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Related Experiment Video

Updated: Dec 27, 2025

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
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Neurological update: dizziness.

Diego Kaski1,2

  • 1Department of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK. d.kaski@ucl.ac.uk.

Journal of Neurology
|March 5, 2020
PubMed
Summary
This summary is machine-generated.

Diagnosing and managing vertigo is challenging, but recent advances improve understanding of vestibular syndromes. New insights into vestibular migraine and bedside tests for stroke-related vertigo offer better clinical approaches.

Keywords:
DizzinessPersistent postural perceptual dizziness (PPPD)Small vessel disease cerebralVestibularVestibular migraine

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Area of Science:

  • Neurology
  • Otolaryngology
  • Geriatrics

Background:

  • Vertigo diagnosis and management present ongoing clinical challenges, particularly in general neurology.
  • Recent years have seen significant advancements in understanding established vestibular syndromes and developing treatments.
  • Dizziness in the elderly, previously unexplained, is now better understood through evolving research.

Purpose of the Study:

  • To review updated understanding of vertigo and dizziness, focusing on the elderly.
  • To explore new insights into vestibular migraine pathophysiology and its link to persistent postural perceptual dizziness.
  • To discuss the utility of bedside oculomotor assessment in identifying stroke-related vestibular dysfunction.

Main Methods:

  • Literature review of recent advancements in vestibular disorders.
  • Exploration of novel pathophysiological insights into vestibular migraine.
  • Discussion of clinical application of oculomotor assessments for stroke detection.

Main Results:

  • Improved understanding of previously 'unexplained' dizziness in the elderly.
  • Novel insights into vestibular migraine and its relationship with persistent postural perceptual dizziness.
  • Demonstration of bedside oculomotor assessment's potential in identifying vestibular stroke.

Conclusions:

  • Recent advances are enhancing the diagnosis and management of vertigo.
  • Understanding vestibular migraine and persistent postural perceptual dizziness is evolving.
  • Bedside oculomotor tests are valuable tools for diagnosing vestibular presentations of stroke.