Vestibular neurology has undergone substantial evolution over the past two decades, driven by advances in bedside diagnostics, neuroimaging, computational neuroscience, and therapeutics. Despite this progress, dizziness and vertigo remain among the most common yet diagnostically challenging neurological complaints....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change from this review alone; it provides a useful orientation to evolving diagnostic tools (e.g., video head impulse test, MRI advances) and computational approaches, but does not present new trial evidence requiring immediate practice adjustment.
Vestibular disorders are frequently underdiagnosed and mismanaged; a synthesis of two decades of diagnostic advances helps position audiologists and neurologists to adopt emerging tools and collaborative care models more rapidly.
- 01Narrative review spanning 20 years of vestibular neurology evolution in Science Progress.
- 02Covers advances in bedside diagnostics, neuroimaging, and computational neuroscience.
- 03Highlights persistent diagnostic challenges in differentiating vestibular pathologies.
- 04Identifies emerging clinical opportunities from technology-driven diagnostic innovation.
- 05Relevant to audiologists involved in vestibular assessment and balance rehabilitation.
Advances in bedside diagnostics, neuroimaging, and computational neuroscience have improved the identification and management of vestibular disorders over the past two decades.
opinionpartially supported- PMID
- 42690097
- DOI
- 10.1177/00368504261484700.
- Journal
- Science Progress
- Publication type
- review
- Evidence level
- 5
- Population
- Patients with vestibular disorders (synthesised across reviewed literature)
- Intervention
- Bedside diagnostics, neuroimaging, and computational neuroscience approaches in vestibular neurology
Primary outcomes
Diagnostic accuracy and clinical utility of emerging vestibular assessment tools