (ROT) chair tests performed in yaw with angular accelerations of 5 and 20 degrees/s; and video head impulse tests (vHIT) in the yaw plane. Read More

Neuropsychologia 2017 Dec 28;107:1-8. Epub 2017 Oct 28.

Department of Psychology, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland; Center for Cognition, Learning and Memory, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland.

Broad cognitive difficulties have been reported in patients with peripheral vestibular deficit, especially in the domain of spatial cognition. Processing and manipulating numbers relies on the ability to use the inherent spatial features of numbers. It is thus conceivable that patients with acute peripheral vestibular deficit show impaired numerical cognition. Read More

Clin Neurophysiol 2017 12 20;128(12):2491-2492. Epub 2017 Oct 20.

Yoshimura ENT Clinic, Japan.

Pediatr Emerg Care 2017 Oct 31. Epub 2017 Oct 31.

From the Department of Pediatrics, Temple University School of Medicine, Philadelphia, PA.

Objectives: Vertigo is a relatively common complaint in children with 5.3% of pediatric patients complaining of this symptom. Although the causes of vertigo have been well established in adults, the diagnoses in children have not been well described. Read More

J Vestib Res 2017 ;27(4):233-242

Department of Neurology, Ege University School of Medicine, Bornova, Izmir, Turkey.

Introduction: Head impulse test (HIT) is the critical bedside examination which differentiates vestibular neuritis (VN) from posterior circulation stroke (PCS) in acute vestibular syndrome (AVS). Video-oculography based HIT (vHIT) may have aadditional strength in making the differentiation.

Methods: Patients admitted to the emergency department of a tertiary-care medical center with AVS were studied. Read More

Gait Posture 2018 01 4;59:157-161. Epub 2017 Oct 4.

Department Otorhinolaryngology, Toho University, Sakura City, Japan.

During attacks of vestibular neuritis (VN), patients typically lose postural balance, with resultant postural inclination, gait deviation toward the lesion side, and tendency to fall. In this study, we examined and analyzed static and dynamic postural control during attacks of VN to characterize differences in postural control between right and left VN. Subjects were patients diagnosed with VN at the Department of Otolaryngology, Toho University Sakura Medical Center, and underwent in-patient treatment. Read More

Rev Med Suisse 2017 Oct;13(577):1690-1692

Unité d'otoneurologie et audiologie, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, CHUV, 1011 Lausanne.

Inferior vestibular neuritis is a rare form of acute peripheral vestibular loss that only implies the lesion of the inferior vestibular nerve. The diagnosis is based on the observation of a spontaneous downbeating nystagmus, pathological head impulse test for the posterior semicircular canal and abnormal cervical vestibular-evoked myogenic potentials. Bithermal caloric testing and head impulse test for horizontal and anterior canals are normal, as well as the ocular vestibular-evoked myogenic potentials. Read More

Otol Neurotol 2017 12;38(10):e460-e469

*Department of Otorhinolaryngology, Jena University Hospital, Jena †Department of Otorhinolaryngology, Zentralklinikum, Suhl ‡Department of Otorhinolaryngology, Südharz-Krankenhaus gGmbH, Nordhausen §Department of Otorhinolaryngology, HELIOS-Klinikum, Erfurt ||Department of Otorhinolaryngology, Sophien/Hufeland-Klinikum, Weimar ¶Department of Otorhinolaryngology, Klinikum Bad Salzungen, Bad Salzungen #Department of Otorhinolaryngology, SRH Wald-Klinikum, Gera **Department of Otorhinolaryngology, Ilm-Kreis-Kliniken, Arnstadt ††Hans Berger Department of Neurology, Jena University Hospital, Jena, Germany.

Objective: To determine inpatient treatment rates of patients with dizziness with focus on diagnostics, treatment and outcome.

Study Design: Retrospective population-based study.

Setting: Inpatients in the federal state Thuringia in 2014. Read More

Nervenarzt 2017 Dec;88(12):1439-1459

Neurologische Abteilung, Asklepios Klinik Barmbek, 22291, Hamburg, Deutschland.

Cranial nerve lesions require a thorough diagnostic work-up and known etiologies have to be excluded before the term idiopathic can be considered. The focus of the present review is on idiopathic peripheral facial nerve paralysis (Bell's palsy) for which this terminology has been established. For all other cranial nerve lesions the typical clinical signs, established etiologies and possible diagnostic pitfalls are discussed. Read More

Otol Neurotol 2017 12;38(10):e457-e459

*Division of Neurotology and Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery †Department of Biomedical Engineering, University of California, Irvine, Irvine, California.

Objective: To report findings from a cohort of vestibular schwannoma (VS) patients presenting with vertigo from a secondary comorbid vestibular disorder; and to discuss management strategies for this subset of patients presenting with both episodic vertigo and VS.

Patients: All VS patients who presented with vertigo as the primary symptom from 2012 to 2015 and endorsing no other major complaints were examined.

Intervention: Treatment with migraine lifestyle and prophylactic therapy, or Epley maneuver. Read More

Can J Neurol Sci 2017 Sep;44(5):556-561

1Department of Neurology,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University,Hangzhou,China.

Background: This study assesses the value of the video head impulse test (vHIT) for early diagnosis of vestibular neuritis (VN) among acute vertigo.

Methods: Thirty-three cases of vestibular neuritis (VN), 96 patients with other acute vertigo (AV), and 50 cases of normal controls used vHIT to quantitatively test a pair of horizontal vestibulo-ocular reflection (VOR) gains, two pairs of vertical VOR gains, and the corresponding three pairs of VOR gain asymmetry. The peculiarity of VOR gains in VN and the differences between VN and other AV, normal controls by vHIT, were collected and analyzed. Read More

J Biomed Opt 2017 Aug;22(8):1-7

Dankook University College of Medicine, Department Otolaryngology-Head and Neck Surgery and Beckman, Republic of Korea.

Gentamicin, which is still used in modern medicine, is a known vestibular toxic agent, and various degrees of balance problems have been observed after exposure to this pharmacologic agent. Photobiomodulation is a candidate therapy for vertigo due to its ability to reach deep inner ear organs such as the cochlea. Previous reports have suggested that photobiomodulation can improve hearing and cochlea function. Read More

Otol Neurotol 2017 10;38(9):e357-e363

*Apeldoorn Dizziness Centre, Gelre Hospital, Apeldoorn †Department of Otorhinolaryngology-Head and Neck Surgery, Leiden University Medical Centre, Leiden, The Netherlands.

Objective: We aimed to systematically investigate the clinical characteristics of benign recurrent vestibulopathy (BRV), vestibular migraine (VM), and Menière's disease (MD) and to assess whether clinical symptoms exist that are unique to BRV.

Study Design: Prospective cohort study.

Setting: Tertiary referral center. Read More

Artif Intell Med 2017 07 23;80:48-62. Epub 2017 Jul 23.

University of Tunis, The National Engineering School of Tunis (ENSIT), Laboratory of Signal Image and Energy Mastery, LR13ES03 (SIME), Tunis, Tunisia. Electronic address:

The diagnostic of the vestibular neuritis (VN) presents many difficulties to traditional assessment methods This paper deals with a fully automatic VN diagnostic system based on nystagmus parameter estimation using a pupil detection algorithm. A geodesic active contour model is implemented to find an accurate segmentation region of the pupil. Hence, the novelty of the proposed algorithm is to speed up the standard segmentation by using a specific mask located on the region of interest. Read More

Ann Otol Rhinol Laryngol 2017 Aug;126(8):597-601

4 Department of Otolaryngology - Head & Neck Surgery, Assuta University Hospital, Ashdod, Israel and Ben-Gurion University of the Negev Faculty of Health Sciences.

Objective: To investigate the correlation between cardiovascular risk factors (CVRFs) and vestibular neuritis (VN) in hospitalized adult patients.

Methods: A cross-sectional retrospective study was conducted in a tertiary hospital setting. The medical records of patients (aged over 18 years old) who were hospitalized between the years 2005 and 2014 with the diagnosis of VN were retrieved. Read More

Intern Med J 2017 Dec;47(12):1352-1360

Department of Neurology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

This review article aims to provide an evidence-based approach to evaluating the patient who presents with acute prolonged, spontaneous vertigo in the context of the acute vestibular syndrome (AVS). Differentiation of posterior circulation stroke (PCS) presenting as an AVS has been regarded as an important diagnostic challenge for physicians involved in acute care. Current evidence suggests that a targeted approach to history taking and physical examination with emphasis on the oculomotor examination, more specifically the HINTS (Head Impulse/Nystagmus/Test-of-skew) examination battery, yields a higher sensitivity for the diagnosis of PCS than even standard magnetic resonance imaging with diffusion-weighted imaging. Read More

Vestn Otorinolaringol 2017;82(3):75-79

L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.

The objective of the present review of the literature is the analysis of the currently available data concerning etiology and pathogenesis of benign paroxysmal positional vertigo (BPPV). The special emphasis is placed on the modern hypotheses of BPPV formation that collectively account for not more than 15% of all known cases of this condition. The best explored are the following causes of benign paroxysmal positional vertigo: vestibular neuronitis, head injuries, and disorders in the middle ear. Read More