Journal Reviews

Should all patients with BPPV have an MRI?

1 July 2018 | | Aetiology, Algorithm, BPPV, Demographic, Dix-Hallpike, Epley manoeuvre, European, Incidental finding, Infection, MRI, Scan, Semicircular canal, Surgery, Trauma, Tumour, Vertigo

This paper describes an interesting series of 500 patients over a 10-year period with posterior canal BPPV, who had been investigated with MRI. The female to male ratio was 1.6:1 with a mean age of 56. There was a right...

Acute peripheral vestibulopathy: is it really neuritis?

1 November 2016 | | Vestibular neuritis, etiology, lesion patter, peripheral vestibulopathy, receptor testing

The pathophysiology of acute vestibular dysfunction has been debated for decades. By seeking to clarify the underlying aetiology, this study muddies the waters further by advocating systemic and intratympanic steroids as first line treatment if the aetiology is uncertain. The...

Leptin has no role in idiopathic sudden sensorineural hearing loss

1 May 2015 | | Idiopathic sudden sensorineural hearing loss, etiology, pathophysiology, leptin

This paper from Turkey claims to be the first study dealing with the relationship between leptin and idiopathic sudden sensorineural hearing loss (ISSHL). I remember leptin being a fashionable topic in obesity research, when leptin deficiency was thought to be...