Evidence map›Paper›PMID 40018481›Full record

ReviewCureus2025

Developing a Diagnostic Algorithm for Identifying Vestibular Neuronitis in Acute Dizziness: An Overview of Epidemiology, Pathogenesis, and Evidence-Based Guidelines for Diagnostic Approaches.

Petros V Vlastarakos, Giorgos Sideris, Eleni Vasileiou, Efterpi Michailidou, Nikolaos Papadimitriou, Dimitrios Palantzas, Konstantina Melissourgou, Evangelos Panagoulis, Panagiotis P Gogoulos, Thomas Nikolopoulos

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Petros V Vlastarakos2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Giorgos Sideris2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Eleni Vasileiou2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Efterpi MichailidouOtolaryngology - Head and Neck Surgery, Inselspital, University Hospital of Bern, Bern, CHE.
Nikolaos Papadimitriou2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Dimitrios Palantzas2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Konstantina Melissourgou2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Evangelos Panagoulis2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Panagiotis P Gogoulos2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Thomas Nikolopoulos2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vestibular neuronitis (VN) is a prevalent peripheral vestibular disorder presenting with sudden unilateral vestibular loss, leading to acute vertigo without associated cochlear or neurological symptoms. Diagnosis remains challenging due to symptom overlap with other vestibular and central disorders. This study reviews the epidemiology, pathogenesis, and diagnostic approaches for VN to propose a streamlined, evidence-based diagnostic algorithm. A comprehensive literature review was conducted, analyzing 114 studies, including randomized controlled trials, systematic reviews, and clinical guidelines. Emphasis is placed on the clinical history and bedside examinations, supported by ancillary tests to confirm the diagnosis and differentiate VN from central and other peripheral causes of vertigo. The proposed algorithm aims to enhance diagnostic precision and support clinical decision-making.

Indexed as

diagnostic algorithmdizzinesshead-impulse testvertigovestibular neuronitis

Identifiers

PMID40018481
PMCPMC11866987

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.