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Diagnostics
Volume 15
Issue 10
10.3390/diagnostics15101272
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Review

Utility and Challenges of Imaging in Peripheral Vestibular Disorder Diagnosis: A Narrative Review

by
Gabriela Cornelia Musat
1,
Codrut Sarafoleanu
1,
Mihai Alexandru Preda
1,
Calin Petru Tataru
2,
George G. Mitroi
3,*,
Andreea Alexandra Mihaela Musat
4,
Mihnea Radu
5 and
Ovidiu Musat
2
1
ENT Department, Faculty of Dentistry, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
2
Department of Ophthalmology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
3
Department of Dermatology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
4
Doctoral School, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
5
Department of General Surgery, Clinical Hospital Colentina, 020125 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Diagnostics 2025, 15(10), 1272; https://doi.org/10.3390/diagnostics15101272 (registering DOI)
Submission received: 5 April 2025 / Revised: 8 May 2025 / Accepted: 14 May 2025 / Published: 16 May 2025
(This article belongs to the Section Medical Imaging and Theranostics)
Versions Notes

Abstract

This review focuses on the contribution of medical imaging in the diagnosis of peripheral vestibular disorders. This is a narrative review based on a focused literature search conducted using PubMed and the Cochrane Library. Imaging is not usually recommended in initial consultations for vestibular disorders because only 5–10% of MRI scans reveal findings directly related to the disease. The study is a review of the literature that highlights the utility and limitations of imaging such as computed tomography (CT) and magnetic resonance imaging (MRI). It follows the diagnostic approach from history and physical examination to laboratory tests and imaging. Some conditions like vestibular neuritis and benign paroxysmal positional vertigo (BPPV) have limited imaging utility due to the fine details required. Conversely, high-resolution CT and MRI are important for diagnosing Meniere’s disease, acoustic neuroma, and superior canal dehiscence. The role of imaging varies a lot among specific conditions. Advances in imaging technology, particularly high-resolution MRI, promise enhanced diagnostic capabilities.
Keywords: vestibular disorders; vertigo; dizziness; computed tomography; magnetic resonance imaging; Meniere’s disease; vestibular neuritis; acoustic neuroma; superior canal dehiscence; benign paroxysmal positional vertigo vestibular disorders; vertigo; dizziness; computed tomography; magnetic resonance imaging; Meniere’s disease; vestibular neuritis; acoustic neuroma; superior canal dehiscence; benign paroxysmal positional vertigo

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MDPI and ACS Style

Musat, G.C.; Sarafoleanu, C.; Preda, M.A.; Tataru, C.P.; Mitroi, G.G.; Musat, A.A.M.; Radu, M.; Musat, O. Utility and Challenges of Imaging in Peripheral Vestibular Disorder Diagnosis: A Narrative Review. Diagnostics 2025, 15, 1272. https://doi.org/10.3390/diagnostics15101272

AMA Style

Musat GC, Sarafoleanu C, Preda MA, Tataru CP, Mitroi GG, Musat AAM, Radu M, Musat O. Utility and Challenges of Imaging in Peripheral Vestibular Disorder Diagnosis: A Narrative Review. Diagnostics. 2025; 15(10):1272. https://doi.org/10.3390/diagnostics15101272

Chicago/Turabian Style

Musat, Gabriela Cornelia, Codrut Sarafoleanu, Mihai Alexandru Preda, Calin Petru Tataru, George G. Mitroi, Andreea Alexandra Mihaela Musat, Mihnea Radu, and Ovidiu Musat. 2025. "Utility and Challenges of Imaging in Peripheral Vestibular Disorder Diagnosis: A Narrative Review" Diagnostics 15, no. 10: 1272. https://doi.org/10.3390/diagnostics15101272

APA Style

Musat, G. C., Sarafoleanu, C., Preda, M. A., Tataru, C. P., Mitroi, G. G., Musat, A. A. M., Radu, M., & Musat, O. (2025). Utility and Challenges of Imaging in Peripheral Vestibular Disorder Diagnosis: A Narrative Review. Diagnostics, 15(10), 1272. https://doi.org/10.3390/diagnostics15101272

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