PU¶PubMed·Journal article·Vestibular·8w agoThe clinical value of vHIT saccadic parameters in the diagnosis and management of central vestibular disorders: a narrative reviewvHIT saccadic parameters show promise for distinguishing central from peripheral vestibular disorders, but as a narrative review this paper cannot establish definitive diagnostic thresholds; clinicians should treat findings as hypothesis-generating rather than practice-changing.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoDetecting simulated skew deviation using a smartphone eye-tracking application (EyePhone): a feasibility studyPreliminary feasibility only — smartphone-based skew deviation detection using EyePhone shows early promise but cannot yet replace clinical HINTS exam or specialist assessment; no practice change warranted until prospective patient trials are completed.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoDegeneration rather than hypoplasia may be the pathologic feature of the endolymphatic sac in patients with ipsilateral delayed endolymphatic hydropsThis pathological finding suggests degeneration — not congenital underdevelopment — drives endolymphatic sac dysfunction in delayed endolymphatic hydrops, which may eventually influence how this condition is distinguished from Ménière's disease in diagnosis and management.＋Save
PU¶PubMed·Journal article·Cochlear implants·2mo agoCochlear implant artifact analysis in cranial MRI: effects of field strength and imaging sequenceAudiologists and cochlear implant teams should note that MRI field strength and sequence selection meaningfully affect artifact size for the CS-30A implant; consult with radiology when ordering post-implant cranial MRI to choose the least artifact-prone protocol.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoAltered spontaneous brain activity and functional connectivity in persistent postural-perceptual dizzinessThis neuroimaging study advances the biological understanding of PPPD but does not yet offer a clinically actionable diagnostic or therapeutic tool for vestibular specialists; no practice change is warranted.＋Save
PU¶PubMed·Journal article·Tinnitus·2mo ago6-month symptom changes and factors associated with treatment response following combined acupuncture, moxibustion, and cupping protocol in patients with primary tinnitus: a retrospective cohort studyEvidence is retrospective and uncontrolled; no actionable change to tinnitus management protocols is warranted until prospective, controlled trials confirm these findings.＋Save
PU¶PubMed·Journal article·Research (general)·2mo agoDiagnostic accuracy of blast-induced traumatic brain injury: a systematic review and meta-analysisNo direct change to audiological practice is indicated, but audiologists working with military or blast-exposed populations should be aware that blast-induced traumatic brain injury remains diagnostically challenging, which has implications for co-occurring hearing and...＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoFunctional head impulse test and video head impulse test in interictal Meniere's disease and inferior vestibular neuritis: a preliminary comparative studyPreliminary findings suggest the functional head impulse test may help distinguish interictal Ménière's disease from inferior vestibular neuritis when caloric-vHIT dissociation is present, but the study is preliminary and not yet sufficient to change routine diagnostic protocols.＋Save
PU¶PubMed·Journal article·Tinnitus·2mo agoEfficacy differences and predictors of personalized mixed acoustic therapy in chronic tinnitus patients with and without hearing lossPersonalized mixed acoustic therapy (narrow-band noise + music) shows efficacy signals for chronic tinnitus, with hearing loss status as a potential outcome predictor — clinicians may consider this approach but should await larger controlled trials before broadly changing...＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoValidation of a portable video head impulse test using an iPod touch and an oral stabilization three-dimensional (3D) - printed mount: a method-comparison studyIf validation results confirm agreement with gold-standard systems, this portable vHIT setup could extend vestibular testing to low-resource or remote settings, but clinicians should await peer-reviewed outcome data before adopting it.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoToward personalized medicine for mal de débarquement syndromeMdDS remains poorly understood and difficult to treat; a personalized medicine framework could open new pathways for this underserved patient population.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoEndolymphatic hydrops in patients with migraine: a correlative studyAudiologists and vestibular specialists should be aware that endolymphatic hydrops detected on MRI may be present in migraine patients without a Menière's disease diagnosis, potentially complicating differential diagnosis — but clinical protocols should not change until larger...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoComorbidities and impact on quality of life in patients with Ménière's disease: a single-center cross-sectional studyAudiologists managing Ménière's disease patients should be aware that comorbid conditions meaningfully worsen quality of life and consider screening for or referring around psychological and systemic comorbidities — though this single-center cross-sectional design limits causal...＋Save
PU¶PubMed·Journal article·Tinnitus·3mo agoPre-treatment structural brain biomarkers predict response to repetitive transcranial magnetic stimulation in subjective tinnitusPre-treatment structural brain imaging biomarkers show promise for predicting rTMS response in tinnitus, but this is a preliminary finding — clinicians should not use these biomarkers to guide rTMS patient selection until prospective validation in larger, independent cohorts is...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoRisk stratification for stroke in acute persistent vertigo: development and internal validation of a multivariable prediction modelThis internally validated stroke-risk prediction model for acute persistent vertigo is not yet ready for clinical use — audiologists and emergency clinicians should await external validation before applying it to triage decisions.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoCombined biofeedback and vestibular rehabilitation therapy for vestibular migraine: clinical efficacy and neurobiochemical correlatesCombined biofeedback and vestibular rehabilitation therapy shows clinical benefit for vestibular migraine in this RCT; audiologists and vestibular specialists managing these patients may have evidence to support adding biofeedback to standard rehabilitation protocols, pending...＋Save
PU¶PubMed·Journal article·Research (general)·3mo agoCerebral venous disorders: clinical presentation, diagnostic strategy, and contemporary managementNo direct audiology practice change; however, audiologists who encounter pulsatile tinnitus should be aware that cerebral venous disorders are a potential cause requiring neurological referral.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoGinkgo biloba extract for dizziness-related symptoms in central neurological disorders: a systematic review and meta-analysisThis meta-analysis may support Ginkgo biloba as an adjunct for dizziness in central neurological conditions, but audiologists managing vestibular patients should review the included study quality carefully before recommending it, as evidence in purely peripheral vestibular...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoConcurrent VVOR and VORS profiling reveals a threshold-dependent VOR suppression deficit in vestibular migraineAudiologists and vestibular specialists should be aware that concurrent VVOR/VORS profiling may help identify a threshold-dependent VOR suppression deficit specific to vestibular migraine, potentially improving differential diagnosis — but clinical validation in larger cohorts...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoThe referral-to-attendance gap in vestibular rehabilitation: a retrospective cohort study in diverse South Florida patientsClinics referring patients to vestibular rehabilitation should proactively identify barriers to attendance — such as transportation, language, insurance, and health literacy — particularly in diverse or underserved populations, as the referral-to-attendance gap appears...＋Save
PU¶PubMed·Journal article·Tinnitus·3mo agoResting-state functional connectivity and local activity differences across bothersome and non-bothersome tinnitus phenotypesIdentifying distinct brain connectivity signatures for bothersome versus non-bothersome tinnitus could lay groundwork for precision tinnitus treatments and better patient stratification.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoEditorial: Vestibular migraine: pathophysiology, diagnosis, and managementA curated Frontiers in Neurology topic collection on vestibular migraine signals growing academic focus on a condition that frequently presents to audiologists and neurotologists and remains diagnostically challenging.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoEditorial: Mechanisms of functional dizziness: a window for understanding space-motion cognitionFunctional dizziness sits at the intersection of audiology, neurology, and vestibular (balance system) science; editorials like this can shape research priorities and interdisciplinary collaboration.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoAripiprazole as second-line pharmacotherapy for a heterogeneous cohort of refractory functional dizziness disorders: a pilot preliminary retrospective studyPreliminary retrospective pilot data only — no actionable change to prescribing practice is warranted until controlled prospective studies are completed.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoRisk factors for refractory BPPV: subtype-dependent association of serum 25-hydroxyvitamin DLow serum vitamin D appears to be a subtype-dependent risk factor for refractory BPPV; clinicians managing treatment-resistant BPPV cases should consider checking and potentially optimising vitamin D levels, though prospective confirmatory trials are still needed before making...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoCorrection: Migrainous vertigo impairs adaptive learning as a function of uncertaintyCorrection notices ensure the scientific record on vestibular migraine and adaptive cognition remains accurate and trustworthy for researchers and clinicians.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoInconsistencies in care: a UK and Ireland survey exploring acute vestibular service provision in adult major trauma centresAudiologists and vestibular specialists working in or alongside trauma centres should advocate for systematic vestibular screening protocols for TBI patients, as the survey reveals these are largely absent across UK and Ireland major trauma centres.＋Save
PU¶PubMed·Journal article·Vestibular·4mo agoPeriodic alternating nystagmus as a diagnostic clue in MRI-negative Wernicke encephalopathy mimicking multiple system atrophy: a case with complex heterogeneous dizzinessAudiologists and vestibular specialists performing videonystagmography should be alert to periodic alternating nystagmus as a potential red-flag sign warranting urgent medical referral, even when neuroimaging is negative.＋Save
PU¶PubMed·Journal article·Vestibular·4mo agoObjective oculomotor, vestibular, reaction time, and cognitive signatures of vestibular migraineeye-tracking-based metrics show promise for differentiating vestibular migraine from other dizziness conditions, but the findings are preliminary and not yet ready to replace current clinical diagnostic criteria.＋Save
PU¶PubMed·Journal article·Vestibular·4mo agoNoise exposure and dizziness in middle-aged adults: a nationally representative studyAudiologists assessing noise-exposed patients should routinely screen for dizziness and vestibular symptoms, as this study adds population-level evidence linking noise exposure to dizziness risk.＋Save
