Neurol. praxi. 2025;26(4):286-291 | DOI: 10.36290/neu.2025.028

Bilateral vestibulopathy

MUDr. Michaela Kuzmiak, Ph.D.
Neuro-otologické centrum 1. LF UK, 2. LF UK a FN Motol, Praha
Neurologická klinika 2. LF UK a FN Motol, Praha

Bilateral vestibulopathy is defined as a dysfunction of both vestibular labyrinths or vestibular nerves simultaneously. It is mainly manifested by stance and gait instabi­lity, typically worse in the dark or on uneven surfaces, and blurring of vision when moving. Patients do not have difficulties under static conditions. A clinically essential examination is the head impulse test. Quantification of bilateral impairment of vestibular function using calorization, sinusoidal stimulation, or video Head Impulse testing is required to confirm the diagnosis. The most common causes include the use of vestibulotoxic drugs, bilateral Menière's disease, post-meningoencephalitis, or autoimmune disease. However, the etiology of bilateral vestibulopathy remains idiopathic in a large proportion of patients.

Keywords: bilateral vestibulopathy, vertigo, disequilibrium, oscillopsia, vestibulo-ocular reflex, head impulse test.

Received: March 19, 2025; Revised: March 19, 2025; Accepted: March 25, 2025; Published: September 29, 2025  Show citation

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Kuzmiak M. Bilateral vestibulopathy. Neurol. praxi. 2025;26(4):286-291. doi: 10.36290/neu.2025.028.
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