Bilateral vestibulopathy: a clinical update and proposed diagnostic algorithm

Lisa van Stiphout; David J Szmulewicz; Nils Guinand; Angélica Pérez Fornos; Vincent Van Rompaey; Raymond van de Berg

doi:10.3389/fneur.2023.1308485

Bilateral vestibulopathy: a clinical update and proposed diagnostic algorithm

Front Neurol. 2023 Dec 19:14:1308485. doi: 10.3389/fneur.2023.1308485. eCollection 2023.

Authors

Lisa van Stiphout¹, David J Szmulewicz^{2

3}, Nils Guinand⁴, Angélica Pérez Fornos⁴, Vincent Van Rompaey^{5

6}, Raymond van de Berg¹

Affiliations

¹ Department of Otorhinolaryngology and Head and Neck Surgery, Division of Balance Disorders, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, Netherlands.
² Royal Victorian Eye and Ear Hospital, University of Melbourne, Melbourne, VIC, Australia.
³ Bionics Institute, Melbourne, VIC, Australia.
⁴ Service of Otorhinolaryngology Head and Neck Surgery, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.
⁵ Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium.
⁶ Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Abstract

Bilateral vestibulopathy (BVP) is characterized by its heterogeneous and chronic nature with various clinical presentations and multiple etiologies. This current narrative review reflects on the main insights and developments regarding clinical presentation. In addition, it proposes a new diagnostic algorithm, and describes available and potential future therapeutic modalities.

Keywords: bilateral vestibulopathy; clinical update; diagnosis; diagnostic algorithm; review; vestibular impairment; vestibulopathy.

Publication types

Review

Grants and funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.