What patients do when they feel dizzy: behavioural signatures reveal diagnostic clues in common vestibular disorders

Audiologists 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...

Clinical characteristics and exploratory serum biomarker findings in vestibular migraine: a cross-sectional case-control study

Identified biomarker candidates are exploratory and not yet validated for clinical use — no actionable change to current differential diagnosis practice.

Sex-related differences in the physical, functional, physiological, and emotional profile of adults with chronic vestibular hypofunction: a cross-sectional EXERVEST study

Sex-related differences in physical, functional, and emotional burden of chronic vestibular hypofunction suggest rehabilitation programs may benefit from sex-stratified assessment and goal-setting, though prospective intervention data are needed to confirm.

Multiple sclerosis as an under-recognized cause of acute vertigo: clinical and pathophysiologic insights

Clinicians evaluating acute vertigo should include MS in the differential diagnosis, especially in younger patients with other neurological features — this review reinforces existing neurological guidance rather than introducing new practice-changing evidence.

Implementation of a Clinical Test of Vestibular Self-Motion Perception in Children and Adults With Hearing Loss

Audiologists and vestibular clinicians working with hearing-loss populations should be aware of this new test protocol, but should await replication studies and normative data before routinely adopting it as a primary vestibular assessment tool.

Factors Associated With Bilateral Involvement in Non-Infectious Labyrinthitis: A Case-Control Study

Findings from this case-control study may help identify which non-infectious labyrinthitis patients are at higher risk for bilateral involvement, but clinical practice changes should await replication in larger prospective studies.

Association between serum 25-hydroxyvitamin D levels and bilateral vestibulopathy: A case-control study

are preliminary — a single case-control study is insufficient to recommend routine vitamin D screening or supplementation for bilateral vestibulopathy patients without replication in larger prospective studies.

Age-related decline in vestibulo-ocular reflex gain is associated with an increased sway response to electrical vestibular stimulation

No immediate practice change is warranted, but findings deepen understanding of how aging alters central vestibular compensation — relevant context for interpreting vestibular test results in older patients.

Labyrinthectomy and Cochlear Implantation in Patients With Meniere Disease: A Systematic Review

Combined labyrinthectomy and cochlear implantation appears to be a viable option for Ménière disease patients with both disabling vertigo and nonserviceable hearing; audiologists involved in CI candidacy evaluation should be aware this pathway exists, though long-term outcomes...

Recurrence of benign paroxysmal positional vertigo: risk factors and outcomes

Certain risk factors predict BPPV recurrence after successful repositioning; clinicians should identify and counsel high-risk patients accordingly, though specific practice changes depend on the study's findings on which factors are most significant.

Case Report: Recurrent vestibular episodes in a dog resembling Meniere's disease

A naturally occurring Ménière's-like condition in dogs could provide a valuable spontaneous animal model for studying inner-ear fluid disorders (endolymphatic hydrops) and testing new treatments, which has downstream relevance for human Ménière's disease research.

Prediction of benign paroxysmal positional vertigo recurrence in postmenopausal women: a machine learning-based clinical study

The predictive model is promising but requires external validation before it can guide clinical decision-making; no actionable change in BPPV management for postmenopausal women yet.

Nystagmus phenotypes in posterior circulation stroke

Clinicians evaluating acute vestibular syndrome should be familiar with nystagmus patterns associated with posterior circulation stroke, as this study adds characterization data that may sharpen bedside differential diagnosis — but prospective validation with HINTS-exam...

Evaluating the Effectiveness of an Integrated Treatment of Vestibular Rehabilitation and Cognitive Behavior Therapy for Chronic Dizziness in a Community-Based Population: A Randomized Controlled Trial

If the RCT shows superiority of the combined vestibular rehabilitation plus CBT approach, audiologists and vestibular therapists working with chronic dizziness patients should consider coordinating care with psychologists or trained CBT providers — await the published results...

Long-Term Follow-Up to Study of Timing of Rehabilitation After Mild Traumatic Brain Injury

Long-Term Outcomes of Subtotal Resection for Large Vestibular Schwannomas: Results From the Acoustic Neuroma Subtotal Resection Study-Part II- Tumor Regrowth

For audiologists managing patients post-vestibular schwannoma surgery, this study reinforces awareness that subtotal resection carries measurable regrowth risk requiring long-term radiologic surveillance; refer patients accordingly and coordinate with neurosurgery/neuro-oncology...

Long-Term Outcomes of Subtotal Resection for Large Vestibular Schwannomas: Results From the Acoustic Neuroma Subtotal Resection Study-Part III Perioperative Measures and Complications

No direct change to audiological practice is indicated, but audiologists should understand that subtotal resection carries a defined perioperative complication profile, which informs pre-operative counseling conversations with patients referred for surgical management.

Long-Term Outcomes of Subtotal Resection for Large Vestibular Schwannomas: Results From the Acoustic Neuroma Subtotal Resection Study, Part I-Facial Nerve Outcomes and Degree of Resection

Audiologists counseling patients pre- or post-vestibular schwannoma surgery should be aware that subtotal resection strategies are associated with specific facial nerve outcome profiles; this data helps set realistic expectations but does not change audiological management...

Striking the Right Balance: Beyond Hearing Loss: The Overlooked Role of Vestibular Function in Children’s Balance and Development

Audiologists assessing children should routinely consider vestibular screening alongside hearing evaluation, as vestibular deficits may be missed and have downstream developmental consequences.

Perspectives of audiologists on the management of vestibular balance problems in adults

Audiologists expanding into vestibular services should note that role clarity, training, and referral pathways are key barriers identified by peers — a prompt to audit scope-of-practice readiness within their own clinic.

Vestibulocochlear 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.

Separating stroke and acute unilateral vestibulopathy using history, examination and vestibular tests: a machine learning approach

If 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.

Clinical otoneurological differences between vestibular migraine and probable vestibular migraine

Otoneurological testing can distinguish vestibular migraine from probable vestibular migraine, and audiologists should be aware that hearing loss may be present in both groups, which has implications for differential diagnosis with conditions like Ménière's disease.

Vestibular Rehabilitation for Vestibular Migraine: A Systematic Review and Meta-Analysis

Vestibular rehabilitation appears to improve patient-reported outcomes in vestibular migraine; audiologists and vestibular therapists managing this population may be justified in incorporating structured vestibular rehab programs, though the overall evidence base remains limited...

Cervico-suboccipital sensorimotor convergence as an upstream autonomic pathway in bilateral rhythmic stimulation

This is a theoretical neuroscience paper proposing a mechanistic pathway; no actionable change to audiology or hearing-related clinical practice is indicated.

Evidence for a Neural Stem Cell Niche in the Postnatal Rat Vestibular Ganglion: An In Vitro Study

This is early-stage in vitro animal research; no actionable change to clinical practice is warranted, but it is a promising basic science finding relevant to future vestibular regenerative therapies.

Papilledema With Facial and Vestibulocochlear Nerve Involvement in Idiopathic Intracranial Hypertension: An Unusual Case

Audiologists and vestibular specialists should be aware that IIH can involve the vestibulocochlear nerve; unexplained audiovestibular symptoms alongside visual disturbance warrant neurological referral.

Frailty Measures for Adult Patients and Outcomes for Vestibular Schwannoma Surgeries: A Retrospective Cohort Study

Preoperative frailty assessment using mFI-5 or mFI-11 may help predict length of stay and surgical outcomes in vestibular schwannoma patients, informing surgical risk counselling — though retrospective design limits causal inference.