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Updated: Jun 6, 2026

Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform

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Published on: May 23, 2013

Bilateral Sequential Vestibular Neuritis: Report of Three Cases.

Gilmoon Lee¹, Jung Min Park, Taehwan Hwang

¹Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology

|January 14, 2026

Summary

Bilateral sequential vestibular neuritis (BSVN) is rare, affecting one ear then the other years later. Recovery varies, highlighting the need for careful diagnosis and management of this vestibular disorder.

Keywords:

Bilateral vestibulopathy Nystagmus Pathologic Vertigo Vestibular function tests Vestibular neuritis

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Area of Science:

Neurology
Otolaryngology
Vestibular System Disorders

Background:

Bilateral sequential vestibular neuritis (BSVN) is an uncommon condition.
Understanding its clinical course and recovery is essential for patient management.

Purpose of the Study:

To characterize the clinical features, vestibular function, and recovery in patients with BSVN.
To explore diagnostic challenges and pathophysiological aspects of BSVN.

Main Methods:

Retrospective analysis of three male patients diagnosed with BSVN.
Comprehensive vestibular assessments including caloric testing, video head impulse test (vHIT), and vestibular evoked myogenic potentials (VEMP) were performed during both episodes.

Main Results:

Patients experienced contralateral vestibular neuritis after a 2-5 year interval.
Two patients showed significant recovery, while one developed persistent bilateral vestibulopathy.
The second attack typically presented with milder symptoms than the first.

Conclusions:

BSVN exhibits peripheral recovery and central compensation.
Sequential vestibular testing aids in understanding its diverse presentations and recovery.
Early recognition is vital for diagnosis, counseling, and management.