Video Head Impulse Testing (vHIT) and the Assessment of Horizontal Semicircular Canal Function.
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.
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Related Subject Headings
- Vestibular Function Tests
- Vestibular Evoked Myogenic Potentials
- Vestibular Diseases
- Semicircular Canals
- Otorhinolaryngology
- Humans
- Head Impulse Test
- Female
- Adult
- 4201 Allied health and rehabilitation science
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Vestibular Function Tests
- Vestibular Evoked Myogenic Potentials
- Vestibular Diseases
- Semicircular Canals
- Otorhinolaryngology
- Humans
- Head Impulse Test
- Female
- Adult
- 4201 Allied health and rehabilitation science