Summary Enlarged Vestibular Aqueduct (EVA) is a condition that affects the inner ear, leading to hearing loss and balance problems. It is the most common inner ear issue linked to hearing loss, and doctors usually find it using a CT scan. While hearing loss is common, balance issues are less frequently seen. There is no cure for EVA, but getting diagnosed early and avoiding further head injuries is important. What is EVA? The vestibular aqueduct is a small, tube-like passage in the inner ear that connects to the brain. It’s protected by the temporal bone, which also contains two important parts of the ear: the cochlea, which helps us hear, and the vestibular labyrinth, which helps us maintain balance. Inside the vestibular aqueduct is the endolymphatic duct, a tube that carries fluid essential for hearing and balance. Although we don’t fully understand how it works, this system is crucial for […]
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Maybe I over-celebrated finishing a paint-by-number of a crane. However, it took a lot of energy, balance, patience, neck stability and brain power, and it took over a month to complete. So, the wobbly little dance I did after removing it from the easel, felt entirely appropriate. It’s not easy when, unexpectedly, we have to rethink how we pass the time, but it’s important to find activities that give us a sense of accomplishment on our healing journey, and it’s nice if we can find something to do in the safety and comfort of our homes. This eliminates the stress of wandering out into the world for yet another vestibular challenge. You don’t have to be a talented artist to find your creative side. All of us have the ability to create something. The trick is to find something that is calming and rewarding. I remember a bit of anxiety […]
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Finding Solid Ground Before her stroke, Rachel Abbassi was a vibrant, driven woman who poured her heart and soul into her career as a marketing director. She thrived on the fast pace and constant challenges, always pushing herself to be better and rise higher. Work was her passion and purpose – she would arrive early, stay late, and think about work even when she was at home. Rachel was the epitome of a career-minded go-getter. Then, one seemingly ordinary day, Rachel’s world turned upside down. The Moment of Panic While taking her dog outside, she suddenly realized she couldn’t form the words she was thinking. Panic set in as she struggled to communicate with her husband. In that moment, Rachel knew something was terribly wrong. Her husband rushed her to the hospital, where tests revealed she was having an active stroke. The next hours were a blur as Rachel underwent […]
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This study looked at the sleep quality of military Service members and Veterans who experience dizziness compared to those who do not experience dizziness. Why This Matters Dizziness is relatively common in the military population, often linked to mild traumatic brain injuries (mTBI), post-traumatic stress disorder (PTSD), blast exposures, or other health issues. Poor sleep is also a significant concern among Service members and Veterans. Both dizziness and inadequate sleep can increase the risk of falls, thereby increasing the likelihood of injury. What the Researchers Did The team analyzed data from over 1,500 Service members and Veterans who were part of the NOISE study (Noise Outcomes in Service members Epidemiology). Participants completed surveys to obtain information on: demographics; previous history of injury; symptoms of PTSD, anxiety, and depression; and sleep issues (sleep disorders and daytime sleepiness) The researchers separated participants into two groups for comparison based on: Those who reported […]
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Balance Awareness Week 2025: A Global Celebration of Connection and Impact Balance Awareness Week (BAW) 2025 was a tremendous success! From September 14–20, people around the world came together to raise awareness for vestibular disorders — educating their communities, supporting patients, and celebrating progress. This year’s event showed the power of collective action: hundreds of individuals, clinics, and organizations joined forces to make vestibular visible. Every photo shared, every event hosted, and every dollar raised added up to a meaningful global impact. While we can’t feature every incredible contribution, here are just a few of the highlights from this unforgettable week. Fiona Flamingo Photo Contest Winners One of the most beloved Balance Awareness Week traditions is the Fiona Flamingo Photo Contest — a fun and creative way for people to show their support while “making vestibular visible.” Participants around the world struck their best one-legged flamingo pose, joined by friends, […]
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A new article in Neurology Education argues that it’s time for vestibular neurology—the study and treatment of dizziness, vertigo, and balance problems—to be recognized as a core skill for all neurology trainees. Why this matters Dizziness is one of the top reasons people seek neurological care, along with headaches and seizures. Yet, unlike headaches and seizures, vestibular conditions are not consistently taught as a basic competency for neurology residents around the world. This mismatch means many patients face delayed or incorrect diagnoses. For example, strokes that present with vertigo are twice as likely to be misdiagnosed, sometimes with devastating consequences. Common vestibular conditions The majority of patients who see neurologists with dizziness are experiencing one of three conditions: Vestibular migraine (VM) – affects about 3% of the population each year Benign paroxysmal positional vertigo (BPPV) affects about 1.6% of people annually Orthostatic hypotension (OH) – especially common in older adults […]
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Dear Fiona, I was diagnosed with vestibular neuritis. My balance is off, and I feel dizzy. However, I also have sharp pains around my eye, and my jaw hurts, especially when I chew. Are those related? What might be causing this, and what can I do about it? What is Vestibular Neuritis? Vestibular neuritis or neuronitis is an inflammation of the vestibular nerve, which carries signals about balance and head motion from the inner ear to the brain. The classic symptoms include sudden, severe vertigo (a spinning sensation), nausea and vomiting, imbalance, difficulty walking, and problems with eye movements (for example, involuntary eye movements called nystagmus). Can Vestibular Neuritis Cause Eye Pain? What Might Be Going On While the standard symptom list doesn’t usually include eye pain per se, there are several ways that vestibular neuritis or its consequences might lead to discomfort around the eyes. Some possible causes: Eye strain due […]
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Researchers at the University of Antwerp and the European Institute for Otorhinolaryngology have developed a virtual reality (VR) treatment that is just as effective as the current gold standard therapy for Mal de Débarquement Syndrome (MdDS), a rare and highly disabling balance disorder. MdDS patients feel as if they are constantly rocking, swaying, or bobbing—similar to being on a boat that never stops moving. The condition can last for months or years, severely disrupting daily life and often forcing patients to give up work. Until now, the therapy often used has involved a bulky optokinetic stimulation (OKS) booth, available in only a handful of clinics worldwide. Patients frequently had to travel internationally for access—ironically, travel itself can worsen MdDS symptoms. In a randomized clinical trial of 30 patients, the Antwerp team compared the OKS booth to a newly developed VR smartphone application that simulates the same visual therapy. Patients in both groups showed […]
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Most people think of dizziness as an adult problem, but children can also experience significant balance and vestibular (inner ear) issues. These problems are often overlooked because children don’t always have the language to explain what they’re feeling. Instead, they might fall more often, struggle to keep up in sports, or show delays in hitting motor milestones like sitting, walking, or running. The vestibular system—the part of the inner ear and brain that helps with balance—is already developed at birth but keeps maturing as a child grows. When it isn’t working correctly, the effects can be far-reaching, influencing school participation, social confidence, and physical development. Who Needs Testing? The statement recommends vestibular testing in two main groups of children: Those who complain of dizziness or vertigo. Those with imbalance or delayed motor skills, especially if they also have hearing loss. Nearly half of children with significant hearing loss may also […]
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If you’ve been diagnosed with unilateral vestibular hypofunction—meaning you have reduced vestibular function on one side—you’re probably wondering: “What treatments or support are out there to help me get back to feeling balanced and grounded?” Let’s walk through it together. Vestibular Rehabilitation Therapy (VRT) Vestibular rehabilitation therapy (VRT) is an evidence-based approach and gold standard treatment for unilateral vestibular loss. It involves a comprehensive exercise-based program targeting specific impairments and functional limitations. VRT is provided specifically by trained therapists who have certifications or extensive coursework in this area. How VRT works The goal is compensation—your brain learns to substitute visual and sensory cues for the vestibular deficit, improving balance, gaze stability, and reducing vertigo. Types of exercises Habituation: Repeated, controlled exposure to movements that provoke dizziness, helping desensitize your system. Gaze stabilization: Exercises that improve your ability to focus while moving your head. Balance and gait training: Improving stability, awareness in space, and gait on […]
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