Dizziness is a common presenting symptom that is often misdiagnosed. The first step towards diagnosis of the underlying vestibular disorder is recognition of the vestibular syndrome, after which targeted examination and testing provide the diagnosis. We therefore developed and evaluated a digital history tool to aid clinicians in selecting the correct vestibular syndrome.
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change yet — the digital neurotology history tool is in early validation; await reliability and accuracy data from larger, more diverse cohorts before adopting it in practice.
Standardising how vestibular history is captured digitally could reduce missed or delayed diagnoses of dizziness disorders across varied clinical settings.
- 01Developed a structured digital tool to record patient history for dizziness/vestibular complaints.
- 02Primary goal was evaluating inter-rater reliability — i.e., consistency between different clinicians using the same tool.
- 03Targets improved recognition and diagnosis of underlying vestibular disorders.
- 04Inter-rater reliability is a key psychometric step before clinical deployment.
- 05Published in a peer-reviewed otolaryngology journal (DOI: 10.1007/s00405-026-10459-7).
The digital neurotology history tool demonstrates inter-rater reliability for assessing dizziness presentations.
studyunclearA standardised digital history tool can improve recognition and diagnosis of vestibular disorders.
studypartially supported- PMID
- 42507211
- DOI
- 10.1007/s00405-026-10459-7.
- Journal
- European Archives of Oto-Rhino-Laryngology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients presenting with dizziness evaluated using a digital neurotology history tool
- Intervention
- Digital neurotology history-taking tool for dizziness assessment
Primary outcomes
Inter-rater reliability of the digital neurotology history tool