Virtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease.

Patients with vestibular migraine showed compromised body balance at the static posturography test.

Posturography has been used in the evaluation of patients with vestibular disorders. Aim To evaluate balance control with the Balance Rehabilitation Unit (BRU TM ) posturography in patients with Menière's disease. Study design Prospective case-control. Material and Method 30 patients diagnosed with Menière's disease and a control group consisting of 40 healthy matching individuals in relation to age and gender, were submitted to a balance function evaluation by means of a Balance Rehabilitation Unit (BRU TM ) posturography. Results Comparing patients with Menière's disease and the control group, we found significant differences between the values of the sway speed in the static force plate, down optokinetic stimulation (p=0.038) and horizontal visual vestibular interaction (p=0.049); and of the ellipse area in the static force plate, eyes closed (p=0.001); left optokinetic stimulation (p=0.007); down optokinetic stimulation (p=0.003); horizontal visual vestibular interaction (p=0.003); and vertical visual vestibular interaction (p=0.028). Conclusion The postural control assessment with the Balance Rehabilitation Unit (BRU TM ) posturography enables the identification of sway speed and ellipse area abnormalities in patients with Menière's disease.

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Introduction A patient who had no symptoms suggestive of bilateral loss of vestibular function presented no responses in rotational and caloric tests. Objectives To demonstrate the importance of the video head impulse test in neuro-otologic diagnosis. Resumed Report This patient had a neuro-otologic evaluation and presented no responses in torsion swing tests, caloric tests, and rotational tests in a Bárány chair. The video head impulse test elicited responses in four of the six semicircular canals. Conclusion Absent responses in caloric and rotatory tests alone are not sufficient to diagnose bilateral loss of vestibular function.