Evidence map›Paper›PMID 40126276›Full record

ReviewAudiology research2025

Vestibular Paroxysmia with Neurovascular Cross Compression and Antiepileptic Drugs: A Systematic Review and Discussion of Physiopathology.

Pierre Reynard, Hung Thai-Van, Alexandra Neagu, Eugen Constant Ionescu

Abstract readReview
In one paragraph

Review in Audiology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

4 authors.

Pierre ReynardDepartment of Audiology and Otoneurological Explorations, Civil Hospitals of Lyon, 69003 Lyon, France.ORCID 0000-0001-5901-4392
Hung Thai-VanDepartment of Audiology and Otoneurological Explorations, Civil Hospitals of Lyon, 69003 Lyon, France.
Alexandra NeaguMS Curie Emergency Children Hospital, 077120 Bucharest, Romania.ORCID 0000-0002-6393-0083
Eugen Constant IonescuDepartment of Audiology and Otoneurological Explorations, Civil Hospitals of Lyon, 69003 Lyon, France.ORCID 0000-0003-3773-9848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vestibular paroxysmia (VP) is a disabling medical condition characterized by a high recurrence rate of vertigo. VP is classically associated with the presence of contact between a vascular structure and the cochleovestibular nerve, a neurovascular cross compression (NVCC). Antiepileptic drugs are the first-line treatment for disabling symptoms. We conducted a systematic review to evaluate their efficacy in patients with VP, and whose imaging shows NVCC. All published studies in PubMed databases until October 2024 were included. A total of seven studies were selected. Carbamazepine and oxcarbazepine are by far the most widely used drugs, but there is still a lack of data showing the efficacy of antiepileptic drugs in a large sample of patients. This suggests that a future randomized controlled trial with a satisfactory sample size of VP patients with NVCC and comparing several drugs with neuroprotective properties is needed. Further, as imaging in some of the patients with obvious clinical signs does not always support this diagnosis, we discussed VP physiopathology and the different types of VP published in the literature, including those with no radiological support for NVCC.

Indexed as

antiepileptic drugscarbamazepinecross compression syndromenarrowed internal auditory canaloxcarbazepinevestibular paroxysmia

Identifiers

PMID40126276
PMCPMC11932200

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Registered trials

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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.