Emergency Televestibular Diagnosis: Case Studies from Around the Globe

This article reviews established televestibular models from United States, Germany, and Australia. These services share core elements such as standardized history, targeted vestibular examinations, and remote expert interpretation. By extending neuro-otology expertise across multiple hospitals, they enhance equity and scalability while reducing unnecessary imaging, admissions, and missed strokes....

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Televestibular diagnosis programs share common service elements across countries, but this is a narrative review of international models — no actionable change to individual clinical practice is directly supported without local implementation context.

As telehealth expands, standardised remote vestibular assessment frameworks could reduce diagnostic delays and ED misdiagnosis of acute dizziness worldwide.

1. 01Reviews televestibular diagnosis models from the US, Germany, and Australia.
2. 02Identifies core service elements: standardised history-taking and targeted remote vestibular evaluation.
3. 03Published in Neurologic Clinics, focusing on emergency acute vestibular presentations.
4. 04Case-study format illustrates real-world implementation rather than controlled trial evidence.
5. 05Highlights growing feasibility of remote vestibular assessment in urgent care settings.

PMID

42869517

DOI

10.1016/j.ncl.2026.07.006.

Journal

Neurologic Clinics

Publication type

review

Evidence level

4

Population

International televestibular diagnosis programs and their patient populations presenting with acute vestibular complaints

Intervention

Televestibular diagnosis using standardised history-taking and remote vestibular evaluation