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Bilateral vestibulopathy: a clinical update and proposed diagnostic algorithm
Lisa van Stiphout1, David J Szmulewicz2,3, Nils Guinand4
1Department of Otorhinolaryngology and Head and Neck Surgery, Division of Balance Disorders, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, Netherlands.
Frontiers in Neurology
|January 5, 2024
Summary
Bilateral vestibulopathy (BVP) presents heterogeneously with diverse causes and symptoms. This review offers a new diagnostic algorithm and discusses current and future treatments for this chronic condition.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular System Disorders
Background:
- Bilateral vestibulopathy (BVP) is a chronic condition with varied clinical presentations and etiologies.
- Understanding the heterogeneity of BVP is crucial for effective management.
Purpose of the Study:
- To review current insights and developments in the clinical presentation of BVP.
- To propose a novel diagnostic algorithm for BVP.
- To outline available and potential future therapeutic strategies for BVP.
Main Methods:
- Narrative review of existing literature on bilateral vestibulopathy.
- Analysis of clinical presentations, diagnostic approaches, and therapeutic options.
Main Results:
- BVP exhibits significant heterogeneity in its clinical manifestations and underlying causes.
- A new diagnostic algorithm is proposed to aid in the identification of BVP.
- Current and emerging therapeutic modalities for BVP are described.
Conclusions:
- Effective management of BVP requires a comprehensive understanding of its diverse nature.
- The proposed diagnostic algorithm aims to standardize BVP diagnosis.
- Further research into therapeutic interventions is essential for improving patient outcomes in BVP.

