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Diagnosis of vestibular migraine beyond the published diagnostic criteria

Abstract

The otolith organs are essential components of the vestibular system, contributing to the perception of linear acceleration and head position. This round table will discuss otolith function from normal to various clinical disorders characterized by impaired otolith precision. The discussion includes basic insights into the neurophysiological mechanisms underlying otolith processing and the diagnostic procedures in detecting subtle dysfunctions.  Different clinical presentations, including isolated otolith dysfunction, will be elaborated. Emerging strategies for otolith malfunction rehabilitation will be also discussed. Understanding otolith complexity and its impact on vestibular precision is crucial for diagnosis, targeted intervention, and improved management of vestibular disorders, ultimately enhancing patient quality of life.