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

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 1460

Special Issue Editors


E-Mail Website
Guest Editor
1. Research Unit DevAH—Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, 54500 Vandoeuvre-lès-Nancy, France
2. Department of Neurosciences, University of Padova, 35100 Padova, Italy
Interests: vestibular diseases; vestibular assessment; videonystagmography; bithermal caloric test; video head impulse test; vestibular compensation; vesibular neuritis; bilateral vesibulopathy

E-Mail Website
Guest Editor
ENT Unit, Department of Surgery, Azienda USL—IRCCS di Reggio Emilia, Reggio Emilia, Italy
Interests: vestibular neuritis; acute vestibular syndrome; Ménière’s disease; video head impulse test; neurotology; inner ear; vestibular disease; BPPV; vestibular migraine; canal dehiscence; sudden hearing loss; VEMPs
Special Issues, Collections and Topics in MDPI journals

E-Mail
Guest Editor
ENT Unit, University of Bern, Bern, Switzerland
Interests: neurotology; inner ear; vestibular disease; BPPV; Ménière’s disease; vestibular migraine; acute vestibular loss; canal dehiscence; sudden hearing loss; video-HIT; VEMPs

Special Issue Information

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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • vestibular system
  • balance disorders
  • dizziness
  • vertigo
  • vestibular testing
  • videonystagmography
  • video head impulse test
  • vestibular evoked myogenic potentials
  • vestibular rehabilitation therapy

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

12 pages, 237 KiB  
Article
Diagnosing Vestibular Hypofunction in Children with Sensorineural Hearing Loss: Using the Video Head Impulse Test or the Caloric Test First Not the Cervical Vestibular Evoked Myogenic Potential
by Max Gerdsen, Britt Gerrianne Schuurman, An Boudewyns, Raymond van de Berg and Josine Christine Colette Widdershoven
J. Clin. Med. 2025, 14(8), 2721; https://doi.org/10.3390/jcm14082721 - 15 Apr 2025
Viewed by 154
Abstract
Background/Objectives: Children with sensorineural hearing loss (SNHL) can develop, or have concurrent vestibular hypofunction (VH). Assessing the vestibular function is challenging in the pediatric population. The objective of the current study was to identify the most effective test battery for objectively diagnosing and [...] Read more.
Background/Objectives: Children with sensorineural hearing loss (SNHL) can develop, or have concurrent vestibular hypofunction (VH). Assessing the vestibular function is challenging in the pediatric population. The objective of the current study was to identify the most effective test battery for objectively diagnosing and screening VH in children with SNHL. Methods: A two-center retrospective chart review included 71 children aged six months to 18 years old with unilateral or bilateral SNHL. Testing consisted of the video head impulse test (VHIT), the caloric test and cervical vestibular evoked myogenic potential (cVEMP). Pairwise agreement between tests was calculated by the proportion of overall agreement and unweighted Cohen’s kappa. Results: Vestibular hypofunction was diagnosed less often by cVEMP compared to VHIT or the caloric test. The overall disagreement observed between VHIT and cVEMP and the caloric test and cVEMP was explained by a higher proportion of ears diagnosed with VH by VHIT (18 versus four) or the caloric test (14 versus 0). Several cases with normal cVEMP responses had abnormal test results for VHIT (18 of 71 ears) or the caloric test (14 of 32 ears). VHIT and the caloric test showed a moderate inter-test agreement (Kappa 0.591; p = 0.018). Conclusions: VHIT and the caloric test had a higher likelihood of diagnosing VH, as opposed to cVEMP. It would therefore be advised to use VHIT or the caloric test as the first-line vestibular test for children with SNHL to screen for VH. The clinical value of cVEMP seems low in children with SNHL. Full article
16 pages, 1008 KiB  
Article
Vestibular Rehabilitation in Saudi Arabia: Practice, Knowledge, and Beliefs of Physical Therapists
by Maryam ALShammari, Doaa S. ALSharif, Mishal M. Aldaihan and Susan L. Whitney
J. Clin. Med. 2025, 14(7), 2295; https://doi.org/10.3390/jcm14072295 - 27 Mar 2025
Viewed by 289
Abstract
Background: Vestibular physical therapy is a specific type of exercise intervention that is designed to treat symptoms caused by vestibular disorders and to enhance postural control. The level of expertise in the practice of vestibular rehabilitation therapy (VRT) varies widely around the [...] Read more.
Background: Vestibular physical therapy is a specific type of exercise intervention that is designed to treat symptoms caused by vestibular disorders and to enhance postural control. The level of expertise in the practice of vestibular rehabilitation therapy (VRT) varies widely around the world. The practice of VRT is advanced in some countries, yet practice may be less advanced in others. No previous studies have evaluated the knowledge and beliefs of vestibular rehabilitation in the Kingdom of Saudi Arabia (KSA) to date. Objective. This study aimed to evaluate the knowledge and beliefs about VRT among physical therapists in the KSA. Methods: We used an electronic cross-sectional survey containing 25 questions and divided into four sections: demographics, clinical experience, vestibular rehabilitation knowledge, and physical therapists’ beliefs. The survey was answered by 219 licensed physical therapists. Results: Of the 219 responders, 59 (27%) physical therapists reported having experience with VRT. A total of 119 (54%) participants felt confident talking to other medical members when managing persons with dizziness. Only 59 (26%) clinicians were using vestibular assessment techniques, and 103 (47%) clinicians used VRT if they had patients with vestibular disorders. The majority of physical therapists believed in the efficacy of vestibular rehabilitation. Conclusions: Although the majority of physical therapists consider vestibular rehabilitation a crucial aspect of their practice, they acknowledge having limited knowledge of vestibular disorders and treatment techniques. Full article
Show Figures

Figure 1

Back to TopTop