Persistent Dizziness and Time-Domain Dissociation in Vestibular Function: A Hypothesis-Generating Case Series and Spatiotemporal Framework for Targeted Vestibular Rehabilitation

/Objectives : Persistent dizziness after the apparent resolution of an acute or episodic vestibular disorder remains a frequent and clinically challenging condition. In many patients, symptoms persist despite negative positional testing, absence of spontaneous nystagmus, and preserved high-frequency vestibular responses on video head impulse testing....

This is hypothesis-generating only; the spatiotemporal framework is not yet validated, so no change to vestibular rehabilitation protocols is warranted until prospective studies confirm the model.

Persistent dizziness after acute vestibular events is a clinically challenging and under-addressed problem; a testable framework for subtyping these patients could eventually guide more individualised rehabilitation.

1. 01Case series of patients with persistent dizziness after resolution of acute or episodic vestibular disorders.
2. 02Authors propose a 'spatiotemporal framework' linking time-domain dissociation to ongoing dizziness symptoms.
3. 03The framework is explicitly hypothesis-generating, not a validated clinical tool.
4. 04Targeted vestibular rehabilitation approaches are suggested but not yet tested prospectively.
5. 05Findings add conceptual structure to the poorly understood phenotype of persistent vestibular symptoms.

PMID

42278813

DOI

10.3390/healthcare14111560.

Journal

Healthcare

Publication type

research_article

Evidence level

4

Population

Patients with persistent dizziness following resolution of acute or episodic vestibular disorders

Intervention

Spatiotemporal framework for vestibular rehabilitation targeting time-domain dissociation