Special Issue "Vertigo and Dizziness: Central Vestibular Disorders"

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurotology and Neuro-ophthalmology".

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 1181

Special Issue Editors

Department of Otorhinolaryngology, Pontificia Universidad Católica de Chile, Santiago, Chile
Interests: hearing loss; audiovestibular disorders; Ménière's disease; vestibular migraine; ototoxicity
Department of Neurology, Cesar Milstein Hospital, Buenos Aires, Argentina
Interests: central vestibular pathway; cerebellum; vestibular migraine; central vertigo

Special Issue Information

Dear Colleagues,

Vertigo and dizziness are commonly reported symptoms in neurology and otolaryngology consults. The etiologies of disorders are usually classified from the anatomical perspective. The most common peripheral vestibular disorders affect the vestibular nerve and/or the labyrinth. In contrast, when a lesion involves the vestibular nuclei, cerebellum and accessory vestibular pathways, it is considered a central vestibular disorder. Within the latter group, vestibular migraine is the most common disorder and considered the most frequent form of episodic vertigo. Other central causes of vertigo include head injuries, posterior circulation stroke, paraneoplastic syndrome, central nervous system inflammatory and demyelinating diseases, degenerative disorders, infections, posterior fossa brain tumors and side effects of medications; all are potentially life-threatening conditions.

In this Special Issue, we seek submissions that address the etiologies, pathophysiology, diagnosis and treatment of central vestibular disorders. We invite research articles, reviews and commentaries on these topics.

Dr. Sofia Waissbluth
Dr. Dario Yacovino
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Brain Sciences is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • vestibular migraine
  • stroke
  • cerebellum
  • brainstem lesions
  • pseudoneuritis
  • multiple sclerosis
  • ataxia
  • downbeat nystagmus
  • degenerative disorders
  • vestibular nuclear complex

Published Papers (1 paper)

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Research

9 pages, 251 KiB  
Article
Effectiveness of Vestibular Rehabilitation for Patients with Degenerative Cerebellar Ataxia: A Retrospective Cohort Study
Brain Sci. 2023, 13(11), 1520; https://doi.org/10.3390/brainsci13111520 - 28 Oct 2023
Viewed by 622
Abstract
Many patients with cerebellar ataxia have dizziness caused by oculomotor or peripheral vestibular deficits; however, there is little evidence supporting the use of vestibular rehabilitation for this population. The purpose of this study was to determine whether patients with degenerative cerebellar diseases improve [...] Read more.
Many patients with cerebellar ataxia have dizziness caused by oculomotor or peripheral vestibular deficits; however, there is little evidence supporting the use of vestibular rehabilitation for this population. The purpose of this study was to determine whether patients with degenerative cerebellar diseases improve following rehabilitation including vestibular exercises. A secondary aim was to identify variables associated with the outcomes. A retrospective chart review identified 42 ambulatory patients (23 men and 19 women; mean age = 54.5 ± 14.4 years) with cerebellar degeneration. Fourteen patients had ataxia only, twenty had ataxia and oculomotor abnormalities, and eight had ataxia with oculomotor and peripheral vestibular deficits. Patients received customized physical therapy including balance and gait training, as well as gaze stabilization and habituation exercises for vestibular hypofunction and motion-provoked dizziness. Primary outcome measures (Activities-specific Balance Confidence Scale, Tinetti Performance Oriented Mobility Assessment, Dynamic Gait index, and Sensory Organization Test) were evaluated at baseline and discharge. Patients improved (p < 0.05) on all outcome measures. Patients with vestibular deficits were seen for more visits compared to those with gait ataxia only (7.1 vs. 4.8 visits). This study provides evidence that patients with degenerative cerebellar disease improve in balance confidence, fall risk and sensory integration with therapy that includes vestibular rehabilitation. Full article
(This article belongs to the Special Issue Vertigo and Dizziness: Central Vestibular Disorders)
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