Does Vestibulo-Ocular Reflex (VOR) Gain Correlate With Radiological Findings in the Semi-Circular Canals in Patients Carrying the p.Pro51Ser (P51S) COCH Variant Causing DFNA9? Relationship Between the Three-Dimensional Video Head Impulse Test (vHIT) and MR/CT Imaging

Gaze stabilization during head movements is provided by the vestibulo-ocular reflex (VOR). Clinical assessment of this reflex is performed using the video Head Impulse Test (vHIT). To date, the influence of different fixation distances on VOR gain using the vHIT has not been explored. We assessed the effect of target proximity on the horizontal VOR using the vHIT. Firstly, we assessed the VOR gain in 18 healthy subjects with 5 viewing target distances (150, 40, 30, 20, and 10 cm). The gain increased significantly as the viewing target distance decreased. A second experiment on 10 subjects was performed in darkness whilst the subjects were imagining targets at different distances. There were significant inverse relationships between gain and distance for both the real and the imaginary targets. There was a statistically significant difference between light and dark gains for the 20- and 40-cm distances, but not for the 150-cm distance. Theoretical VOR gains for different target distances were calculated and compared with those found in light and darkness. The increase in gain observed for near targets was lower than predicted by geometrical calculations, implying a physiological ceiling effect on the VOR. The VOR gain in the dark, as assessed with the vHIT, demonstrates an enhancement associated with a reduced target distance.

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Vestibulo-ocular reflex assessed with Video Head Impulse Test in children with Vestibular Migraine: Our experience

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2020.110161 ◽

2020 ◽

Vol 137 ◽

pp. 110161

Author(s):

Rosana Rodríguez-Villalba ◽

Miguel Caballero-Borrego ◽

Vanessa Villarraga ◽

Victoria Rivero de Jesús ◽

Maria Antonia Claveria ◽

...

Keyword(s):

Vestibular Migraine ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Head Impulse ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex

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Vestibulo-ocular reflex gain and compensatory saccades in three semicircular canals by video head impulse test

Auditory and Vestibular Research ◽

10.18502/avr.v28i1.415 ◽

2019 ◽

Author(s):

Homa Zarrinkoob ◽

Hadi Behzad ◽

Seyed Mehdi Tabatabaee

Keyword(s):

High Velocity ◽

Semicircular Canals ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Low Velocity ◽

Head Impulse ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex ◽

Reflex Gain ◽

The Right

Background and Aim: One of the tools for assessing the vestibulo-ocular reflex (VOR) is using video head impulse test (vHIT). In this test by placing the head at different angles and shaking the head, three semicircular canals of the vestibular system in each ear can be examined separately. The purpose of this study was to investigate the relationship between the low and high velocities of the vHIT test with VOR and its compensatory saccades. Methods: The vHIT test was performed by an examiner in 49 normal individuals aged 23–39 at low and high velocities. All participants had normal hearing, visual, and vestibular systems. Results: Mean gains in the horizontal, anterior and posterior semicircular canals in the right ear respectively were 0.92, 1 and 0.90 and in the left ear 0.93, 0.99 and 0.95 for low velocity and 0.78, 0.92 and 0.79 in the right ear and 0.80, 0.85 and 0.86 in the left ear for high velocity. Also, the number of compensatory saccade at high velocity was higher than those at the low velocity and the latency of compensatory saccade was lower at the higher velocity. Conclusion: In the vHIT test, VOR gain decreases at high velocity that is statistically significant. Also, compensatory saccades are more likely to occur at high velocity with smaller delay. Therefore, high-velocity vHIT test is not recommended for the purpose of examining the VOR gain and compensatory saccade.

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Clinical Prevalence of Enhanced Vestibulo-Ocular Reflex Responses on Video Head Impulse Test

Otology & Neurotology ◽

10.1097/mao.0000000000003171 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Aitor Vargas-Alvarez ◽

Elisabeth Ninchritz-Becerra ◽

Miren Goiburu ◽

Frank Betances ◽

Jorge Rey-Martinez ◽

...

Keyword(s):

Head Impulse Test ◽

Video Head Impulse Test ◽

Head Impulse ◽

Reflex Responses ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex

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Evaluation of Interexaminer Variability in Video Head Impulse Test Results

Journal of the American Academy of Audiology ◽

10.1055/s-0040-1717124 ◽

2020 ◽

Vol 31 (08) ◽

pp. 613-619

Author(s):

Başak Mutlu ◽

Sıdıka Cesur ◽

Merve Torun Topçu ◽

Cennet Reyyan Geçici ◽

Öyküm Esra Aşkın ◽

...

Keyword(s):

Repeated Measures ◽

Semicircular Canals ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Head Impulse ◽

Lateral Canal ◽

Ocular Reflex ◽

Left Posterior ◽

Vestibulo Ocular Reflex ◽

The Right

Abstract Objective The video head impulse test (vHIT) is a diagnostic tool to assess the function of the semicircular canals and branches of the vestibular nerve. The aim of this study was to analyze the interexaminer variability of vHIT results in healthy subjects. Materials and Methods A total of 21 healthy participants were included in the study. vHIT responses were collected by four clinicians. Variability of the vHIT results between examiners was analyzed statistically. Results The vestibulo-ocular reflex (VOR) velocity regression values were from 0.99 to 1.09 degrees per second for the lateral canals. For the vertical canals, VOR velocity regression values were from 0.87 to 1.21 degrees per second. According to repeated measures analysis of variance, the normality assumptions for the velocity regression of the left lateral canal (p = 0.002) and the right anterior canal (p < 0.01) were met and the differences were statistically significant. The normality assumptions were not met for 40, 60, and 80 ms median gain of the right lateral canal (p = 0.016, p = 0.038, and p = 0.001, respectively); 40 and 60 ms median gain of the left lateral canal (p < 0.001 and p = 0.008, respectively); and the velocity regression of the left posterior canal (p < 0.00). These differences were found to be statistically significant by using the Friedman test. Conclusion The interexaminer differences of the VOR gain values for the vHIT were statistically significant. Serial vHIT testing should be performed by the same examiner to reduce the effects of interexaminer variability.

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Ethanol consumption impairs vestibulo-ocular reflex function measured by the video head impulse test and dynamic visual acuity

Journal of Vestibular Research ◽

10.3233/ves-140520 ◽

2014 ◽

Vol 24 (4) ◽

pp. 289-295 ◽

Cited By ~ 5

Author(s):

Thomas N. Roth ◽

Konrad P. Weber ◽

Vincent G. Wettstein ◽

Guy B. Marks ◽

Sally M. Rosengren ◽

...

Keyword(s):

Visual Acuity ◽

Ethanol Consumption ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Dynamic Visual Acuity ◽

Head Impulse ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex

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Normative values of vestibulo-ocular reflex gain obtained through Video Head Impulse Test: an integrative literature review

Revista CEFAC ◽

10.1590/1982-0216/20202264320 ◽

2020 ◽

Vol 22 (6) ◽

Author(s):

Patricia Oyarzún Díaz ◽

Sebastián Rivera Retamal ◽

Sergio Jiménez Cofré ◽

Hugo Segura Pujol

Keyword(s):

Cochrane Library ◽

Normative Values ◽

Head Impulse Test ◽

Original Research ◽

Video Head Impulse Test ◽

Head Impulse ◽

Ocular Reflex ◽

Object Distance ◽

Vestibulo Ocular Reflex ◽

Reflex Gain

ABSTRACT Purpose: to identify and analyze the available evidence on the reference values of the vestibulo-ocular reflex gain obtained with the video head impulse test. Methods: an integrative review based on the PRISMA protocol, searching the ProQuest, EBSCO, PubMed, ScienceDirect, Cochrane Library, LILACS, and SciELO databases with keywords. The studies included were original research articles, systematic reviews, and meta-analyses published since 2009, involving humans, written in English, Spanish and/or Portuguese. Results: 10,250 studies related to the keywords were found. Of these, 10 articles met the inclusion criteria and were analyzed following the CADE protocol. On the horizontal plane, the values ranged from 0.80 to 1.06, while on the right anterior/left posterior and on the left anterior/right posterior planes, the values ranged from 0.80 to 1.03. Other relevant data for obtaining the gain were analyzed, such as the number of impulses, the assessor’s experience, the patient-object distance, and the percentage of asymmetry. Conclusion: little research on the theme, recently developed and published, mostly in European countries, was found. This shows the need for a greater number of studies to strengthen the scientific evidence.

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Vestibulo-ocular reflex abnormality in Parkinson’s disease detected by video head impulse test

Neuroscience Letters ◽

10.1016/j.neulet.2017.08.021 ◽

2017 ◽

Vol 657 ◽

pp. 211-214 ◽

Cited By ~ 6

Author(s):

Wen Lv ◽

Qiongfeng Guan ◽

Xingyue Hu ◽

Jiaqi Chen ◽

Hong Jiang ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Head Impulse ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex

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Video head impulse test in children after cochlear implantation

Vojnosanitetski pregled ◽

10.2298/vsp170427093l ◽

2019 ◽

Vol 76 (3) ◽

pp. 284-289

Author(s):

Slobodanka Lemajic-Komazec ◽

Zoran Komazec ◽

Ljiljana Vlaski ◽

Maja Buljcik-Cupic ◽

Slobodan Savovic ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Semicircular Canal ◽

Sensorineural Hearing ◽

Head Impulse Test ◽

Video Head Impulse Test ◽

Lateral Semicircular Canal ◽

Head Impulse ◽

Ocular Reflex ◽

Vestibulo Ocular Reflex

Background/Aim. Cochlear implantation (CI) is a therapeutic modality that provides a sense of sound to children and adults with profound sensorineural hearing loss or deafness. The aim of this work was to evaluate the lateral semicircular canal function using a high frequency video head impulse test in children after CI. Methods. A prospective descriptive study included 28 children (6?17 years old) with profound sensorineural hearing loss and unilateral CI. The control group included 20 healthy children with normal hearing. The measurement of vestibular function of the lateral semicircular canal was performed using video head impulse test. After cochlear implantation, the children underwent the vestibular testing. Values vestibulo-ocular reflex of lateral semicircular canal were measured using the video head impulse test in the children with cochlear implant and the control group. The values of vestibulo-ocular reflex were compared between the group. Also, in the children with CI values of vestibulo-ocular reflex were compared between the non-implanted ear and the ear with the embedded CI. Results. All 28 children with sensorineural hearing loss underwent the placement of CI through cochleostomy at the average age of 4.8 ? 2.92 years. Children with the cochlear implant had a significantly lower vestibulo-ocular reflex gain of the lateral semicircular canal measured by a high frequency video head impulse test compared to the control group of children with normal hearing (T test: t = 3.714; p = 0.001). However in these children there was no statistically significant difference of vestibulo-ocular reflex gain in the lateral semicircular canal measured in ears with embedded CI and non-implanted ears (T test: t = 0.419; p = 0.677). Conclusion. The values of vestibulo-ocular reflex gain in the lateral semicircular canal evaluated by the video head impulse test are significantly lower in the children with a profound sensorineural hearing loss compared to the children with normal hearing. The CI did not appear to have a negative impact on the lateral semicircular canal.

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