Relation of video-head-impulse test and caloric irrigation: a study on the recovery in unilateral vestibular neuritis

2013 ◽  
Vol 271 (9) ◽  
pp. 2375-2383 ◽  
Author(s):  
Stephanie Zellhuber ◽  
Andrea Mahringer ◽  
Holger A. Rambold
Keyword(s):  
Vestibular Neuritis ◽  
Head Impulse Test ◽  
Video Head Impulse Test ◽  
Caloric Irrigation ◽  
Head Impulse

scholarly journals Prediction of Short-Term Outcome in Acute Superior Vestibular Nerve Failure: Three-Dimensional Video-Head-Impulse Test and Caloric Irrigation

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Holger A. Rambold
Keyword(s):  
Head Impulse Test ◽  
Video Head Impulse Test ◽  
Short Term ◽  
Term Outcome ◽  
Caloric Irrigation ◽  
Head Impulse ◽  
Group Iii ◽  
Short Term Outcome ◽  
Group I ◽  
Vestibular Testing

This retrospective study examines acute unilateral vestibular failure (up to seven days after onset) with modern vestibular testing (caloric irrigation and video-head-impulse test, vHIT) in 54 patients in order to test if the short-term outcome of the patients depends on the lesion pattern defined by the two tests. Patients were grouped according to a pathological unilateral caloric weakness without a pathological vHIT: group I; additional a pathological vHIT of the lateral semicircular canal (SCC): group II; and an additional pathological vHIT of the anterior SCC: group III. Patients with involvement of the posterior SCC were less frequent and not included in the analysis. Basic parameters, such as age of the subjects, days after symptom onset, gender, side of the lesion, treatment, and dizziness handicap inventory, were not different in groups I to III. The frequency of pathological clinical findings and pathological quantified measurements increased from groups I to III. The outcome parameter “days spent in the hospital” was significantly higher in group III compared to group I. The analysis shows that differential vestibular testing predicts short-term outcome of the patients and might be in future important to treat and coach patients with vestibular failure.

scholarly journals Evaluation of vestibular function using video Head Impulse Test, caloric test and VEMP in patients with vestibular neuritis

2015 ◽  
Vol 74 (6) ◽  
pp. 534-540
Author(s):  
Masatoshi Akutsu ◽  
Akemi Sugita-Kitajima ◽  
Koshi Mikami ◽  
Yujin Kato ◽  
Fumihiro Mochizuki ◽  
...  
Keyword(s):  
Vestibular Function ◽  
Vestibular Neuritis ◽  
Head Impulse Test ◽  
Caloric Test ◽  
Video Head Impulse Test ◽  
Head Impulse

scholarly journals The clinical course of vestibular neuritis from the point of view of the video Head Impulse Test

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Leonardo Manzari ◽  
Domenico Graziano ◽  
Marco Tramontano
Keyword(s):  
Clinical Course ◽  
Cranial Nerves ◽  
Point Of View ◽  
Vestibular Neuritis ◽  
Head Impulse Test ◽  
Video Head Impulse Test ◽  
Head Impulse ◽  
Acute Vestibular Syndrome ◽  
Vestibulo Ocular Reflex ◽  
Contralesional Side

Vestibular neuritis (VN) is one  of the most common causes of acute vestibular syndrome (AVS). Quantifying the vestibulo-ocular reflex (VOR) gain by the video Head Impulse Test (vHIT) could provide useful information to diagnose VN. This retrospective study is aimed to investigate the clinical course of VN evaluating the horizontal VOR gain (hVOR) values in acute and subacute stages and to correlate these values with the patients’ quality of life. Medical record of 28 patients with VN were reviewed. Patients were assigned to two groups according to the time since the acute vestibular syndrome (AVS). One group with patients assessed within seventy-two hours since the AVS (AVSg) and one group with patients evaluated from four days to six weeks since the AVS (PAVSg). hVOR gain was evaluated in all selected patients and correlated to Dizziness Handicap Inventory (DHI). Significant differences were found in the between-subjects analysis in DHI score (p=0.000) and in the ipsilesional hVOR gain values (p=0.001). The correlation analysis showed significant results (p=0.017) between DHI score ( 40±16.08) and ipsilesional VOR gain (0.65±0.22) in the PAVSg. Patients evaluated within 72 hours since the AVS showed anticompensatory saccades (AcS) turning the head toward the contralesional side. Patients with VN could have dissimilar hVOR gain values and DHI score according to the damage of the VIII pair of cranial nerves. AcS in the contralesional side is a sign of acute phase in patients with VN.

scholarly journals Video Head Impulse Test for Early Diagnosis of Vestibular Neuritis Among Acute Vertigo

2017 ◽  
Vol 44 (5) ◽  
pp. 556-561 ◽  
Author(s):  
Qiongfeng Guan ◽  
Lisan Zhang ◽  
Wenke Hong ◽  
Yi Yang ◽  
Zhaoying Chen ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Clinical Application ◽  
Sensitivity And Specificity ◽  
Vestibular Neuritis ◽  
Head Impulse Test ◽  
Good Sensitivity ◽  
Video Head Impulse Test ◽  
Head Impulse ◽  
Normal Controls

AbstractBackground: This study assesses the value of the video head impulse test (vHIT) for early diagnosis of vestibular neuritis (VN) among acute vertigo. Methods: Thirty-three cases of vestibular neuritis (VN), 96 patients with other acute vertigo (AV), and 50 cases of normal controls used vHIT to quantitatively test a pair of horizontal vestibulo-ocular reflection (VOR) gains, two pairs of vertical VOR gains, and the corresponding three pairs of VOR gain asymmetry. The peculiarity of VOR gains in VN and the differences between VN and other AV, normal controls by vHIT, were collected and analyzed. Results: There were statistically significant differences in the three pairs of VOR gains asymmetry between VN and other AV, and normal controls (P<0.01). The sensitivity was 87.9% and specificity was 94.3% in differentiating VN from normal and other acute vertigo by vHIT. Conclusions: This study shows vHIT has advantages in the diagnosis of VN in acute vertigo with good sensitivity and specificity and indicates a widespread clinical application.

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