{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:01:27Z","timestamp":1791223287216,"version":"4.1.0"},"reference-count":78,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["491094227"],"award-info":[{"award-number":["491094227"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Vet. Sci."],"abstract":"<jats:p>Idiopathic vestibular syndrome (IVS) is one of the most common neurological disorders in veterinary medicine. However, its diagnosis and treatment varies between publications. The aim of the current study was to gather experts\u2019 opinion about IVS definition, diagnosis, and treatment. An online-survey was used to assess neurology specialists\u2019 opinion about the definition, diagnosis and treatment of IVS. The study demonstrated that the definition, diagnosis, and treatment of IVS are largely consistent worldwide, with the EU prioritising less frequently advanced imaging and more often otoscopy to rule out other diseases. IVS was defined by most specialists as an acute to peracute, improving, non-painful peripheral vestibular disorder that often affects cats of any age and geriatric dogs. Regarding diagnosis, a detailed neurological examination and comprehensive blood tests, including thyroid values, blood pressure, and otoscopic examination, was seen as crucial. A thorough workup may also involve MRI and CSF analysis to rule out other causes of vestibular dysfunction. Treatment of IVS typically involved intravenous fluid therapy and the use of an antiemetic, with maropitant once daily being the preferred choice among specialists. Antinausea treatment was considered, however, only by a handful specialists. This survey-based study provides valuable insights from neurology experts and highlights areas that require further research to bridge the gap between theory and practice.<\/jats:p>","DOI":"10.3389\/fvets.2023.1263976","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T12:47:46Z","timestamp":1695386866000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Current definition, diagnosis, and treatment of canine and feline idiopathic vestibular syndrome"],"prefix":"10.3389","volume":"10","author":[{"given":"Anna Morgana","family":"Mertens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning Christian","family":"Schenk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger Andreas","family":"Volk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1016\/j.tvjl.2009.10.029","article-title":"The neurology of balance: function and dysfunction of the vestibular system in dogs and cats","volume":"185","author":"Kent","year":"2010","journal-title":"Vet J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1053\/j.tcam.2014.04.004","article-title":"Proposed treatment for geriatric vestibular disease in dogs","volume":"29","author":"Kraeling","year":"2014","journal-title":"Top Companion Anim Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.1111\/jvim.15869","article-title":"Vestibular disease in dogs under UK primary veterinary care: epidemiology and clinical management","volume":"34","author":"Radulescu","year":"2020","journal-title":"J Vet Intern Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.cvsm.2009.09.007","article-title":"Vestibular disease in dogs and cats","volume":"40","author":"Rossmeisl","year":"2010","journal-title":"Vet Clin N Am Small Anim Pract"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/S1098-612X(02)00124-9","article-title":"Feline vestibular diseases\u2014new developments","volume":"5","author":"LeCouteur","year":"2003","journal-title":"J Feline Med Surg"},{"key":"ref6","first-page":"540","volume-title":"Veterinary neuroanatomy and clinical neurology","author":"DeLahunta","year":"2009"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1186\/s12917-021-02931-9","article-title":"The use of ondansetron for the treatment of nausea in dogs with vestibular syndrome","volume":"17","author":"Foth","year":"2021","journal-title":"BMC Vet Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e0218292","DOI":"10.1371\/journal.pone.0218292","article-title":"Proteome of normal human perilymph and perilymph from people with disabling vertigo","volume":"14","author":"Lin","year":"2019","journal-title":"PLoS One"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"9","DOI":"10.3109\/00016489109128038","article-title":"Pathophysiology of inner ear fluid imbalance","volume":"111","author":"Juhn","year":"1991","journal-title":"Acta Otolaryngol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s00415-015-7930-1","article-title":"What is Meni\u00e8re\u2019s disease? 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