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    Vestibular Disorders

    Explore the latest in vestibular disorders, including recent advances in evaluation and treatment of vertigo, Ménière disease, and more.

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    • Association of Bilateral Vestibulopathy With and Without Hearing Loss With Cognitive-Motor Interference
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      August 1, 2023

      This case-control study examines the association of bilateral vestibulopathy with and without hearing loss with cognitive and motor performance and cognitive-motor interference.

      Dementia and Cognitive Impairment Neurology Otolaryngology Otology Audiology and Hearing
      Full Text | pdf link PDF
    • Size Threshold Surveillance—A Revised Approach to Wait-and-Scan for Vestibular Schwannoma
      JAMA Otolaryngology–Head & Neck Surgery
      Opinion
      August 1, 2023

      This Viewpoint discusses how recent discoveries surrounding the natural history of sporadic vestibular schwannoma provide data to support a shift in current management paradigms.

      Neurology Otolaryngology Audiology and Hearing
      Full Text | pdf link PDF has multimedia
    • Upfront Radiosurgery vs a Wait-and-Scan Approach for Small- or Medium-Sized Vestibular Schwannoma: The V-REX Randomized Clinical Trial
      JAMA
      Research
      August 1, 2023

      This randomized clinical trial evaluates whether upfront radiosurgery is more effective in reducing vestibular schwannoma tumor size than treatment delivered only when tumor growth has been detected radiographically.

      Radiation Oncology Neurosurgery Otology Otolaryngology Oncology
      Full Text | pdf link PDF
    • The Semont-Plus Maneuver or the Epley Maneuver in Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Clinical Study
      JAMA Neurology
      Research
      August 1, 2023

      This randomized clinical trial compares the efficacy of the Semont-plus maneuver and the Epley maneuver in patients with posterior canal benign paroxysmal positional vertigo.

      Emergency Medicine Otolaryngology Otology Neurology
      Full Text | pdf link PDF has multimedia
    • Patient Perception of Education, Care Coordination, and Psychological Distress After Developing Facial Paralysis: A Qualitative Study
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      June 1, 2023

      This qualitative study uses semistructured interviews to gain a better insight into the educational needs and emotional experiences of patients with facial paralysis after treatment for vestibular schwannoma.

      Facial Nerve Facial Plastic Surgery Dental Medicine Otolaryngology Otology
      Full Text | pdf link PDF
    • Association Between Facility Surgical Volume and Excess Time in the Hospital After Surgical Resection of Vestibular Schwannomas
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      April 1, 2023

      This cohort study uses national data to analyze the association between facility surgical case volume and length of hospital stay after vestibular schwannoma resection.

      Otolaryngology Otology Oncology
      Full Text | pdf link PDF
    • Discharge After Vestibular Schwannoma Surgery—How to Draw the Line for Hospital Volume and Timeliness
      JAMA Otolaryngology–Head & Neck Surgery
      Opinion
      April 1, 2023
      Otolaryngology Otology
      Full Text | pdf link PDF
    • Effect of Self-treatment of Recurrent Benign Paroxysmal Positional Vertigo: A Randomized Clinical Trial
      JAMA Neurology
      Research
      March 1, 2023

      This randomized clinical trial assesses the efficacy of a web-based diagnosis and treatment of benign paroxysmal positional vertigo when it recurs in patients with confirmed and treated benign paroxysmal positional vertigo.

      Emergency Medicine Neurology Otolaryngology Otology
      Full Text | pdf link PDF has multimedia
    • Triple Benign Paroxysmal Positional Vertigo and the Strength of Remote Video-Based Management
      JAMA Neurology
      Case Report
      March 1, 2023

      This case report describes remote video-based diagnosis and management of triple posttraumatic benign paroxysmal positional vertigo.

      Neurology Otolaryngology Health Care Delivery Models Images in Neurology Otology
      Full Text | pdf link PDF | CME & MOC is active quiz has multimedia
    • Assessment of the Cost Burden of Episodic Recurrent Vestibular Vertigo in the US
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      December 1, 2022

      This economic evaluation analyzes and identifies factors contributing to the direct medical costs associated with Ménière disease, vestibular migraine, and benign paroxysmal positional vertigo.

      Health Care Economics, Insurance, Payment Health Policy Otology Otolaryngology Neurology
      Full Text | pdf link PDF
    • Fall Risk and Functional Stability Before vs After Computerized Vestibular Retraining Among Adults With Unilateral Vestibular Deficits
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      September 1, 2022

      This cohort study compares dynamic postural stability and risk of falls before and after computerized vestibular training among adults with unilateral vestibular deficits.

      Neurology Otolaryngology Physical Medicine and Rehabilitation
      Full Text | pdf link PDF free
    • Efficacy of Benzodiazepines or Antihistamines for Patients With Acute Vertigo: A Systematic Review and Meta-analysis
      JAMA Neurology
      Research
      September 1, 2022

      This systematic review and meta-analysis compares the efficacy of benzodiazepine or antihistamine treatment for patients with acute vertigo from any underlying cause.

      Emergency Medicine Neurology Otolaryngology
      Full Text | pdf link PDF free has multimedia
    • Correct Diagnosis for the Proper Treatment of Acute Vertigo—Putting the Diagnostic Horse Before the Therapeutic Cart
      JAMA Neurology
      Opinion
      September 1, 2022
      Emergency Medicine Neurology Otolaryngology
      Full Text | pdf link PDF
    • Associations of Bilateral Vestibulopathy With Cognition in Older Adults Matched With Healthy Controls for Hearing Status
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      August 1, 2022

      This cross-sectional study assesses the association of bilateral vestibulopathy with cognitive decline in older adults compared with healthy controls.

      Otolaryngology Audiology and Hearing Dementia and Cognitive Impairment Neurology
      Full Text | pdf link PDF open access
    • Sudden Onset and Unremitting Vertigo in a Middle-aged Woman
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      June 1, 2022

      A 51-year-old woman presented with a 24-hour history of severe “room spinning,” right aural fullness, and right-sided hearing loss that worsened during several days despite conservative management. What is your diagnosis?

      Otolaryngology Clinical Challenge Otology Audiology and Hearing
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Vestibular Rehabilitation for Unilateral Peripheral Vestibular Deficits
      JAMA Otolaryngology–Head & Neck Surgery
      Opinion
      May 1, 2022
      Otolaryngology
      Full Text | pdf link PDF
    • Video-Oculography to Guide Neuroimaging for Dizziness and Vertigo
      JAMA Otolaryngology–Head & Neck Surgery
      Opinion
      May 1, 2022
      Neuro-ophthalmology Neurology Ophthalmology Otolaryngology Otology
      Full Text | pdf link PDF
    • Patient-Reported Disability After Computerized Posturographic Vestibular Retraining for Stable Unilateral Vestibular Deficit
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      May 1, 2022

      This cohort study evaluates whether vestibular retraining using computerized dynamic posturography is associated with reduced participant-reported disability for patients with an objectively assessed unilateral peripheral vestibular deficit.

      Otolaryngology Otology
      Full Text | pdf link PDF free has multimedia
    • Association Between Meniere Disease and Migraine
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      May 1, 2022

      This case-control study examines the association of Meniere disease with migraine in Korean patients.

      Headache Neurology Otolaryngology Otology
      Full Text | pdf link PDF free
    • Use of Neuroimaging for Patients With Dizziness Who Present to Outpatient Clinics vs Emergency Departments in the US
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      May 1, 2022

      This cross-sectional study uses commercial and Medicare Advantage claims to characterize neuroimaging use, timing, and spending as well as the factors associated with imaging acquisition within 6 months of presentation for dizziness in outpatient clinics vs emergency departments in the US.

      Emergency Medicine Neurology Otolaryngology Radiology Neuroimaging
      Full Text | pdf link PDF free
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