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Updated: Apr 28, 2026

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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
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Vestibular function in children with auditory neuropathy spectrum disorder.
Robert Nash1, John Veness2, Michelle Wyatt1
1Department of ENT, Great Ormond Street Hospital, WC1N 3JH London, UK.
Summary
Vestibulopathy, a balance disorder, affects 42% of children with auditory neuropathy spectrum disorder (ANSD). This highlights the need for vestibular testing in managing these pediatric patients.
Area of Science:
- Pediatric Otolaryngology
- Neuroscience
- Audiology
Background:
- Auditory neuropathy spectrum disorder (ANSD) affects approximately 10% of pediatric cochlear implant referrals.
- Vestibulopathy, a disorder of the balance system, may coexist with ANSD.
- The presence of vestibulopathy can impact management strategies for children with ANSD.
Purpose of the Study:
- To determine the incidence of vestibulopathy in pediatric patients with ANSD.
- To identify predictive factors for vestibulopathy in this cohort.
- To guide vestibular testing protocols and inform the etiology of ANSD.
Main Methods:
- Retrospective review of vestibular function testing outcomes.
- Analysis of a cohort of pediatric patients diagnosed with ANSD.
Main Results:
- Probable or definite vestibulopathy was identified in 42% of tested patients.
- Vestibulopathy showed an association with medical comorbidities.
- No significant association was found between vestibulopathy and imaging findings.
Conclusions:
- Vestibulopathy is a common finding in children with ANSD.
- Consideration of vestibulopathy is crucial for effective investigation and management planning.
- Further research may elucidate the relationship between ANSD and vestibulopathy.
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