ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2017
Can the Video Head Impulse Test Define Severity of Bilateral Vestibular Hypofunction?
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- Pediatric Bilateral Vestibular Hypofunction: A Review of 26 Cases.The Laryngoscope · 2025Article
- Normal Variations of Video Head Impulse Test in Adult Populations at Peak Head Velocity of Below 150 Degrees/Second.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Video Head Impulse Test Coherence Predicts Vertigo Recovery in Sudden Sensorineural Hearing Loss With Vertigo.Clinical and experimental otorhinolaryngology · 2024Article
- Review
- Mechanisms and Impact of Aminoglycoside-Induced Vestibular Deficits.American journal of audiology · 2023Review
- Variability in the Results of Vestibular Assessment in Patients with Genetically Confirmed Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome.The journal of international advanced otology · 2023Article
- Stability of Vestibular Testing in Children With Hearing Loss.American journal of audiology · 2022Article
- Vestibular function in children with cochlear implant: Impact and evaluation.Frontiers in neurology · 2022Review
- The Relationship Between Rotary Chair and Video Head Impulse Testing in Children and Young Adults With Cochlear Implants.American journal of audiology · 2020Article
- Clinician Use and Payments by Medical Specialty for Audiometric and Vestibular Testing Among US Medicare Beneficiaries.JAMA otolaryngology-- head & neck surgery · 2020Article
- Impact of Target Distance, Target Size, and Visual Acuity on the Video Head Impulse Test.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2018Article
- Rebalancing the Vestibular System by Unidirectional Rotations in Patients With Chronic Vestibular Dysfunction.Frontiers in neurology · 2018Article
- Bilateral Vestibular Weakness.Frontiers in neurology · 2018Review
- The Video Head Impulse Test.Frontiers in neurology · 2017Review
- Video head impulse test in bilateral vestibulopathy.Brazilian journal of otorhinolaryngologyArticle
- Estimating loss of canal function in the video head impulse test (vHIT).Journal of vestibular research : equilibrium & orientationArticle
- Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media.Brazilian journal of otorhinolaryngologyArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThe objective of the study was to compare rotary chair and video head impulse test (vHIT) findings in patients with bilateral vestibular hypofunction (BVH) to determine whether vHIT can: 1) define severity of BVH and 2) accurately predict rotary chair findings in patients with BVH. STUDY
designRetrospective chart review.
settingResearch hospital. PATIENTS: Twenty subjects with bilateral vestibular hypofunction as assessed by rotary chair.
interventionRotary chair and vHIT.
main outcome measuresThe main outcome measures were rotary chair phase, gain, and symmetry and vHIT vestibulo-ocular reflex (VOR) gain. Rotary chair and vHIT results were assessed and subjects were stratified into groups according to the severity of their vestibular hypofunction. For rotary chair, subjects were classified as mild, moderate, or severe BVH. For vHIT, subjects were classified as normal, unilateral, or bilateral.
resultsAverage lateral canal vHIT VOR gain: 1) significantly increased as severity of BVH decreased, and 2) demonstrated a significant and positive, linear relationship with rotary chair gains. vHIT was in disagreement with rotary chair in the classification of five subjects, which could be due to right-left asymmetry of BVH.
conclusionvHIT can serve as an initial tool for identifying patients with BVH. Lower vHIT gains are consistent with having severe BVH. There was disagreement between vHIT and rotary chair, though not for any patients with severe BVH. Compared with rotary chair, the clinical gold standard for identifying BVH, vHIT possesses 100% sensitivity for excluding severe BVH when average vHIT gains are greater than 0.46.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.