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Related Concept Videos

Equilibrium and Balance01:15

Equilibrium and Balance

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The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
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The Vestibular System01:29

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The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
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Related Experiment Video

Updated: Dec 12, 2025

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

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Diagnosing vestibular hypofunction: an update.

Dmitrii Starkov1,2,3, Michael Strupp4,5, Maksim Pleshkov6,7

  • 1Division of Balance Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands. dmitrii.n.starkov@gmail.com.

Journal of Neurology
|August 9, 2020
PubMed
Summary
This summary is machine-generated.

Vestibular hypofunction, causing dizziness and imbalance, is often missed due to a lack of standardized quantitative testing. This review examines current vestibular tests to improve diagnosis and consensus for this common condition.

Keywords:
Bilateral vestibulopathyCaloric testingDynamic visual acuityPerceptual thresholdUnilateral vestibulopathyVestibular evoked myogenic potentialsVideo-head impulse testVideo-oculography

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular System Science

Background:

  • Vestibular hypofunction commonly causes dizziness and postural imbalance, affecting a large population.
  • Diagnosis is frequently missed or incorrect due to the absence of quantitative testing and lack of standardized protocols.

Purpose of the Study:

  • To review the current status of frequently used vestibular tests for both canal and otolith function.
  • To provide information that can aid in reaching a consensus for the systematic diagnosis of vestibular hypofunction.

Main Methods:

  • Review of current literature on established vestibular function tests.
  • Analysis of tests assessing both semicircular canal and otolith organ function.

Main Results:

  • Current vestibular tests vary in standardization and application.
  • Quantitative assessment is crucial for accurate diagnosis of vestibular hypofunction.

Conclusions:

  • Standardization of vestibular testing is essential for accurate diagnosis.
  • A consensus on systematic diagnostic approaches is needed to address underdiagnosis of vestibular hypofunction.