{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T18:40:00Z","timestamp":1774291200144,"version":"3.50.1"},"reference-count":85,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p>Vestibular compensation (VC) represents a remarkable aspect of neuroplasticity, showcasing the brain\u2019s ability to adapt to disruptions in balance and spatial orientation caused by various vestibular disorders. This extended review provides a comprehensive overview of the mechanisms underlying VC, focusing on the distinct challenges posed by unilateral and bilateral vestibular disease. By examining the pathophysiological processes associated with these conditions, we gain critical insights into how the central nervous system employs adaptive strategies to restore functional balance. Additionally, this review underlines the multifaceted nature of VC, which emphasizes the necessity for personalized approaches in treatment, as not all patients will respond similarly to therapeutic interventions. Advancing our understanding of VC enriches the field of neurorehabilitation and holds significant promise for improving the quality of life for patients affected by vestibular disorders. By continuing to explore the intricate mechanisms of compensation and the factors that influence recovery, we can enhance our approaches to diagnosis, treatment, and rehabilitation. This will ultimately lead to better patient outcomes and a deeper comprehension of the brain\u2019s remarkable adaptability in the face of vestibular challenges. The journey toward improved care for individuals with vestibular disorders is ongoing, and it is imperative that we remain committed to research, education, and innovation in this vital area of medical science.<\/jats:p>","DOI":"10.3389\/fneur.2026.1769641","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T05:22:42Z","timestamp":1770268962000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Vestibular compensation: extended review"],"prefix":"10.3389","volume":"17","author":[{"given":"O. Nuri","family":"\u00d6zgirgin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Bay\u0131nd\u0131r Hospital","place":["Ankara, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Badr Eldin","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Ain-Shams University","place":["Cairo, Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George M.","family":"Zaytoun","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, American University of Beirut Medical Center","place":["Beirut, Lebanon"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfarghal","family":"Mohamad","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose, Throat, King Abdul Aziz Medical City","place":["Jeddah, Saudi 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