Controversies and Challenges in Vestibular Medicine

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Sensory and Motor Neuroscience".

Deadline for manuscript submissions: 20 May 2026 | Viewed by 795

Special Issue Editors


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Guest Editor
Neurology, Cantonal Hospital of Baden, 5404 Baden Switzerland
Interests: vestibular medicine; cerebellar ataxia; acute vestibular syndrome; traumatic brain injury
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Department of Neurology, National Hospital for Neurology and Neurosurgery, London WC1N 3BG, UK
2. SENSE Research Unit, Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London WC1N 3BG, UK
Interests: dizziness; vertigo; balance disorders; eye movements; neurology; neuroscience; vestibular
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Background and History of This Topic: While consensus diagnostic criteria have been published for the most common neuro-otologic disorders, both atypical presentations of common disorders (such as persistent symptoms in vestibular migraine, atypical nystagmus patterns in peripheral positional vertigo) and uncommon or emerging disease entities lack such stringent diagnostic criteria. At the same time, optimal treatment strategies for many neuro-otologic disorders—including common diseases such as acute unilateral vestibulopathy——remain controversial and high-quality treatment trials are often lacking. Additionally, the value of emerging therapies is often unknown and is based on small number of cases.

Aim and Scope of the Special Issue: To identify areas of uncertainty in neuro-otology and to critically discuss controversial diagnostic entities in the field, to challenge current treatment strategies and to review the impact of emerging treatment strategies.

Cutting-Edge Research: Articles that propose new disease entities or treatment strategies or otherwise critically review proposed emerging neuro-otologic disorders or treatment strategies are particularly welcome.

What Kind of Papers We Are Soliciting: A broad range of papers is suitable, including original research and reviews (critical or systematic), but also case reports and opinion statements.

Dr. Alexander A. Tarnutzer
Dr. Diego Kaski
Guest Editors

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Keywords

  • vestibular medicine
  • emerging treatments
  • vestibular migraine
  • controversies in neuro-otology
  • Menière’s disease
  • acute vertigo and dizziness

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Published Papers (1 paper)

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Research

15 pages, 352 KB  
Article
A Cross-Sectional Survey of Cannabis Use and Utility Among Patients Experiencing Dizziness
by Pardise Elmi, Dorsa Mavedatnia, Gabriel Berberi, Marc Lawrence, Angelina Tohmé, Xinyuan Hong, Daniel Lelli and Darren Tse
Brain Sci. 2026, 16(4), 360; https://doi.org/10.3390/brainsci16040360 - 27 Mar 2026
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Abstract
Background/Objective: Dizziness is managed using various therapies, including lifestyle changes, nutritional supplementation, pharmaceutical therapies, and physical therapy, each offering differing efficacy. With legalization of cannabis in Canada, patients are exploring its use in treating their dizziness and related symptoms. Limited knowledge exists [...] Read more.
Background/Objective: Dizziness is managed using various therapies, including lifestyle changes, nutritional supplementation, pharmaceutical therapies, and physical therapy, each offering differing efficacy. With legalization of cannabis in Canada, patients are exploring its use in treating their dizziness and related symptoms. Limited knowledge exists regarding usage patterns, forms, doses, and effects on these symptoms. The current study aims to examine cannabis use in patients experiencing dizziness. Methods: We conducted a cross-sectional study at the Ottawa Hospital outpatient neuro-otology clinic. Eligible participants included new patients presenting with a primary complaint of dizziness and follow-up patients reporting new-onset dizziness. Participants completed a questionnaire capturing demographic data, dizziness and related symptoms, attitudes toward cannabis use, consumption patterns, and its perceived effects on their symptoms. Results: Of 154 participants, 118 (77%) expressed willingness to consider cannabis for dizziness and 78 (51%) reported previous cannabis use. Of those patients, 44 (56%) consumed it recreationally, largely via smoking (29/78, 37%). Approximately 21% of these patients reported a moderate–large subjective relief from dizziness after use of cannabis. The most common diagnoses amongst cannabis users were migraine/vestibular migraine (24%), persistent postural perceptive dizziness (22%), and benign paroxysmal positional vertigo (17%). Other related symptoms relieved by cannabis included sleep (28/78, 36%), emotional difficulties (17/78, 22%), neck pain/stiffness (14/78, 18%) and headaches/migraines (9/78, 12%). Conclusions: There is generally a positive attitude towards cannabis use in treating dizziness amongst patients, with a subset of patients reporting a subjective improvement of dizziness and its related symptoms, such as sleep and emotional difficulties. Full article
(This article belongs to the Special Issue Controversies and Challenges in Vestibular Medicine)
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