Special Issue "Recent Advances in Diagnosis and Treatment of Vestibular Disorders"
Deadline for manuscript submissions: closed (25 April 2023) | Viewed by 30449
A printed edition of this Special Issue is available here.
Interests: otoneurology; Ménière’s disease; BPPV; vestibulo-ocular reflex; dizziness; posturography; otopathology
Vestibular medicine relates to the assessment, diagnosis, and treatment of patients with dizziness and vertigo. In all these fields, there has been an enormous increase in research during recent years that we want to collate in this Special Issue.
Following the seminal work of the Standardization Committee of the Barany Society in 2009, which shed light on the classification of vestibular symptoms, widespread work covered common and uncommon vestibular diseases to provide uniform guidelines with ample consensus from different points of view traditionally set apart. It was the final effort to break through the impassable steps that the sheer topographic location of the disease (central vs. peripheral) entailed in the diagnosis phase. This is now based on a detailed description of the symptoms, their triggers and timing, not forgetting that vestibular disorders share phenomenological characteristics to be considered along with the diagnostic procedure.
Vestibular physiology and vestibular testing have come to the bedside in such a way that now we can test for the function of each individual vestibular receptor from each ear independently. This has completely modified the way we now test our patients and has opened an exponentially growing avenue of research. By contrast, the brilliant concept of canalolithiasis in positional vertigo has not only provided a simple but effective method of treatment for the most common cause of vertigo but has also brought back nystagmus tests and evaluation to the centerfield of patient testing. In the diagnostic part, the appearance of methods for the in vivo visualization of endolymphatic hydrops (EH) with the MRI is one of the most recent advances that took years to develop due to complex hardware and software limitations now almost completely resolved.
Treatment is now possible for the specific disease on some occasions, but always keeping in mind the natural history of the disorder. New methods of treatment for common drugs or uncommon medication which have been demonstrated to be usable are frequent at tertiary referral centers. Gene therapy appears to be possible thanks to the enormous effort of genetic mapping in some diseases. Surgery for disabling and unresponsive disease needs precise anatomical knowledge, and the new vestibular implant represents a way to solve one of the most disabling situations when both vestibular systems are nonfunctional. Vestibular rehabilitation by means of sensory substitution, adaptation, and habituation is based on the reweighting of the different sensory systems that allow for dynamic and static equilibrium.
Topics will include, the epidemiology of dizziness, the role of genetics in the development of vestibulopathy, diagnostic approaches, and interventions for patients with dizziness and vertigo: medical treatment, surgery, and vestibular rehabilitation.
Dr. Nicolas Perez-Fernandez
Prof. Dr. Angel Ramos-Macias
Manuscript Submission Information
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- vestibulo-ocular reflex
- Méniere’s disease
- positional vertigo
- vestibular implant