Subjective Vestibular Assessment

Introduction As discussed here LINK, there are a number of conditions that can cause dysfunction of the vestibular system. Examples of vestibular pathologies include:

Vestibular labyrinthitis or neuritis (also termed neuronitis) Labyrinthine concussion (unilateral vestibular lesions or bilateral vestibular lesions) or post-concussion syndrome Benign paroxysmal positional vertigo (BPPV) LINK Perilymphatic fistula Primary endolymphatic hydrops (Meniere’s disease) Secondary endolymphatic hydrops (traumatic, infections etc) Utricular dysfunctions Superior canal dehiscence syndrome (congenital, but trauma can also ‘activate’) Central vestibulopathies (sensory integration dysfunctions) Drug toxicity Persistent Postural-Perceptual Dizziness (PPPD) Mal de Debarquement Syndrome (MdDS) A detailed subjective and objective assessment is necessary when treating patients with vertigo or dizziness to determine the most effective treatment for each patient.