Persistent postural-perceptual dizziness (PPPD) is a chronic functional vestibular disorder characterized by non-spinning dizziness, postural instability, and hypersensitivity to visual and motion stimuli. While Bárány Society criteria enable diagnosis, the prognostic value of neuro-otological examinations remains unclear....
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Discussion
Signed responses from readers of the wire.
Neuro-otological testing may help rule out organic vestibular pathology in PPPD but is unlikely to be diagnostic on its own; clinicians should use findings as supportive rather than definitive criteria when diagnosing PPPD.
PPPD is frequently misdiagnosed or over-investigated; clarifying the role of neuro-otological testing could reduce unnecessary workup and improve diagnostic pathways for a highly prevalent chronic vestibular condition.
- 01Retrospective study assessed the value of neuro-otological exams in diagnosing PPPD.
- 02PPPD is a chronic functional vestibular disorder not caused by structural damage.
- 03Neuro-otological testing may help exclude organic causes rather than confirm PPPD.
- 04Retrospective design limits causal interpretation.
- 05Published in IAO (doi: 10.65717/iao.2026.252185).
Neuro-otological examinations have clinical significance in the diagnostic workup of persistent postural-perceptual dizziness.
studypartially supported- PMID
- 42732644
- DOI
- 10.65717/iao.2026.252185.
- Journal
- International Archives of Otorhinolaryngology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients diagnosed with persistent postural-perceptual dizziness
- Intervention
- Neuro-otological examination battery
Primary outcomes
Clinical significance of neuro-otological examination findings in PPPD diagnosis