The Journal of International
Advanced Otology

Understanding and Managing Trauma-Induced Vestibular Deficits


Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, Canada


Neuro-Otology Unit, Vancouver General Hospital Vancouver, Canada


Clinic of Otolaryngology, Head and Neck Surgery, Neurotology Unit, Lausanne University Hospital, Lausanne, Switzerland


Research Unit EA 3450 DevAH - Development, Adaptation and Handicap, University of Lorraine, Faculty of Medicine, Nancy, France


Regional Institute of Physical Medicine and Rehabilitation, Nancy, France


Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, Vandoeuvre-lès-Nancy, France


Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland


Department of Pediatric Otolaryngology, University Hospital of Nancy, Nancy, France


Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital, Grenoble Alpes, France


Department of Otorhinolaryngology, University of Iceland, Reykjavík, Iceland


Department of Otorhinolaryngology, Akureyri Hospital, Akureyri, Iceland

J Int Adv Otol 2021; 17: 559-565
DOI: 10.5152/iao.2021.21258
Read: 1195 Downloads: 494 Published: 01 November 2021

OBJECTIVES: Traumatic brain injury occurs frequently worldwide. Half of traumatic brain injuries are related to falls or motor vehicle accidents. The term “concussion” is often used to describe a minor form of traumatic brain injury. These often involve decelerative events to the head (e.g., flexion/extension injury) and can also cause damage to the vestibular system of the inner ear.
MATERIALS AND METHODS: The European Society for Clinical Evaluation of Balance Disorders meets yearly and has proposed an investigation and analysis of the vestibular consequences of traumatic brain injury. This review paper outlines these discussions.
RESULTS: The Society discussed all aspects of trauma-induced vestibular disorders along with diagnosis and management. They also assessed the diagnostic tests available to investigate these disorders.
CONCLUSION: Trauma-induced vestibular disorders are difficult to manage, as our level of understanding of the pathology can be poor and anatomical localization can also be difficult. Accordingly, a definitive diagnosis cannot be pinpointed in many patients, but an extensive history taking is crucial to determine the nature and extent of vestibular involvement. Trauma can not only result in microtrauma to the central nervous system but can also significantly affect peripheral vestibular structures, particularly the otolith organs. The committee hopes that better understanding of trauma to the vestibular system, along with improvements in the field of radiology and vestibular assessments, will aid in more precise techniques of pinpointing pathology in order to develop an adapted treatment plan.
Cite this article as: Mallinson A, Maire R, Beyaert C,  et  al. Understanding and managing trauma induced vestibular deficits. J Int Adv Otol. 2021;17(6):559-565.

EISSN 2148-3817