Neurological update: neuro-otology 2023
Journal of Neurology, vol.270, no.12, pp.6170-6192, 2023 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 270 Issue: 12
- Publication Date: 2023
- Doi Number: 10.1007/s00415-023-11922-9
- Journal Name: Journal of Neurology
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, Veterinary Science Database
- Page Numbers: pp.6170-6192
- Keywords: Head impulse test, Positional vertigo, Meniere's disease, Vestibular migraine, Vestibular event monitoring, Vestibular machine learning
- Open Archive Collection: AVESIS Open Access Collection
- Dokuz Eylül University Affiliated: Yes
Abstract
Much has changed since our last review of recent advances in neuro-otology 7 years ago. Unfortunately there are still not many practising neuro-otologists, so that most patients with vestibular problems need, in the first instance, to be evaluated and treated by neurologists whose special expertise is not neuro-otology. The areas we consider here are mostly those that almost any neurologist should be able to start managing: acute spontaneous vertigo in the Emergency Room—is it vestibular neuritis or posterior circulation stroke; recurrent spontaneous vertigo in the office—is it vestibular migraine or Meniere's disease and the most common vestibular problem of all—benign positional vertigo. Finally we consider the future: long-term vestibular monitoring and the impact of machine learning on vestibular diagnosis.