Bilateral Vestibulopathy

Loss of balance function in both inner ears

Overview

Bilateral vestibulopathy is a reduction or loss of vestibular function on both sides. Without input from the inner ear balance organs, people become unsteady, especially in the dark or on uneven ground, and may experience oscillopsia, a jumping or blurring of vision when walking because the eyes can no longer be stabilized during head movement. Recognized causes include ototoxic medications, notably aminoglycoside antibiotics, meningitis, bilateral Meniere disease, and some genetic and neurodegenerative conditions, though many cases have no identified cause. Vestibular rehabilitation is the mainstay of management.