CoChat
Sign Up
Cited by 592Vestibular and auditory disordersCardiovascular Syncope and Autonomic DisordersNausea and vomiting management

The DOI matches its Crossref record; 170 of the 172 references it cites were found in a registry or an index.

Bilateral vestibulopathy: Diagnostic criteria Consensus document of the Classification Committee of the Bárány Society1

Open access
Strupp, Michael, Kim, Ji-Soo, Murofushi, Toshihisa, Straumann, Dominik, Jen, Joanna C., Rosengren, Sally M., Della Santina, Charles C., Kingma, Herman·2017·Journal of Vestibular Research
DOI 10.3233/ves-170619PMC PMC9249284
Open this paper in CoChat — free accountOpen PDF

Abstract

This paper describes the diagnostic criteria for bilateral vestibulopathy (BVP) by the Classification Committee of the Bárány Society. The diagnosis of BVP is based on the patient history, bedside examination and laboratory evaluation. Bilateral vestibulopathy is a chronic vestibular syndrome which is characterized by unsteadiness when walking or standing, which worsen in darkness and/or on uneven ground, or during head motion. Additionally, patients may describe head or body movement-induced blurred vision or oscillopsia. There are typically no symptoms while sitting or lying down under static conditions.The diagnosis of BVP requires bilaterally significantly impaired or absent function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the angular VOR by the head impulse test (HIT), the video-HIT (vHIT) and the scleral coil technique and for the low frequency range by caloric testing. The moderate range can be examined by the sinusoidal or step profile rotational chair test.For the diagnosis of BVP, the horizontal angular VOR gain on both sides should be <0.6 (angular velocity 150-300°/s) and/or the sum of the maximal peak velocities of the slow phase caloric-induced nystagmus for stimulation with warm and cold water on each side <6°/s and/or the horizontal angular VOR gain <0.1 upon sinusoidal stimulation on a rotatory chair (0.1 Hz, Vmax = 50°/sec) and/or a phase lead >68 degrees (time constant of <5 seconds). For the diagnosis of probable BVP the above mentioned symptoms and a bilaterally pathological bedside HIT are required.Complementary tests that may be used but are currently not included in the definition are: a) dynamic visual acuity (a decrease of ≥0.2 logMAR is considered pathological); b) Romberg (indicating a sensory deficit of the vestibular or somatosensory system and therefore not specific); and c) abnormal cervical and ocular vestibular-evoked myogenic potentials for otolith function.At present the scientific basis for further subdivisions into subtypes of BVP is not sufficient to put forward reliable or clinically meaningful definitions. Depending on the affected anatomical structure and frequency range, different subtypes may be better identified in the future: impaired canal function in the low- or high-frequency VOR range only and/or impaired otolith function only; the latter is evidently very rare.Bilateral vestibulopathy is a clinical syndrome and, if known, the etiology (e.g., due to ototoxicity, bilateral Menière's disease, bilateral vestibular schwannoma) should be added to the diagnosis. Synonyms include bilateral vestibular failure, deficiency, areflexia, hypofunction and loss.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3233/ves-170619

Cites

170 of 170 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 172 references

Research works printed but not linked: 4

  1. von, 2015, Benign paroxysmal positional vertigo: Diagnostic criteria, J Vestib Res, 25, 105
  2. Goulson, 2014, Balance Function Assessment and Management
  3. Agrawal, 2013, Semicircular canal, saccular and utricular function in patients with bilateral vestibulopathy: Analysis based on etiology, J Neurol, 260, 876, 10.1007/s00415-012-6724-y · DOI
  4. Kirchner, 2011, Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test, Ann N Y Acad Sci, 1233, 127, 10.1111/j.1749-6632.2011.06175.x · DOI

Cited by

Sorted by citations

Items 101–200 of 591

Related

See all

Metadata

Authors
Strupp, M., Kim, J.-S., Murofushi, T., Straumann, D., Jen, J. C., Rosengren, S. M., Della Santina, C. C., & Kingma, H.
Affiliations
  • LMU Klinikum (DE)
  • Seoul National University (KR)
  • Teikyo University Hospital, Mizonokuchi (JP)
  • University of Zurich (CH)
  • University of California, Los Angeles (US)
  • The University of Sydney (AU)
  • Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, USA
  • National Research Tomsk State University (RU)
Corresponding author
Strupp, Michael
ORCID
Venue
Journal of Vestibular Research
Publisher
SAGE Publications
Published
2017-10-21
Volume
27
Issue
4
Pages
177-189
ISSN
  • 0957-4271 (ISSN-L)
  • 1878-6464
DOI
10.3233/ves-170619
PMC
PMC9249284
OpenAlex
W2758384006
Cited by
592
References
172
Citations by year
2026: 55 · 2025: 92 · 2024: 67 · 2023: 83 · 2022: 66 · 2021: 82 · 2020: 73 · 2019: 42 · 2018: 28 · 2017: 4
FWCI
19.94
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Vestibular Research (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc)
  • Research Publications (Maastricht University) (submittedVersion, cc-by-nc)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich)
Funders
  • Bundesministerium für Bildung und Forschung (01EO0901, 01EO1401)
  • Russian Science Foundation (17-15-01249)
  • Deutschen Schwindel- und Gleichgewichtszentrum
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
  • Health Sciences › Medicine › Surgery › Nausea and vomiting management
Keywords
bilateral vestibulopathy, diagnostic criteria, vestibulo-ocular reflex, head impulse test, video head impulse test, caloric test, oscillopsia, vestibular function testing, otolith function, dynamic visual acuity, Romberg test, vestibular evoked myogenic potentials
MeSH terms
Point-of-Care Testing, Bilateral Vestibulopathy, Caloric Tests, Diagnosis, Differential, Head, Humans, Functional Laterality, Motion, Movement Disorders, Nystagmus, Pathologic, Reflex, Vestibulo-Ocular, Rotation, Sclera, Vestibular Function Tests, Vision Disorders, Vestibular Evoked Myogenic Potentials, Head Impulse Test

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review