Otolith organs play a central role in gaze stabilization, spatial orientation, and postural control. Advances in video-oculography have created new opportunities to assess this key aspect of vestibular function directly at the bedside....
✦ The floor
Discussion
Signed responses from readers of the wire.
Clinicians performing vestibular assessment should consider adding video-ocular counter-roll testing to evaluate otolith function, as this review provides practical guidance on test interpretation and equipment selection.
Otolith-ocular function testing is an underutilized dimension of vestibular assessment, and practical guidance on video-based methods could expand its adoption in clinical neuro-otology and audiology practice.
- 01Reviews clinical assessment of otolith-ocular function, a component of the inner-ear balance system.
- 02Video-ocular counter-roll (eye rotation in response to head tilt) is the primary technique discussed.
- 03Advances in video-oculography are enabling more precise otolith assessment at the bedside.
- 04Covers gaze stabilization and spatial orientation as outcome dimensions.
- 05Published as a practical guide in Neurologic Clinics, aimed at clinicians.
Video-oculography advances allow clinically practical assessment of otolith-ocular function.
guidelinepartially supportedVideo-ocular counter-roll is a valid measure of otolith-ocular function for gaze stabilization and spatial orientation assessment.
studypartially supported- PMID
- 42869516
- DOI
- 10.1016/j.ncl.2026.07.001.
- Journal
- Neurologic Clinics
- Publication type
- review
- Evidence level
- 5
- Population
- Patients undergoing clinical vestibular assessment for otolith-ocular function
- Intervention
- Video-ocular counter-roll assessment using video-oculography
Primary outcomes
Accuracy of otolith-ocular function assessment; Clinical utility of video-ocular counter-roll measurement