Evidence map›Paper›PMID 40913194›Full record

ReviewJournal of neurology2025

Rethinking positional nystagmus: beyond BPPV.

Amanda J Male, George Korres, Nehzat Koohi, Diego Kaski

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Amanda J MaleSENSE Research Unit, Department of Clinical and Movements Neurosciences, UCL Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK.
George KorresDepartment of ENT/Neuro-Otology, Attikon University Hospital, Athens, Greece.
Nehzat KoohiSENSE Research Unit, Department of Clinical and Movements Neurosciences, UCL Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK.
Diego KaskiSENSE Research Unit, Department of Clinical and Movements Neurosciences, UCL Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK. d.kaski@ucl.ac.uk.ORCID http://orcid.org/0000-0002-0591-646X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Positional nystagmus is a frequently encountered yet often underappreciated clinical sign that provides critical insights into vestibular and central nervous system function. For the general neurologist, recognising and correctly interpreting positional nystagmus can significantly impact diagnostic accuracy and guide appropriate management of common and complex dizziness presentations. The current diagnostic framework for positional nystagmus disproportionately favours BPPV, underestimates central positional nystagmus (CPN), and over-relies on imaging. We argue for a paradigm shift that acknowledges clinical complexity, defines objective diagnostic thresholds, and strengthens neurological training.

Indexed as

Benign Paroxysmal Positional VertigoNystagmus, PathologicNystagmus, PhysiologicDizzinessHumansBPPVCentral positional nystagmusPositional dizzinessPositional nystagmus

Identifiers

PMID40913194
PMCPMC12413408

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.