Diagnosing vestibular hypofunction: an update

J Neurol. 2021 Jan;268(1):377-385. doi: 10.1007/s00415-020-10139-4. Epub 2020 Aug 7.

Abstract

Unilateral or bilateral vestibular hypofunction presents most commonly with symptoms of dizziness or postural imbalance and affects a large population. However, it is often missed because no quantitative testing of vestibular function is performed, or misdiagnosed due to a lack of standardization of vestibular testing. Therefore, this article reviews the current status of the most frequently used vestibular tests for canal and otolith function. This information can also be used to reach a consensus about the systematic diagnosis of vestibular hypofunction.

Keywords: Bilateral vestibulopathy; Caloric testing; Dynamic visual acuity; Perceptual threshold; Unilateral vestibulopathy; Vestibular evoked myogenic potentials; Video-head impulse test; Video-oculography.

Publication types

  • Review

MeSH terms

  • Dizziness / diagnosis
  • Dizziness / etiology
  • Head Impulse Test*
  • Humans
  • Otolithic Membrane
  • Vertigo
  • Vestibule, Labyrinth*