ArticleJournal of vestibular research : equilibrium & orientation2016
Vestibular paroxysmia: Diagnostic criteria.
Article in Journal of vestibular research : equilibrium & orientation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 1 of them a synthesis that pooled it.
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Who cites it
103 citing papers in PubMed, 1 synthesis or guideline pooled it, 223 citations in OpenAlex.
- Vestibular paroxysmia: a systematic review.Journal of neurology · 2025Pooled it
- Trial
- A randomized double-blind, placebo-controlled, cross-over trial (Vestparoxy) of the treatment of vestibular paroxysmia with oxcarbazepine.Journal of neurology · 2018Trial
- Randomized trial of betahistine mesilate tablets as augmentation for oxcarbazepine and carbamazepine in treating vestibular paroxysmia.Drug design, development and therapy · 2018Trial
- Probable vestibular paroxysmia mimicking benign paroxysmal positional vertigo of the superior semicircular canal in the presence of a neurovascular conflict: a case report and review of the literature.Journal of medical case reports · 2026Review
- Identifying central positional vertigo to prevent diagnostic pitfalls: A case series and review of literature.Radiology case reports · 2026Article
- Vestibular Paroxysmia Coexisting With Meige Syndrome: A Case Report.Clinical case reports · 2026Article
- A Guide to Patients with Acute Transient Vestibular Symptoms in the Emergency Department.Brain sciences · 2026Review
- Vestibular Dysfunction and Binocular Vision Impairment: A New Clinical Perspective.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Vestibular Paroxysmia Presenting With Atypical Positional Nystagmus Resembling Benign Paroxysmal Positional Vertigo.Journal of general and family medicine · 2026Article
- A rule-based mobile screening classifier for six ICVD-defined vestibular disorders: a pilot study.Scientific reports · 2026Article
- A Practical Diagnostic Approach to Pediatric Episodic Vestibular Syndrome.Children (Basel, Switzerland) · 2026Article
- [The SCD diagnostic strategy, procedure and pathway for episodic vestibular syndrome].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Review
- Superior oblique myokymia: diagnostic criteria and long-term outcome.Journal of neurology · 2026Article
- Assessment of dynamic stability and identification of key tasks, inertial sensors, and parameters in patients with bilateral and unilateral vestibulopathy: investigation in a semi-standardized environment.Journal of neuroengineering and rehabilitation · 2026Article
- Tinnitus: well known in antiquity, highly relevant today.Journal of neurology · 2026Review
- Article
- Article
- Diagnostic Yield of the New Bárány Society Criteria for Pediatric Episodic Vestibular Syndrome.Journal of clinical medicine · 2025Article
- Diagnostic challenges in vestibular migraine-clinical differentiation from Menière's disease and discrepancies with current classification criteria.Journal of neurology · 2025Article
43 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper describes the diagnostic criteria for vestibular paroxysmia (VP) as defined by the Classification Committee of the Bárány Society. The diagnosis of VP is mainly based on the patient history and requires: A) at least ten attacks of spontaneous spinning or non-spinning vertigo; B) duration less than 1 minute; C) stereotyped phenomenology in a particular patient; D) response to a treatment with carbamazepine/oxcarbazepine; and F) not better accounted for by another diagnosis. Probable VP is defined as follows: A) at least five attacks of spinning or non-spinning vertigo; B) duration less than 5 minutes; C) spontaneous occurrence or provoked by certain head-movements; D) stereotyped phenomenology in a particular patient; E) not better accounted for by another diagnosis.Ephaptic discharges in the proximal part of the 8th cranial nerve, which is covered by oligodendrocytes, are the assumed mechanism. Important differential diagnoses are Menière's disease, vestibular migraine, benign paroxysmal positional vertigo, epileptic vestibular aura, paroxysmal brainstem attacks (in multiple sclerosis or after brainstem stroke), superior canal dehiscence syndrome, perilymph fistula, transient ischemic attacks and panic attacks. Current areas of uncertainty in the diagnosis of VP are: a) MRI findings of vascular compression which are not diagnostic of the disease or predictive for the affected side because they are also observed in about 30% of healthy asymptomatic subjects; and b) response to treatment with carbamazepine/oxcarbazepine supports the diagnosis but there are so far no randomized controlled trials for treatment of VP.
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Registered trials
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 OpenQuestion graph.