ArticleFrontiers in neurology2026
Cognitive performance, dizziness and tinnitus among adults with unilateral audiovestibular disorders.
Article in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate cognitive performance in patients with unilateral audiovestibular disorders, specifically hearing loss (UHL), vestibular hypofunction (UVH), and Meniere's Disease (MD) using a visually administered, computerized domain-specific cognitive battery. Materials/methods: 58 adults: 28 controls (mean age 59 years, range 41-78) and 30 patients (10 UHL [4Frequency Pure Tone Average <25 dB in better ear; >40 poor ear] mean age 55, range 25-76; 10 unilateral MD, mean age 53, 32-78; 10 UVH, mean age 59, 24-82) completed the cognitive test battery and the Dizziness Handicap Inventory (DHI), Tinnitus Handicap Inventory (THI), Speech, Spatial and Qualities of Hearing scale (SSQ12), Activities Specific Balance Confidence Scale (ABC). Age-standardized scores as well as proportion of patients below average were compared between groups and correlations between cognitive performance and symptom severity were explored in clinical groups. Results: Only 3 domains differed significantly between groups (verbal memory [ Conclusion: Cognitive effects of unilateral audiovestibular disorders represent an important knowledge gap in our understanding of these disorders. In this exploratory pilot study, UHL, MD and UVH demonstrated differences in cognitive performance compared to controls along domains related to memory and sustained attention that may reflect challenges unique to hearing loss, vestibular loss or a combination. Severity of disease related symptoms, specifically dizziness and tinnitus, may also relate to cognitive performance, especially in patients with MD. Further study exploring the cognitive burden of unilateral audiovestibular disease is warranted.
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