ArticleBMC neurology2019
The bucket test differentiates patients with MRI confirmed brainstem/cerebellar lesions from patients having migraine and dizziness alone.
Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Misperception of body verticality in neurological disorders: A systematic review and meta-analysis.Brain and behavior · 2024Pooled it
- Unveiling Otolith Mystery: Contemporary Testing Approaches and Their Clinical Significance.World journal of otorhinolaryngology - head and neck surgery · 2026Review
- Side correlation between subjective visual vertical tilt and symptoms in migraine with vertigo.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026Article
- Diagnosis of Isolated Saccular Dysfunction Using Trapezius cVEMP: A Detailed Vestibular Assessment.Diagnostics (Basel, Switzerland) · 2025Article
- Identifying tests to evaluate in a diagnostic accuracy study for patients with vertigo in general practice: a Delphi study.BMC primary care · 2025Article
- Clinical Features, Video Head Impulse Test, and Subjective Visual Vertical of Acute and Symptom-Free Phases in Patients with Definite Vestibular Migraine.Biomedicines · 2025Article
- Psychiatric Comorbidities and Quality of Life in Patients with Vestibular Migraine and Migraine without Vertigo: A Cross-Sectional Study from a Tertiary Clinic.Audiology research · 2024Article
- The Value of Subjective Visual Vertical in Diagnosis of Vestibular Migraine.Current medical science · 2021Article
- Visuo-postural dependency index (VPDI) in human postural control.BMC sports science, medicine & rehabilitation · 2021Article
- New Mobile Device to Measure Verticality Perception: Results in Young Subjects with Headaches.Diagnostics (Basel, Switzerland) · 2020Article
- Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis.Brain sciences · 2020Review
- A Novel Diagnostic Prediction Model for Vestibular Migraine.Neuropsychiatric disease and treatment · 2020Article
- Objective oculomotor, vestibular, reaction time, and cognitive signatures of vestibular migraine.Frontiers in neurologyArticle
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmongst the most challenging diagnostic dilemmas managing patients with vestibular symptoms (i.e. vertigo, nausea, imbalance) is differentiating dangerous central vestibular disorders from benign causes. Migraine has long been recognized as one of the most common causes of vestibular symptoms, but the clinical hallmarks of vestibular migraine are notoriously inconsistent and thus the diagnosis is difficult to confirm. Here we conducted a prospective study investigating the sensitivity and specificity of combining standard vestibular and neurological examinations to determine how well central vestibular disorders (CVD) were distinguishable from vestibular migraine (VM).
methodTwenty-seven symptomatic patients diagnosed with CVD and 36 symptomatic patients with VM underwent brain imaging and clinical assessments including; 1) SVV bucket test, 2) ABCD
resultsMean absolute SVV deviations measured by bucket testing in CVD and VM were 4.8 ± 4.1° and 0.7 ± 1.0°, respectively. The abnormal rate of SVV deviations (> 2.3°) in CVD was significantly higher than VM (p < 0.001). Using the bucket test alone to differentiate CVD from VM, sensitivity was 74.1%, specificity 91.7%, positive likelihood ratio (LR+) 8.9, and negative likelihood ratio (LR-) 0.3. However, when we combined the SVV results with the clinical exam assessing gaze stability (nystagmus) with an abnormal focal neurological exam, the sensitivity (92.6%) and specificity (88.9%) were optimized (LR+ (8.3), LR- (0.08)).
conclusionThe SVV bucket test is a useful clinical test to distinguish CVD from VM, particularly when interpreted along with the results of a focal neurological exam and clinical exam for nystagmus.
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