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A knowledge centre for vestibular clinicians

We know you have full and demanding jobs, and often work in isolation from other vestibular therapists and peers. . So we’ve made it easier to stay up to date with vestibular developments by offering you this curated space to review clinical evidence, the latest studies and training and development opportunities.

Our VestiCOMMS newsletter goes out every quarter, jam-packed with the latest research, courses, conferences and profiles on vestibular clinicians. To stay in touch with all things vestibular, subscribe here.

CLINICAL EVIDENCE

Evidence Supporting the Clinical Use of Video Frenzel Goggles

Halmagyi GM, McGarvie LA, Strupp M. Nystagmus goggles: how to use them, what you find and what it means. Pract Neurol. 2020 Dec;20(6):446-450.

“nystagmus goggles are essential for any clinician dealing with dizzy patients”.

Palchun VT, Kryukov AI, Guseval AL, Chernov AL. The enhanced efficiency of nystagmus detection using the modified Frenzel goggles with congenerous illumination. Vestn Otorinolaringol. 2016;81(6):78-81. Russian. doi: 10.17116/otorino201681678-81. PMID: 28091483.

“…… modified Frenzel goggles are more convenient for detecting spontaneous nystagmus in everyday practice.”

Baba S, Fukumoto A, Aoyagi M, Koizumi Y, Ikezono T, Yagi T. “A comparative study on the observation of spontaneous nystagmus with frenzel glasses and an infrared CCD camera” (2004). Journal of Nippon Medical School. 71 (1): 25-29.

" "the IR-CCD camera can be recommended as a more useful system and powerful tool for neurotological examination than F glasses.”

Bery AK, Wang CF, Gold DR, Chang TP. The fixation suppression test can uncover vertical nystagmus of central origin in some patients with dizziness. Neurol Sci. 2021 Dec;42(12):5343-5352.

Edlow JA, Newman-Toker D. Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo. J Emerg Med. 2016 Apr;50(4):617-28.

“Knowledge gaps regarding eye-movement findings also contribute to misdiagnosis"

Özel HE, Karakuzu AT, Temir H, Alpay M, Özdoğan F, Genç S. Effect of ocular fixation on positional nystagmus in BPPV patients. Int J Audiol. 2022 Apr 19:1-6.

Jonathan A. Edlow, MD, Kiersten L. Gurley, MD, and David E. Newman-Toker, MD, PHD, “A new diagnostic approach to the adult patient with acute dizziness” J Emerg Med. 2018 Apr; 54(4): 469-483.

Newman-Toker DE1, Saber Tehrani AS, Mantodoudis G, Pula JH, Gueded CI, Kerber KA, Blitz A, Ying SH, Hsieh YH, Rothman RE, Hanley DF, Zee DS, Kattah JC, “Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: toward an ECG for the eyes” Stroke. 2013 Apr;44(4): 1158-61. Doi: 10.1161/STROKEAHA.aaa.000033.Epub 2013 Mar 5.

Kattah et al. (2009) “HINTS to Diagnose Stroke in the Acute Vestibular Syndrome: Three-Step Bedside Oculomotor Examination More Sensitive Than Early MRI Diffusion-Weighted Imaging” Stroke; 40 pp 3504-3510.

Anoh-Tanon MJ et al “Vertigo is an understated symptom of ocular discorders: dizzy children do not always need an MRI” Pediatric Neurology 2000; 23(1):49-53

U Reker, “Peripheral-vestibular spontaneous nystagmus. Analysis of reproducibility and methodologies” Archives of oto-rhino-laryngology, 1980, 226(4), 225‐237 From Cochrane Library, accessed 4/3/19

Lawson J, Bamiou DE, Cohen HS, Newton J. Positional vertigo in a Falls Service. Age Ageing. 2008 Sep;37(5):585-9.

VESTICAM REVIEW

by Dr Danielle Tate

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VESTICOMMS

Stay Up to Date with Vestibular Issues

Our VestiCOMMS newsletter goes out every quarter, jam-packed with the latest vestibular research, courses, conferences and clinician profiles. Stay in touch with all things vestibular.