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Assessment of the Vestibulo-Ocular reflex in polycystic Ovary Syndrome: a Case-Control study using video head impulse testing

A dispatch from PubMed — filed

Polycystic ovary syndrome (PCOS) is a common endocrine disorder that may affect multiple organ systems. While cochlear and otolith involvement has been investigated, the impact on semicircular canal-mediated vestibulo-ocular reflex (VOR) function remains unclear....

Clinical Takeaway

Findings are preliminary; audiologists and vestibular specialists should be aware that PCOS may be associated with vestibulo-ocular reflex changes, but evidence is insufficient to alter vestibular screening or referral practice at this time.

Why It Matters

If PCOS is confirmed as a risk factor for vestibular dysfunction, it could broaden indications for vestibular screening in women of reproductive age attending ENT or audiology clinics.

Key Points
  1. 01Case-control design compared vHIT findings in women with PCOS versus controls without the condition.
  2. 02vHIT measures the vestibulo-ocular reflex (VOR), which keeps vision stable during head movement.
  3. 03PCOS is a common endocrine (hormonal) disorder; its vestibular effects are poorly understood.
  4. 04Study explores a novel link between hormonal and vestibular health.
  5. 05Results are exploratory and need replication before any clinical guidance changes.
Claims & Evidence

Women with polycystic ovary syndrome show measurable differences in vestibulo-ocular reflex function compared to controls on vHIT.

studyunclear
Research metadata
PMID
42228394
DOI
10.1080/00016489.2026.2677603.
Journal
Acta Oto-Laryngologica
Publication type
research_article
Evidence level
3
Population
Women with polycystic ovary syndrome (PCOS) compared to healthy female controls
Intervention
Video head impulse testing (vHIT) to assess vestibulo-ocular reflex in PCOS
Comparator
Healthy female controls without PCOS

Primary outcomes

Vestibulo-ocular reflex (VOR) gain measured by vHIT; Presence of saccades (corrective eye movements) on vHIT

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