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Vestibular Dysfunction and Postural Changes in Children With Congenital Cytomegalovirus: A Systematic Review

A dispatch from PubMed — filed

The aim of this study was to investigate the prevalence of vestibular and/or postural balance alterations in children with congenital cytomegalovirus (cCMV) and to determine the association between the infection and these impairments compared to a control group.

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

Audiologists managing children with congenital CMV should routinely consider vestibular assessment, as this systematic review indicates vestibular dysfunction and postural imbalance are prevalent in this population.

✦ Why It Matters ✦

Vestibular involvement in cCMV is often under-recognized; a systematic review synthesizing prevalence data can prompt broader adoption of vestibular screening protocols in this high-risk pediatric group.

✦ Key Points ✦
  1. 01Systematic review of vestibular dysfunction and postural balance problems in children with congenital CMV infection.
  2. 02Inner-ear (cochlear and vestibular) damage from cCMV may co-occur, making combined audiological-vestibular assessment important.
  3. 03Published in Journal of Speech, Language, and Hearing Research (2026).
  4. 04Findings support adding vestibular evaluation to the standard cCMV follow-up pathway for children.
  5. 05Prevalence estimates synthesized across multiple studies provide stronger evidence than single studies.
✦ Claims & Evidence ✦

Vestibular dysfunction is prevalent in children with congenital CMV infection.

studysupported

Postural balance alterations are associated with congenital CMV infection in children.

studysupported
✦ Research metadata ✦
PMID
42139663
DOI
10.1044/2026_JSLHR-25-00586.
Journal
Journal of Speech, Language, and Hearing Research
Publication type
systematic_review
Evidence level
2a
Population
Children with congenital cytomegalovirus (cCMV) infection
Intervention
Systematic review of vestibular function and postural balance assessments in cCMV-affected children

Primary outcomes

Prevalence of vestibular dysfunction in children with cCMV; Prevalence of postural balance alterations in children with cCMV

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