Evaluation and treatment of uncompensated unilateral vestibular disease

This article reviews the general literature regarding the clinical evaluation and treatment of a unilateral vestibular deficit. The clinical approach by the authors is highlighted with a focus on bedside examinations and cyclodeviation measurements. Vestibular rehabilitation is currently considered the best approach to rehabilitation at present, and its physiologic basis is reviewed. When applied early in the course of recovery, vestibular rehabilitation can hasten compensation and also reduce symptoms resulting from permanent deficits caused by vestibular injury.