Evidence map›Paper›PMID 40526155›Full record

ReviewHNO2025

Diagnosis and treatment of vertigo and dizziness : Interdisciplinary guidance paper for clinical practice.

Alexander Andrea Tarnutzer, Hassen Kerkeni, Suzie Diener, Roger Kalla, Claudia Candreia, Renato Piantanida, Raphaël Maire, Antje Welge-Lüssen, Joris Budweg, Andreas Zwergal and 1 more

Erratum issuedAbstract readReviewConsensus Statement
In one paragraph

Review in HNO, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Alexander Andrea TarnutzerNeurology, Cantonal Hospital of Baden, Baden, Switzerland.
Hassen KerkeniDepartment of Neurology, Bern University Hospital, University of Bern, Bern, Switzerland.
Suzie DienerPractice Neurology, St. Gallen, Switzerland.
Roger KallaDepartment of Neurology, Bern University Hospital, University of Bern, Bern, Switzerland.
Claudia CandreiaDepartment of Otorhinolaryngology, Head and Neck Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Renato PiantanidaDepartment of Otolaryngology-Head and Neck Surgery, Ospedale Regionale Di Lugano, EOC, Lugano, Switzerland.
Raphaël MaireDepartment of Otorhinolaryngology/Head & Neck Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Antje Welge-LüssenDepartment of Otorhinolaryngology, Head and Neck Surgery, Basel University Hospital, University of Basel, Basel, Switzerland.
Joris BudwegHausarztzentrum Bethesda, Basel, Switzerland.
Andreas ZwergalDepartment of Neurology, LMU University Hospital, Munich, Germany.
Julia DlugaiczykUniversity of Zurich (UZH), Zurich, Switzerland. julia.dlugaiczyk@usz.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVertigo and dizziness belong to the most common leading symptoms in clinical practice. Their differential diagnosis, however, often imposes a challenge.

objectiveThis work aims to provide evidence-based and practice-oriented recommendations for diagnosis and treatment of vertigo and dizziness for primary care providers. MATERIALS AND

methodsThe consensus statement of an interdisciplinary working group following a national survey among Swiss primary care physicians and neurotology specialists (neurologists, otorhinolaryngologists) is presented. The associated literature search in PubMed was conducted up to October 2024. RESULTS AND

conclusionStructured history taking and clinical neurotological examination form the basis for the differential diagnosis of the various acute (AVS), episodic (EVS), and chronic (CVS) vestibular syndromes (AVS: e.g., stroke or acute unilateral vestibulopathy; EVS: e.g., benign paroxysmal positional vertigo [BPPV], Menière's disease, vestibular migraine, vestibular paroxysmia; CVS: e.g., bilateral vestibulopathy, persistent postural perceptual dizziness). The present paper covers the following topics: i) "red flags" for a potentially dangerous cause in patients with acute vertigo/dizziness/gait and balance disorders; ii) essential clinical neurotological examination steps; iii) diagnostic and therapeutic maneuvers for posterior and lateral canal BPPV; iv) the most important therapeutic strategies for the vestibular syndromes named above; and v) the top 10 recommendations regarding history taking, diagnosis, and treatment of vertigo and dizziness in clinical practice. This review aims to serve as a clinical companion for physicians of all specialties dealing with the primary diagnosis and treatment of vertigo and dizziness.

Indexed as

DizzinessVertigoDiagnosis, DifferentialHumansAtaxiaHINTSNystagmusPositional vertigoVestibular syndrome

Identifiers

PMID40526155
PMCPMC12672759

What OpenQuestion holds

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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 OpenQuestion graph.