Video Head Impulse Testing (vHIT) and the Assessment of Horizontal Semicircular Canal Function.

Journal Article (Journal Article)

BACKGROUND: Vestibular function (specifically, horizontal semicircular canal function) can be assessed across a broad frequency range using several different techniques. The head impulse test is a qualitative test of horizontal semicircular canal function that can be completed at bedside. Recently, a new instrument (video head impulse test [vHIT]) has been developed to provide an objective assessment to the clinical test. Questions persist regarding how this test may be used in the overall vestibular test battery. PURPOSE: The purpose of this case report is to describe vestibular test results (vHIT, rotational testing, vestibular evoked myogenic potentials, and balance and gait performance) in an individual with a 100% unilateral caloric weakness who was asymptomatic for dizziness, vertigo or imbalance. DATA COLLECTION AND/OR ANALYSIS: Comprehensive assessment was completed to evaluate vestibular function. Caloric irrigations, rotary chair testing, vHIT, and vestibular evoked myogenic potentials were completed. RESULTS: A 100% left-sided unilateral caloric weakness was observed in an asymptomatic individual. vHIT produced normal gain with covert saccades. CONCLUSIONS: This case demonstrates the clinical usefulness of vHIT as a diagnostic tool and indicator of vestibular compensation and functional status.

Full Text

Duke Authors

Cited Authors

  • Riska, KM; Murnane, O; Akin, FW; Hall, C

Published Date

  • May 2015

Published In

Volume / Issue

  • 26 / 5

Start / End Page

  • 518 - 523

PubMed ID

  • 26055841

Electronic International Standard Serial Number (EISSN)

  • 2157-3107

Digital Object Identifier (DOI)

  • 10.3766/jaaa.14083


  • eng

Conference Location

  • United States