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Unfortunately there are still not many practising neuro-otologists, so that most patients with vestibular problems need, in the first instance, to be evaluated and treated by neurologists whose special expertise is not neuro-otology. The areas we consider here are mostly those that almost any neurologist should be able to start managing: acute spontaneous vertigo in the Emergency Room\u2014is it vestibular neuritis or posterior circulation stroke; recurrent spontaneous vertigo in the office\u2014is it vestibular migraine or Meniere's disease and the most common vestibular problem of all\u2014benign positional vertigo. Finally we consider the future: long-term vestibular monitoring and the impact of machine learning on vestibular diagnosis.<\/jats:p>","DOI":"10.1007\/s00415-023-11922-9","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T12:02:21Z","timestamp":1692273741000},"page":"6170-6192","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Neurological update: neuro-otology 2023"],"prefix":"10.1007","volume":"270","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9743-466X","authenticated-orcid":false,"given":"G\u00e1bor M.","family":"Halm\u00e1gyi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclden","family":"Akdal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam S.","family":"Welgampola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"issue":"4","key":"11922_CR1","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1001\/jamaoto.2015.3663","volume":"142","author":"DR Friedland","year":"2016","unstructured":"Friedland DR, Tarima S, Erbe C, Miles A (2016) Development of a statistical model for the prediction of common vestibular diagnoses. 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