Presbyvestibulopathie: Diagnosekriterien Konsensdokument des Klassifikationskomitees der Bárány-Gesellschaft

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This paper describes the diagnostic criteria for presbyvestibulopathy (PVP) by the Classification Committee of the Bárány Society. PVP is defined as a chronic vestibular syndrome characterized by unsteadiness, gait disturbance, and/or recurrent falls in the presence of mild bilateral vestibular deficits, with findings on laboratory tests that are between normal values and thresholds established for bilateral vestibulopathy. The diagnosis of PVP is based on the patient history, bedside examination and laboratory evaluation. The diagnosis of PVP requires bilaterally reduced function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the VOR with the video-HIT (vHIT); for the middle frequency range with rotary chair testing; and for the low frequency range with caloric testing. For the diagnosis of PVP, the horizontal angular VOR gain on both sides should be < 0.8 and > 0.6, and/or the sum of the maximal peak velocities of the slow phase caloric-induced nystagmus for stimulation with warm and cold water on each side should be < 25°/s and > 6°/s, and/or the horizontal angular VOR gain should be > 0.1 and < 0.3 upon sinusoidal stimulation on a rotatory chair. PVP typically occurs along with other age-related deficits of vision, proprioception, and/or cortical, cerebellar and extrapyramidal function which also contribute and might even be required for the manifestation of the symptoms of unsteadiness, gait disturbance, and falls. These criteria simply consider the presence of these symptoms, along with documented impairment of vestibular function, in older adults.


  • Yuri Agrawal
Externa organisationer
  • Johns Hopkins University
  • Maastricht University
  • University of Antwerp
  • Heidelberg University
  • Lund University
  • Dizziness and Balance Disorders Centre
  • Ludwig-Maximilian University of Munich

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Oto-rino-laryngologi


Sidor (från-till)242-250
Antal sidor9
Utgåva nummer4
StatusPublished - 2020
Peer review utfördJa
Externt publiceradJa