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Related Experiment Video

Updated: Oct 20, 2025

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
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Subjective Cognitive Dysfunction in Patients with Dizziness and Vertigo.

Danica Xie1, Miriam S Welgampola1,2, Laurie A Miller1,2

  • 1Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Audiology & Neuro-Otology
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Patients with vestibular disorders frequently report cognitive issues like attention and perception problems. These difficulties persist even when accounting for emotional distress, indicating a direct link to the disorder.

Keywords:
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Area of Science:

  • Neuroscience
  • Otolaryngology
  • Cognitive Psychology

Background:

  • Vestibular disorders are often associated with subjective cognitive complaints.
  • There is a lack of consensus regarding the nature and extent of these cognitive difficulties.
  • Investigating cognitive dysfunction in neuro-otology patients is crucial for understanding the impact of vestibular disorders.

Purpose of the Study:

  • To investigate subjective cognitive dysfunction in neuro-otology patients.
  • To identify specific cognitive domains affected by vestibular disorders.
  • To differentiate cognitive complaints related to vestibular disorders from those associated with emotional distress.

Main Methods:

  • 126 neuro-otology outpatients and 42 controls were surveyed about cognitive difficulties.
  • Participants completed the Neuropsychological Vertigo Inventory (NVI), Everyday Memory Questionnaire (EMQ), and Depression, Anxiety, and Stress Scales (DASS).
  • Demographic factors and DASS scores were used as covariates in statistical analyses.

Main Results:

  • 60% of patients reported subjective cognitive difficulties.
  • Patients scored significantly worse on NVI cognitive subscales (Attention, Space Perception, Time Perception) compared to controls.
  • Cognitive complaints were elevated in patients beyond the effects of depression, anxiety, or stress.

Conclusions:

  • Patients with dizziness and vertigo experience significant cognitive dysfunction, particularly affecting attention, space, and time perception.
  • Subjective cognitive dysfunction in vestibular disorders is linked to emotional distress but remains significant independently.
  • These findings highlight the importance of addressing cognitive complaints in the management of vestibular disorders.