Unlabelled: Described in 1988 by Curthoys and Halmagyi, the Head Impulse test enables checking the individual response of each of the six semicircular canals to fast head movements within less than one minute. Interpretation of test results requires careful clinical observation of the eye/head synchronism. But, due to the very short duration of the phenomenon, such synchronism is often difficult to confirm. This is so difficult that, sixteen years after its first description, the test is still rarely performed in daily practice.
Objectives: We describe hereafter a device which allows confirmation of the positive or negative test results for each of the six canals without increasing test duration.
Method: A high resolution and high light sensitivity video camera located in front of the patient's face at a distance of 80 cm is connected to a computer for automatic image analysis.
Results: With this device, the practitioner can confirm a positive test by simple observation on the videooculocephaloscope (HIT scope) and record an image for later reference. With videooculocephalography (HIT graph), movements can be recorded for analysis to quantify the deficit of each semicircular canal.
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http://dx.doi.org/10.1016/s0003-438x(05)82329-1 | DOI Listing |
J Neurol
June 2024
Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, Australia.
Background: Vestibular migraine (VM) and Menière's disease (MD) are two common causes of recurrent spontaneous vertigo. Using history, video-nystagmography and audiovestibular tests, we developed machine learning models to separate these two disorders.
Methods: We recruited patients with VM or MD from a neurology outpatient facility.
Acta Otolaryngol
October 2023
Institute of Health Sciences, Department of Neurosciences, Dokuz Eylül University, Izmir, Türkiye.
Background: Vestibular Migraine (VM) is a frequent cause of recurrent spontaneous vertigo. While some report a normal Video Head Impulse Test (vHIT) in VM, others observed abnormal results on this test. Whether or not methodological discrepancies could be the cause of these differences is not known.
View Article and Find Full Text PDFOtol Neurotol
January 2024
NextSense, Gladesville.
J Neurol
December 2023
Neurology Department, Royal Prince Alfred Hospital, Sydney, Australia.
Much has changed since our last review of recent advances in neuro-otology 7 years ago. Unfortunately there are still not many practising neuro-otologists, so that most patients with vestibular problems need, in the first instance, to be evaluated and treated by neurologists whose special expertise is not neuro-otology. The areas we consider here are mostly those that almost any neurologist should be able to start managing: acute spontaneous vertigo in the Emergency Room-is it vestibular neuritis or posterior circulation stroke; recurrent spontaneous vertigo in the office-is it vestibular migraine or Meniere's disease and the most common vestibular problem of all-benign positional vertigo.
View Article and Find Full Text PDFClin Neurophysiol
August 2023
Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, Australia. Electronic address:
Objective: To examine the relationship between widely used otolith function tests: the Subjective Visual Horizontal (SVH) and Vestibular Evoked Myogenic Potentials (VEMP).
Methods: A retrospective analysis was performed on 301 patients who underwent SVH, ocular and cervical VEMP (oVEMP and cVEMP) tests on the same day. Correlations between the mean SVH tilt and amplitude asymmetry ratios for bone-conducted (BC) oVEMP and air-conducted (AC) cVEMP were examined.
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