A recent survey conducted by Strupp et al. (2025), analyzed intervention trends across 234 respondents from 47 countries. This survey sought to investigate preferred treatment types for unilateral vestibular dysfunction (UVD), bilateral vestibular dysfunction (BVD), superior canal dehiscence syndrome (SCDS), benign paroxysmal positional vertigo (BPPV), and Meniere’s disease (MD). Across respondents, UVD was most commonly treated pharmacologically with oral steroids, antiemetics, and Betahistine. The second most common treatment choice for UVD was vestibular rehabilitation therapy. BVD was most often treated with vestibular rehabilitation therapy. SCDS was most typically treated surgically thorough a variety of approaches. BPPV was most commonly treated with canalith repositioning, and treatment types were typically canal specific. Finally, MD was often treated with a variety of medications including Betahistine, diuretics, oral steroids, antiemetics, and gentamycin; the second most common treatment for MD was surgical.
These authors noted fairly heterogeneous treatment trends across respondents, regardless of practice location. However, the authors also noted a lack of empirical evidence supporting the efficacy of many of the drugs that were reportedly used for the various vestibular conditions.
Reference
Strupp M, Kern L, Laurell G, Lehner L, Grill E, Strobl R. (2025) World-wide survey on the treatment of peripheral vestibular disorders. Front Neurol 16.
Recent Posts
American Academy of Audiology Clinical Consensus Statement: Assessment of Vestibular Function in the Pediatric Population
Authors: Violette Lavender, AuD, Kristen Janky, PhD, Katheryn Bachmann, PhD, Melissa Caine, AuD, Micheal Castiglione, AuD, Guangwei Zhou, ScD The American Academy of Audiology Clinical…
CMS Releases CY 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Proposed Rule
On July 15, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule,…
AAA, ADA, and ASHA Respond to False Claims about Medicare Audiology Legislation
The American Academy of Audiology (AAA), Academy of Doctors of Audiology (ADA), and American Speech-Language-Hearing Association (ASHA) have issued a formal response to the American…