Heiko M Rust

Consultant Neurologist

[Frontiers - Neurology @FrontNeurol]

New Research: The interictal symptom burden in vestibular migraine—a condition in need of recognition https://t.co/kd5IpGn3nw #FrontiersIn #Neurology

[Heiko M Rust @RustHeiko]

Chronic dizziness beyond attacks is very common in patients with vestibular migraine
See our latest review

https://t.co/yFKAMBKGSP

@UniSpitalBasel @ImperialBrains @meandveuk @BSociety25913 @VestibularNeuro @ImperialMed @UniBasel_en

[Heiko M Rust @RustHeiko]

In acute TBI patients it is key to be aware of ‚vestibular agnosia‘ otherwise you might miss BPPV in many cases
@BarrySeemungal @RMSmithPhysio @VestibularNeuro @ImperialBrains @UniSpitalBasel
https://t.co/LD32A1cfqk

[Journal of Neurology, Neurosurgery and Psychiatry @JNNP_BMJ]

The classical ‘nausea’ of motion sickness and the frequent secondary symptom of ‘headache’ induced by motion are absent or low in the ‘CN’ type congenital nystagmus population
https://t.co/TbyVP9kBvl

Thank you @RustHeiko @ImperialBrains @VestibularNeuro

[Heiko M Rust @RustHeiko]

Check out our latest publication ‘congenital nystagmus protects against motion sickness’
@JNNP_BMJ @ImperialBrains @VestibularNeuro @UniSpitalBasel

https://t.co/Fx92h7Pzeb

[Heiko M Rust @RustHeiko]

@TheRealRitchieB This sounds like a severe attack of vestibular migraine. I‘m sure the doctors in the US did rule out vestibular neuritis or other causes of the vertigo. Get well soon and all the best!

[Neurology Journal @GreenJournal]

Viewpoints: Time to Include Vestibular Neurology as a Core Competency for Neurology Trainees https://t.co/iXrUlnUkE1

#NeurologyEd

[Journal of Neurology, Neurosurgery and Psychiatry @JNNP_BMJ]

Sports-related concussion not associated with long-term cognitive or behavioural deficits https://t.co/BtyzmznJbA

[SBNS @The_SBNS]

Join us in London for SBNS 100, October 12 - 16 2026

#SBNS100

[Meniere's & Vestibular UK @meandveuk]

We're excited to announce we've changed our name from the Meniere's Society to Meniere's & Vestibular UK.

Read more: https://t.co/sP8FejDHZV

[Heiko M Rust @RustHeiko]

@schumacher I was there, it was raining, it was cold, it was exciting

[Barry Seemungal 🇬🇧 🇹🇹 @BarrySeemungal]

Why do patients with vestibular conditions with imbalance, dizziness & falls suffer misdiagnosis, wrong treatment, increased morbidity, mortality, unemployment, depression and socioeconomic distress? @GreenJournal https://t.co/HdEwcmvtZn

[Michael Okun @MichaelOkun]

To shunt or not to shunt, that is the (NPH) question? The first large randomized trial of shunting for normal pressure hydrocephalus (NPH) just dropped in NEJM, and there was clear benefit for walking, and it favored the group receiving shunts. Spoiler alert: Walking improved, however thinking (cognition) and bladder function did not.
Key Points:
- NPH is a condition usually presenting in older adults where fluid builds up in the brain and it associated w/ trouble walking, memory and thinking challenges as well as bladder incontinence.
- Shunting significantly improved walking speed and balance compared w/ placebo.
- No meaningful change in cognition or bladder control observed at 3 months.
- Risks included subdural bleeding and headaches, underscoring the need for careful follow up.
My take: NPH has always been a tricky area for clinicians when trying to decidr 'to shunt or not to shunt.' Here are 5 points that resonated w/ me: 1- Shunting in well selected persons can restore some walking ability in NPH. 2- Thinking did not improve at 3 months. 3- Incontinence showed no clear benefit. 4- Risks to always discuss w/ people considering shunts should include bleeding and headaches (as not uncommon). 5- Walking gains may possibly reduce falls and boost independence, however we must be careful as sometimes improved walking w/o improved balance, can actually trigger falls.
https://t.co/yCnSCpclPL @FixelInstitute @ParkinsonDotOrg @alzassociation @SfNtweets @SfNtweets @NEJM

[Barry Seemungal 🇬🇧 🇹🇹 @BarrySeemungal]

We need public & patient feedback via ZOOM - Thursday August 14th, 1:00pm - on a planned major research programme into balance & dizziness post moderate-to-severe traumatic brain injury. Register to attend by emailing [email protected]

@headwayuk

https://t.co/DtXobHu3bl

[Barry Seemungal 🇬🇧 🇹🇹 @BarrySeemungal]

PPIE: VESTIBULAR DYSFUNCTION IN TBI
Sign up for a Zoom call to provide public and patient opinion into a major research programme looking at imbalance and dizziness in traumatic brain injury.

Wed 25/06/2025, 13:00, UK time.

Email [email protected] to attend

[Heiko M Rust @RustHeiko]

Our observation in a patient supports previous findings from animal research on central vestibular function

https://t.co/GWN4MxSlZE

[BaranySociety @BSociety25913]

Check out this work from Smith et al. investigating the views of both clinicians and patients in those with post-traumatic BPPV. https://t.co/dVpfqtSFDo

[Zaeem Hadi @ZaeemHadi]

Excited to share our new paper.

🔗: https://t.co/Omf50PSM7M

Title:
Balance recovery and its link to vestibular agnosia in traumatic brain injury: a longitudinal behavioural and neuro-imaging study

Details below.

[Case Western Reserve Univ/UH Epilepsy Program @CwruEpilepsy]

As the Gilbert Humphrey chair of the Department of Neurology @CwruNeuro he developed the department into what we are today. He was a visionary chairperson and a remarkable clinician-scientist. His legacy shall always live on. RIP, Prof. Daroff.

[Vestibular First @VestibularFirst]

Do you see BPPV after brain injury? Learn all the nuances of assessment and treatment for BPPV and more: https://t.co/xIgXVDNOoe to sign up for the most GAME-CHANGING week-long in-person vestibular course at @EmoryUniversity, run by @Duke_DPT. #vestibularrehabilitation #bppv