PU¶PubMed·Journal article·Vestibular·3w agoDistinct small-fiber dysfunction profiles in CMT1A and RFC1 disease: a multimodal studyAudiologists and vestibular specialists evaluating patients with unexplained vestibular areflexia (complete loss of inner-ear balance function) and neuropathy should be aware that CMT1A and RFC1/CANVAS show distinct small-fiber dysfunction profiles that may aid differential...
PU¶PubMed·Journal article·Vestibular·3w agoWhat patients do when they feel dizzy: behavioural signatures reveal diagnostic clues in common vestibular disordersAudiologists and vestibular clinicians should consider systematically asking about specific behavioural adaptations during case history-taking, as these patterns may help differentiate common vestibular diagnoses — though prospective validation is still needed before changing...＋Save
PU¶PubMed·Journal article·Vestibular·4w agoVestibulocochlear implant (VCI) modulation improves mid and high frequency vestibulo-ocular reflex (VOR)VCI modulation shows measurable VOR improvement at mid and high frequencies in bilateral vestibulopathy patients, but sample sizes are likely small; monitor this emerging literature before considering referral pathways for combined cochlear-vestibular implantation.＋Save
PU¶PubMed·Journal article·Vestibular·4w agoSeparating stroke and acute unilateral vestibulopathy using history, examination and vestibular tests: a machine learning approachIf validated prospectively, a machine learning model combining history, examination, and vestibular test data could meaningfully improve stroke-vs-vestibulopathy triage, but clinicians should not change diagnostic protocols until external validation studies are published.＋Save
PU¶PubMed·Journal article·Vestibular·5w agoEffectiveness of vestibular rehabilitation in patients with multiple sclerosis: a systematic review and meta-analysis of randomized controlled trialsVestibular rehabilitation appears effective for improving postural stability, dizziness, and coordination in MS patients; audiologists and vestibular therapists working with MS populations should consider incorporating structured VR programs if this meta-analysis confirms a...＋Save
PU¶PubMed·Journal article·Vestibular·7w agoDoes CANVAS mimic MSA-C? A prospective multimodal studyAudiologists and vestibular specialists should be aware that CANVAS (with its vestibular areflexia) can present with features—like dysautonomia and parkinsonism—that mimic MSA-C, warranting consideration of RFC1 genetic testing in ambiguous cases before labeling a patient with...＋Save
PU¶PubMed·Journal article·Vestibular·8w agoNeuroanatomical correlates of stroke-related dizziness and vertigo: secondary analysis from the INSPiRE-TMS trialMapping the brain regions behind stroke-related dizziness could eventually improve triage and differentiation of central versus peripheral vestibular causes in emergency settings.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoCardiogenic vertigo: clinical characteristics and predictors of long-term prognosisAudiologists seeing patients with unexplained vertigo should be alert to cardiac causes, but this retrospective study's prognostic predictors require prospective validation before changing referral or workup protocols.＋Save
PU¶PubMed·Journal article·Tinnitus·2mo agoDeep brain stimulation of the medial geniculate body for refractory tinnitus: a 2 year follow-upToo preliminary (single case or very small series) to justify any change in clinical practice; deep brain stimulation for tinnitus remains experimental.＋Save
PU¶PubMed·Journal article·Vestibular·2mo agoClinical-functional dissociation in bilateral vestibulopathy: determinants of disability beyond peripheral vestibular lossClinicians managing BVP should assess factors beyond vestibular test scores—such as central compensation, cognitive load, anxiety, and fall-related fear—since disability level is poorly predicted by peripheral test results alone.＋Save
PU¶PubMed·Journal article·Tinnitus·3mo agoDetailed clinical characteristics of musical hallucinations in 81 patientsAudiologists encountering patients who report hearing phantom music should be aware of the broad clinical profile described here and consider referral for neurological evaluation, particularly in older patients with hearing loss; no practice algorithm change is warranted from...＋Save
PU¶PubMed·Journal article·Research (general)·3mo agoMigraine and auditory dysfunction: beyond comorbidityAudiologists evaluating patients with unexplained sensorineural hearing loss, tinnitus, or hyperacusis should consider asking about migraine history, as the relationship may reflect shared pathophysiology rather than coincidence.＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoRevisiting central positional vertigo and nystagmus through the velocity-storage mechanismClinicians should consider velocity-storage mechanism dysfunction when a patient presents with positional nystagmus or vertigo that does not fit typical benign paroxysmal positional vertigo (BPPV) patterns, as it may signal a central nervous system cause requiring further...＋Save
PU¶PubMed·Journal article·Vestibular·3mo agoPersistent postural-perceptual dizziness: subjective-objective dissociation and response to neurologist-led multimodal therapyNeurologist-led multimodal therapy shows promise for PPPD, but until full results and sample details are reviewed, audiologists should note this as supportive context for multidisciplinary referral pathways rather than a prompt to change current vestibular rehabilitation...＋Save
PU¶PubMed·Journal article·Vestibular·4mo agoComparative efficacy of non-pharmacological interventions for persistent postural-perceptual dizziness: a systematic review and network meta-analysis of balance, anxiety, and depression outcomesAudiologists and vestibular specialists managing PPPD should review the ranked treatment outcomes from this network meta-analysis to inform which non-pharmacological interventions — such as vestibular rehabilitation, CBT, or mindfulness — are most likely to address balance,...＋Save
PU¶PubMed·Journal article·Vestibular·4mo agoFrequency and phenotype of GAA-FGF14 disease in bilateral vestibulopathy syndromes: insights from repeat expansion carriers, including a case of co-occurrence with RFC1-related CANVASAudiologists and vestibular clinicians should be aware that GAA-FGF14 repeat expansions can underlie bilateral vestibulopathy, and rare co-occurrence with RFC1-CANVAS is possible, but genetic testing protocols are not yet standardised — no immediate practice change is warranted...＋Save
PU¶PubMed·Journal article·Research (general)·4mo agoClinical profiles of MRI-negative ischemia and stroke mimics after thrombolysis: insights into diagnostic uncertainty in acute ischemic stroke careVertigo is one of the most common stroke mimics leading to unnecessary thrombolysis, and this study highlights the urgent need for reliable bedside tools — including vestibular assessment — to distinguish central from peripheral causes in the ED.＋Save
