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Vestibular function testing is recommended in children who report dizziness and in children with imbalance or delays in gross motor milestones related to sensorineural hearing loss. This clinical consensus statement developed by the American Academy of Audiology serves as a guide for assessing vestibular function in the pediatric population and allows for expected variations in practice and available equipment. It focuses on the pediatric approach to test administration and interpretation, offers protocols and tips for testing, and provides additional information on individual tests of vestibular function. Basic, practical knowledge of vestibular testing is required to incorporate the guidance provided in this consensus statement. Children have activities of daily living that are different from those of adults, so the overall goal of assessment and intervention should be to arrive at the best recommendations to help children meet their vestibular goals without hindrance to educational, social, and developmental outcomes. As this area of pediatric vestibular testing develops, more normative data and test techniques will be included, and this guidance will continue to evolve.
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http://dx.doi.org/10.3766/jaaa.24250301 | DOI Listing |
Otolaryngol Head Neck Surg
September 2025
Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego, La Jolla, California, USA.
Objective: To summarize the outcomes of 1000 consecutive microsurgical resection of cerebellopontine angle tumors.
Study Design: Retrospective cohort study.
Setting: Single tertiary care institution.
J Vis Exp
August 2025
Marianne Bernadotte Centrum, Department for Clinical Neuroscience, Karolinska Institutet; St Erik Eye Hospital.
The present protocol evaluates the relative impact of visual and vestibular inputs during roll plane rotations using optokinetic, vestibular, and combined visuovestibular stimulations. Subjects underwent isolated visual rotations, whole-body vestibular rotations in darkness, and visuovestibular stimulations combining static visual scenes with head rotations. Dynamic and static eye movement gains, absolute amplitudes, velocities, and accelerations were measured alongside perceptual responses.
View Article and Find Full Text PDFCNS Neurosci Ther
September 2025
Department of Radiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Background: The high heterogeneity in vestibular migraine (VM) complicates understanding its precise pathophysiological mechanisms and identifying potential biomarkers. This study investigated the heterogeneity in VM using a newly proposed method called Individualized Differential Structural Covariance Network (IDSCN) analysis.
Methods: Structural T1-weighted MRI scans were performed on 55 patients with VM and 65 healthy controls, and an IDSCN was constructed for each patient.
J Neurol
September 2025
SENSE Research Unit, Department of Clinical and Movements Neurosciences, UCL Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK.
Positional nystagmus is a frequently encountered yet often underappreciated clinical sign that provides critical insights into vestibular and central nervous system function. For the general neurologist, recognising and correctly interpreting positional nystagmus can significantly impact diagnostic accuracy and guide appropriate management of common and complex dizziness presentations. The current diagnostic framework for positional nystagmus disproportionately favours BPPV, underestimates central positional nystagmus (CPN), and over-relies on imaging.
View Article and Find Full Text PDFFront Neurol
August 2025
Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.