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Updated: Dec 18, 2025

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Vestibular Disorders.

Michael Strupp1, Julia Dlugaiczyk, Birgit Bettina Ertl-Wagner

  • 1Department of Neurology, Ludwig Maximilians University, Munich (LMU); German Center for Dizziness and Balance Disorders, Ludwig Maximilians University, Munich (LMU); Medical Imaging, University of Toronto, Canada; University Clinic and Outpatient Department for Psychiatry, Psychotherapy and Psychosomatics, University of Halle-Wittenberg; Department of Otorhinolaryngology and Plastic Head and Neck Surgery, University Medical Center, RWTH Aachen; Munich Cluster for Systems Neurology (SyNergy), Munich.

Deutsches Arzteblatt International
|June 13, 2020
PubMed
Summary
This summary is machine-generated.

International diagnostic criteria for vestibular vertigo syndromes are now established. While diagnosis is improved, more research is needed for effective treatments for conditions like Meniere's disease.

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular System Disorders

Background:

  • Understanding of peripheral, central, and functional vestibular vertigo syndromes has advanced.
  • Key aspects include diagnosis, pathophysiology, genetics, etiology, and treatment.

Purpose of the Study:

  • To review current understanding and treatment of vestibular vertigo syndromes.
  • Focus on classification, treatment trials, and meta-analyses.

Main Methods:

  • Literature search with emphasis on current classification and treatment trials.
  • Inclusion of Cochrane analyses and meta-analyses.

Main Results:

  • Internationally accepted diagnostic criteria exist for several vestibular disorders.
  • Balance training effective for bilateral vestibulopathy; oxcarbazepine for vestibular paroxysmia.
  • Betahistine not superior to placebo for Meniere's disease; vestibular rehabilitation, CBT, and SSRIs for functional dizziness.

Conclusions:

  • International standardization simplifies diagnostic assessment of vestibular syndromes.
  • Lack of randomized controlled trials for Meniere's disease, vestibular migraine, and cerebellar vertigo persists.