Vestibular Neurology

dizziness from the brain out

Background

As UK neurologists with an interest in vestibular disorders, we made this website to support and promote interest in the field - linked to the mission of our Association of British Neurologists Special Interest Group (SIG).

Nearly all the vestibular system is in the brain. It is unsurprising, therefore, that most patients presenting with dizziness and impaired balance have neurological disorders. As experts in the assessment of neurological symptoms and signs, neurologists are best placed to assess patients vestibular symptoms. This is as true for those with longstanding/chronic problems, as in emergency/"hyperacute" presentations, where accurate examination and diagnosis remain superior to scans for detecting and excluding stroke. The reality of patient demand unfortunately aligns poorly with opportunities for neurologists. To date, most UK neurology trainees have no local or regional access to vestibular neurology clinics, and neurologists commonly lack direct access to vestibular testing. We argue that not only can we do better, but it is in the interests of our patients that we succeed.

Supporting the field

We are working to produce and maintain a good online resource including information on educational events, training opportunities, educational materials, and links to excellent external resources.

We invite neurologists and neurology trainees to register as a member of our Association of British Neurologists Special Interest Group which meets periodically to develop on our priorities (click "Join Group" on SIG site).

Further reading

1. Time to include vestibular neurology as a core competency for neurology trainee. Seemungal et al. ABN Annual Meeting Abstracts 2025