Improving Diagnosis and Treatment of Vestibular Disorder: Latest Advances and Challenges

Dear Colleagues,

The progress in the diagnosis and treatment of vestibular disorders is remarkable. Various vestibular diseases (vestibular neuritis, bilateral vestibulopathy, canal dehiscence, etc.); which were previously difficult to diagnose, have become more accurate with the progress of vestibular testing (VNG, VEMPs). Moreover, the new development of VHIT has brought further possibilities with high diagnostic ability. On the other hand, many challenges remain open, both in diagnosis and treatment.

Complexity of Vestibular Disorders: The wide variety of vestibular disorders, including BPPV, vestibular migraine, Ménière’s disease, and bilateral vestibular hypofunction, presents a significant diagnostic challenge. Symptoms like dizziness are often non-specific and overlap with other medical conditions, making accurate diagnosis difficult.

Access to Advanced Diagnostics and Treatments: While advanced diagnostic and treatment options are emerging, their availability is often limited due to geographic or economic factors. High-resolution imaging, vestibular rehabilitation programs, and innovative surgical treatments may not be accessible to all patients, especially in low-resource settings.

Lack of Consensus on Treatment Guidelines: Despite the growing array of treatments, there is still a lack of universally accepted guidelines for treating many vestibular disorders, especially those with overlapping symptoms. Treatment plans often rely on trial and error, and multidisciplinary care may not always be available, complicating management.

Understanding the Role of the Central Nervous System: The central nervous system’s role in vestibular disorders is still not fully understood. In many cases, disorders may be exacerbated or maintained by central compensation mechanisms that are poorly understood. More research into the central nervous system's role is crucial for improving treatment outcomes.

In this Special Issue, we welcome authors to submit papers about these topics.

Dr. Enrico Armato
Dr. Andrea Castellucci
Dr. Athanasia Korda
Guest Editors

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