Journal of Vestibular Research-Equilibrium & Orientation最新文献

{"title":"Psychometric properties of the Vertigo Handicap Questionnaire in the Spanish-speaking population.","authors":"Ana Sedeño-Vidal, Rafael Lomas-Vega, Alfonso Javier Ibáñez-Vera, Ana Belén Peinado-Rubia, Irene Cortés-Pérez, María Alharilla Montilla-Ibáñez","doi":"10.1177/09574271251385900","DOIUrl":"10.1177/09574271251385900","url":null,"abstract":"<p><p>ObjectivesThis work aims to evaluate the psychometric properties of the Vertigo Handicap Questionnaire (VHQ) in a Spanish-speaking population.MethodsA total of 150 patients were included. Exploratory Factorial Analysis (EFA), Cronbach's alpha, weighted kappa, Spearman correlation with respect to the Dizziness Handicap Inventory (DHI) and Activities Balance Confidence Scale (ABC), Kruskal-Wallis test and receiver operating characteristics (ROC) curve analysis were performed.ResultsInternal consistency analysis found eight items uncorrelated with the total score, after whose elimination a 17-item VHQ version was generated. The EFA did not find clear factorization but did find a 7-item VHQ subscale that correlated strongly with VHQ_17 and VHQ_25. The Kappa was 0.993, 0.979 and 0.996 for VHQ_25, VHQ_17 and VHQ_7, respectively. Standard Error of Measurement (SEM) was 1.57, 2.11 and 0.60 points, and Minimum Detectable Change (MDC) was 3.08, 4.13 and 1.17 points for the three scales. VHQ_25, VHQ_17 and VHQ_7 strongly correlated with ABC-16 (Rho = -0.716, -0.787 -0.603, respectively) and DHI (Rho = 0.708, 0.696 0.721, respectively). VHQ_7 score was statistically different for different health conditions. The cut-off point >57 in VHQ_25 and >14 in VHQ_7 had 100% sensitivity, while a cut-off point >41 in VHQ_17 had 100% specificity in predicting severe disability due to vertigo.ConclusionsThe Spanish version of the VHQ_25 is a valid and reliable instrument for measuring disability, handicap and psychological distress related to vertigo. However, the VHQ_17 and VHQ_7 versions may be viable options, especially the last, which has excellent psychometric properties and may be easier to implement.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":"36 3","pages":"172-182"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic utility of Niigata Persistent Postural-Perceptual Dizziness (PPPD) Questionnaire (NPQ) for PPPD in comparison to dizziness handicap inventory.","authors":"Hyo-Jung Kim, Jae Han Park, Ji-Soo Kim","doi":"10.1177/09574271251382800","DOIUrl":"10.1177/09574271251382800","url":null,"abstract":"<p><p>BackgroundPersistent postural-perceptual dizziness (PPPD) is a common yet challenging functional vestibular disorder. The Niigata PPPD Questionnaire (NPQ) is a simple diagnostic tool developed to assess the severity and presence of PPPD.ObjectiveTo validate the Korean version of the NPQ and to evaluate its reliability and diagnostic performance in differentiating PPPD from other vestibular disorders in comparison to Dizziness Handicap Inventory (DHI).MethodsWe recruited 255 patients, 150 with PPPD, 64 with peripheral vestibular disorders, and 41 with central vestibulopathy at a tertiary dizziness center in South Korea from January to December 2024. The NPQ was translated into Korean with a forward-backward translation procedure. In addition, all participants completed DHI, the Beck Depression Inventory-II (BDI-II), the State-Trait Anxiety Inventory (STAI), and the Perceived Stress Scale (PSS) to assess dizziness-related disability and psychological symptoms. Internal consistency was assessed using Cronbach's alpha. Discriminative ability was evaluated through between-group comparisons, correlation analyses, and receiver operating characteristic (ROC) curve analyses.ResultsThe Korean NPQ demonstrated excellent internal consistency (Cronbach's α = 0.93). The total and subscale scores of the NPQ were significantly higher in PPPD than in other vestibular disorder groups. ROC analysis yielded an area under the curve of 0.670 with a cut-off score at 15.5 (sensitivity 59.3%, specificity 71.4%). The visual stimulation subscale showed the highest AUC (0.703). A logistic regression combined model using NPQ visual stimulation and dizziness handicap inventory (DHI) emotional subscales achieved the best diagnostic accuracy (AUC = 0.756). The NPQ total score was moderately correlated with the DHI (ρ = 0.65) and modestly correlated with psychological symptoms.ConclusionThe Korean NPQ is reliable and provides acceptable diagnostic utility for distinguishing PPPD. Combining NPQ and DHI subscales enhances diagnostic accuracy, supporting its use as a screening tool in diverse clinical settings, including telemedicine.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"154-163"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of post-operative vestibular function between vestibular schwannoma and non-vestibular schwannoma cerebellopontine angle tumors patients using video head impulse test.","authors":"Keishi Fujiwara, Shinya Morita, Kimiko Hoshino, Hideaki Takeda, Kento Komatsuda, Yuji Nakamaru, Akihiro Homma","doi":"10.1177/09574271251383361","DOIUrl":"10.1177/09574271251383361","url":null,"abstract":"<p><p>BackgroundCerebellopontine angle (CPA) tumors commonly cause audiovestibular symptoms due to eighth cranial nerve involvement. While vestibular schwannoma (VS) is the most frequently observed CPA tumor, vestibular outcomes following surgery for non-VS CPA tumors remain underreported.ObjectivesTo compare post-operative vestibular function, as assessed by the video Head Impulse Test (vHIT), between patients with VS and non-VS CPA tumors.MethodsA retrospective review was conducted on 37 patients (23 VS, 14 non-VS) who underwent CPA tumor resection and had vHIT evaluations pre- and post-operatively. Changes in vestibulo-ocular reflex (VOR) gain across the three semicircular canals were analyzed at 1 and 6 months after surgery.ResultsAlthough pre-operative VOR gains were comparable, the non-VS group demonstrated significantly better VOR gain recovery at 6 months in the horizontal and posterior semicircular canals (p = 0.0055, p = 0.0019, respectively). Notably, VOR gains in these canals improved beyond pre-operative levels in the non-VS group. No significant improvement was observed in the anterior semicircular canal.ConclusionsvHIT outcomes indicate more favorable spontaneous vestibular recovery in non-VS CPA tumor than in VS tumor patients. These findings emphasize the importance of vestibular nerve preservation during non-VS tumor surgery and suggest differences in neural involvement between tumor types.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"183-190"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of different types of mastoid vibration on vertical ground reaction force during walking in vision-available and vision-deprived environments.","authors":"Yue Hou, Zhuo Wang, Jung Hung Chien","doi":"10.1177/09574271251391773","DOIUrl":"10.1177/09574271251391773","url":null,"abstract":"<p><p>Mastoid vibration (MV) is a non-invasive way to induce vestibular illusions. However, the influence of MV on gait kinetics during different visual conditions has not been well-established. The purpose of this study was to examine the influence of different types of MV (bilateral vs unilateral) on vertical ground reaction force (vGRF) during walking under both vision-available (VA) and vision-deprived (VD) conditions. Twenty healthy adults walked at their preferred speed on a pressure-sensor treadmill and vGRF characteristics (peak forces, impulses, loading/unloading rates, and variability) were recorded under VA and VD conditions, with and without MV. Vision deprivation increased magnitude and variability of most vGRF variables, suggesting more cautious gait. Bilateral MV (but not unilateral MV) significantly increased the components of vGRF and their variabilities in push-off phase, likely as part of a consistent \"press forward\" motor response to the vestibular illusion. These results show that MV systematically modulates kinetics, particularly when applied bilaterally and with no visual input. This interaction between vestibular and visual afferents in these young adults may lay a foundation and should be considered in the clinical assessment of gait patterns (GRF profiles) in the future, particularly when using pressure sensor embedded treadmills.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"143-153"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation, validity, and reliability of the Turkish version of the Visual Vertigo Analogue Scale.","authors":"Berna Deniz Kuntman, Ani Parabakan Polat, Evren Hizal, Volkan Turkmen, Tugce Gul Caglar, Belde Culhaoglu, Seyra Erbek","doi":"10.1177/09574271261446232","DOIUrl":"https://doi.org/10.1177/09574271261446232","url":null,"abstract":"<p><p>BackgroundVisual Vertigo Analogue Scale (VVAS) is valid and reliable self-administered questionnaire to assess visual vertigo. Although VVAS has been culturally adapted and validated in several cultures, it has not been adapted in Turkish.ObjectivesThe aim of this research is to translate and cross-culturally adapt the VVAS into Turkish (VVAS-Tr) and evaluate its psychometric properties.MethodsFollowing established cross-cultural adaptation guidelines, the VVAS was translated into Turkish and completed by 113 patients with vestibulopathy. Validity was assessed using exploratory and confirmatory factor analyses, correlations with the Dizziness Handicap Inventory (DHI), Bland-Altman plots, and regression analyses. Reliability was tested with Cronbach's alpha.ResultsThe VVAS-Tr demonstrated a unidimensional structure with strong factor loadings (0.743-0.928) and excellent internal consistency (Cronbach's α = 0.954). Moderate correlations with DHI scores (rho = 0.553-0.595) supported criterion-related validity. Agreement with DHI was confirmed through Bland-Altman analysis, and predictive validity was explained by DHI physical and emotional subscales (R² = 0.41).ConclusionThe VVAS-Tr is the first Turkish tool specifically designed to measure visual vertigo and the first adaptation of the VVAS to undergo both exploratory and confirmatory factor analyses. It demonstrates strong validity and reliability and is suitable for clinical use in Turkish-speaking patients with vestibular disorders.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271261446232"},"PeriodicalIF":3.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanistic insights into third-window syndromes through numerical modeling: A PRISMA scoping review.","authors":"Stéphane Gargula, Dario Ebode, Antonino Maniaci, Thomas Radulesco, Giannicola Iannella, Maria-Pia Tuset, Ralph Haddad, Justin Michel","doi":"10.1177/09574271261446228","DOIUrl":"https://doi.org/10.1177/09574271261446228","url":null,"abstract":"<p><p><b>Introduction:</b> Third-window syndromes (TWS), including superior semicircular canal dehiscence (SSCD) and enlarged vestibular aqueduct (EVA), cause paradoxical auditory and vestibular symptoms such as apparent conductive loss, bone-conduction hyperacusis, and sound- or pressure-induced vertigo. Numerical modeling provides a unique means to explore the mechanical consequences of lesion size, geometry, and location.<b>Methods:</b> A structured search of PubMed, Scopus, and Google Scholar (July 2025) identified nine studies applying lumped-element, finite-element (FE), or computational fluid dynamics (CFD) models to SSCD or EVA, which were analyzed qualitatively.<b>Results:</b> Lumped-element models reproduced air-bone gaps and bone-conduction hypersensitivity, showing that lesion size and location modulate functional severity. FE and CFD simulations offered anatomically detailed insights, revealing that dehiscence geometry strongly shapes basilar membrane motion, that sound-induced endolymphatic streaming can account for the Tullio phenomenon, and that large vestibular aqueducts transmit intracranial pressure fluctuations. Validation across studies remained limited.<b>Conclusion:</b> Numerical models provide complementary insights into TWS. Lumped-element approaches are rapid and clinically interpretable, while FE and CFD enable detailed exploration of fluid-structure interactions. Patient-specific simulations may eventually support individualized diagnosis and surgical planning but remain speculative.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271261446228"},"PeriodicalIF":3.3,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of utricular function in Meniere's disease: A comparative analysis of vOCR, oVEMP, and SVV/SVH tests.","authors":"Sema Satıcı, Ahsen Kartal Özcan, Ahmet Alperen Akbulut, Ahmet Adnan Cırık, Zahra Polat","doi":"10.1177/09574271261444875","DOIUrl":"https://doi.org/10.1177/09574271261444875","url":null,"abstract":"<p><p>ObjectiveThe aim of this study is to evaluate utricle function in Meniere's disease (MD) patients using video ocular counter roll (vOCR), ocular vestibular evoked myogenic potential (oVEMP), subjective visual vertical (SVV), and subjective visual horizontal (SVH) tests, and compare the test results with those of healthy individuals.MethodsThe study included 21 patients aged 18-55 years with a definitive diagnosis of MD (mean age: 49 ± 6.92) and 24 healthy individuals (mean age: 39 ± 16.66) with normal audiological and vestibular function, no neurological or systemic diseases, and no use of ototoxic medications. All participants underwent a series of auditory and vestibular assessments, including pure-tone audiometry, acoustic immittance testing, videonystagmography (VNG), vOCR, oVEMP, and SVV/SVH testing.ResultsStatic vOCR gain did not differ significantly between the MD and control groups. However, the MD group exhibited significantly higher OCR asymmetry ratio (<i>p</i> = .01) and oVEMP asymmetry (<i>p</i> < .001) compared to controls. Perceptually, MD patients showed significantly larger deviations in SVV and SVH in the upright position (0°) (<i>p</i> < .05), but no significant differences were observed at tilt angles (15°, 30°, 45°).ConclusionUtricular dysfunction in MD is multidimensional. During the interictal phase, while static reflex gains may appear preserved, functional asymmetries and static perceptual deficits persist. The findings highlight that single-modality testing is insufficient; a multimodal approach combining reflex and perceptual assessments is essential for detecting subclinical utricular dysfunction.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271261444875"},"PeriodicalIF":3.3,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of the endolymphatic sac hypoplasia in a cohort of individuals without Meniere disease.","authors":"Paula Robles-Bolivar, Marta Martínez-Martínez, Rocio Martín-Márquez, Inés Berrio-Domínguez, Jose Luis Martin-Rodríguez, Jose Antonio Lopez-Escamez","doi":"10.1177/09574271251371541","DOIUrl":"10.1177/09574271251371541","url":null,"abstract":"<p><p>PurposeTo estimate the prevalence of endolymphatic sac hypoplasia (EShp)-a proposed specific finding in Ménière's disease (MD) that defines an endophenotype characterized by bilateral involvement, male predominance, temporal bone abnormalities, and familial clustering-in individuals without MD, to assess its specificity for the condition.MethodsWe analyzed 956 temporal bone CT scans from individuals without MD to assess the prevalence of EShp using the Angular Trajectory of the Vestibular Aqueduct (ATVA) marker. ATVA distribution, reproducibility, and associations with clinical variables were also evaluated.ResultsEShp was identified in 6 ears from 4 individuals, yielding a prevalence of 0.6% per patient and 0.8% per ear. ATVA values had a median of 95.0° (IQR = 12.5°, range 65.9°-159.4°). Interobserver agreement was good (ICC = 0.75), with a mean bias of 6.2° ± 5.4° and 5.5% of ears outside the 95% limits of agreement. No significant associations were found between ATVA and sex, age, or clinical diagnosis.ConclusionsEShp is rare in individuals without MD, supporting its specificity and potential role in MD pathophysiology. The ATVA marker is reliable and reproducible and may serve as a CT biomarker for the hypoplastic MD endophenotype.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"89-99"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12831814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating visual-vestibular interactions in motion sickness susceptibility with static subjective visual vertical, dynamic subjective visual vertical, and rod-and-frame test.","authors":"Zahra Polat, Sare Çankaya, Burcu Deniz, Mert Kılıç","doi":"10.1177/09574271251371540","DOIUrl":"10.1177/09574271251371540","url":null,"abstract":"<p><p>BackgroundMotion sickness (MS) occurs when the brain receives conflicting signals about body movement from the visual, vestibular, and proprioceptive systems. The otolith organs play a key role in perceiving verticality, and their function may be influenced by MS susceptibility.ObjectiveThis study aimed to investigate the effect of MS susceptibility on otolith-mediated verticality perception across different head positions.MethodsForty-seven participants were classified into two groups based on the Motion Sickness Susceptibility Questionnaire-Short Form (MSSQ-SF): an MS group (n = 24) and a control group (n = 23). All participants completed static Subjective Visual Vertical (SVV), dynamic Subjective Visual Vertical (DVV), and Rod-and-Frame Test (RFT) using a virtual reality system. Measurements were conducted in three head tilt (upright, 30° left, 30° right). The absolute deviation from true vertical was calculated for each test.ResultsWhile no significant differences were found in SVV performance between groups across head-tilt angles, the MS group exhibited significantly greater deviations in DVV at all positions and in RFT during 30° head tilts. Higher MSSQ scores correlated with greater deviations in DVV and RFT under tilt conditions.ConclusionsAlthough static verticality perception remains intact, individuals with MS exhibit greater deviations under dynamic and visually misleading conditions, suggesting subtle vestibular-perceptual deficits.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"78-88"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness after stroke: A prospective study of 284 cases.","authors":"Jiashu Li, Xuesong Bai, Ruile Fang, Gaifen Liu, Xingquan Zhao, Yi Ju","doi":"10.1177/09574271251374544","DOIUrl":"10.1177/09574271251374544","url":null,"abstract":"<p><p>ObjectiveTo explore the incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness (PPPD) after stroke.MethodsPatients with acute stroke and vestibular symptoms were enrolled prospectively and continuously. Baseline information, risk factors, imaging materials, and diagnosis were collected. PPPD, anxiety, depression, and quality of life were followed up in 6 months after stroke. Binary logistic regression was used to identify the risk factors of PPPD.ResultsIn this study, 284 patients (82.0% of males) were enrolled, with a mean age of 56.33 ± 11.87 years. Thirty-five patients (12.3%) had PPPD in 6-month follow-up. Patients with PPPD had a higher proportion of clinically significant anxiety and clinically significant depression and a lower three-level five-dimension EuroQol (EQ-5D-3L) index. Binary logistic regression analysis identified medulla oblongata stroke (OR, 5.549; <i>p</i> < .001), cerebellar stroke in posterior inferior cerebellar artery (PICA) territory (OR, 2.449; <i>p</i> = .026), and clinically significant anxiety at discharge (OR, 5.030; <i>p</i> < .001) were significant predictors for PPPD.ConclusionsAbout 12.3% of stroke patients with vestibular symptoms developed PPPD at 6 months after stroke, with a higher prevalence of psychological comorbidities and decreased quality of life. Medulla oblongata lesion, cerebellar (PICA territory) lesion, and clinically significant anxiety at discharge were independent risk factors for PPPD.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"100-106"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}