{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:08:37Z","timestamp":1791821317134,"version":"4.3.4"},"reference-count":83,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014188","name":"Ministry of Science and ICT, South Korea","doi-asserted-by":"publisher","award":["RS\u20102022\u2010KH129293"],"award-info":[{"award-number":["RS\u20102022\u2010KH129293"]}],"id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014188","name":"Ministry of Science and ICT, South Korea","doi-asserted-by":"publisher","award":["RS\u20102025\u201000515755"],"award-info":[{"award-number":["RS\u20102025\u201000515755"]}],"id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015825","name":"Korea University Anam Hospital","doi-asserted-by":"publisher","award":["O2514421"],"award-info":[{"award-number":["O2514421"]}],"id":[{"id":"10.13039\/501100015825","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Unlike acute unilateral vestibulopathy or vestibular neuritis (AUVP\/VN), of which the diagnosis is made based on well\u2010established neurotologic findings, the diagnosis of idiopathic acute unilateral audiovestibulopathy (iAUAV, also known as labyrinthitis) still requires further elucidation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the medical records of patients with first\u2010onset acute audiovestibulopathy (AAVS) in a referral\u2010based university hospital in South Korea between March 2018 and September 2024. The results of video\u2010oculography, video head\u2010impulse, and other neurotologic evaluations were included for analysis. In addition, an MRI dedicated to the inner ear was conducted. The findings were compared with 80 patients with AUVP\/VN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 73 patients with iAUAV (age range\u2009=\u200920\u201385\u2009years, mean age\u2009\u00b1\u2009SD\u2009=\u200960\u2009\u00b1\u200918\u2009years, 33 male) were included in the analyses. 26% and 12% of patients showed ipsilesional nystagmus and predominant downbeat nystagmus, respectively. The vestibulo\u2010ocular reflex (VOR) gain was decreased in horizontal (HC, <jats:italic>n<\/jats:italic>\u2009=\u200941), posterior (PC, <jats:italic>n<\/jats:italic>\u2009=\u200923), and anterior canals (AC, <jats:italic>n<\/jats:italic>\u2009=\u20099), showing more frequent involvement of PC compared to those with AUVP\/VN (<jats:italic>p<\/jats:italic>\u2009=\u20090.002). Positive MRI results were found in 28 patients with iAUAV (28\/68, 41%), showing high signal intensities over the vestibule (<jats:italic>n<\/jats:italic>\u2009=\u200927), cochlea (<jats:italic>n<\/jats:italic>\u2009=\u200925), HC (<jats:italic>n<\/jats:italic>\u2009=\u200921), PC (<jats:italic>n<\/jats:italic>\u2009=\u200921), and AC (<jats:italic>n<\/jats:italic>\u2009=\u20097) on MRIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with iAUAV can show various neurotologic findings that deviate from typical AUVP\/VN. Recognition of these findings can aid in a deeper understanding of the pathophysiology of iAUAV, which is distinct from AUVP\/VN, and differentiation from other etiologies of AAVS that can have a debilitating prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.70278","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:06:05Z","timestamp":1752062765000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Neurotologic Findings of Idiopathic Acute Unilateral Audiovestibulopathy"],"prefix":"10.1111","volume":"32","author":[{"given":"Keun\u2010Tae","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurology Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arim","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, Anam Hospital Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8660-7759","authenticated-orcid":false,"given":"Sun\u2010Uk","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology Korea University Medical Center  Seoul South Korea"},{"name":"Neurotology and Neuro\u2010Ophthalmology Laboratory Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euyhyun","family":"Park","sequence":"additional","affiliation":[{"name":"Neurotology and Neuro\u2010Ophthalmology Laboratory Korea University Medical Center  Seoul South Korea"},{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byungjun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Anam Hospital Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1508-2024","authenticated-orcid":false,"given":"Ji\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Dizziness Center, Clinical Neuroscience Center Seoul National University Bundang Hospital  Seongnam South Korea"},{"name":"Department of Neurology Seoul National University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1056\/NEJMcp021154","article-title":"Vestibular Neuritis","volume":"348","author":"Baloh R. 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