ArticleFrontiers in neurology2022
Caloric and video head impulse test dissociated results in dizzy patients.
Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 10 citations in OpenAlex.
- Regression-Based Analysis of Vestibular Laboratory Tests for the Prediction of Unilateral Vestibular Schwannoma.IEEE journal of translational engineering in health and medicine · 2026Article
- Caloric canal paresis thresholds in relation to vHIT-defined acute unilateral vestibular dysfunction: a retrospective analysis.Frontiers in neurology · 2026Article
- Vestibulo-ocular Reflex Gain Asymmetry in Unilateral Ménière's Disease: Insights from HIMP and SHIMP Tests and Correlations with Audio-vestibular Findings.Turkish archives of otorhinolaryngology · 2025Article
- The Use of vHIT in the Differential Diagnosis Between Vestibular Migraine and Meniere's Disease: A Systematic Review and Meta-Analysis.Audiology research · 2025Review
- Vestibulo-Ocular Reflex Results in Patients with Intralabyrinthine Schwannomas: Case Series with a Literature Review.Diagnostics (Basel, Switzerland) · 2025Article
- Neurotologic Findings of Idiopathic Acute Unilateral Audiovestibulopathy.European journal of neurology · 2025Article
- The Relationship between Chronic Unilateral Hearing Loss, Balance Function, and Falls Is Not Informed by Vestibular Status.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2025Article
- Optimizing staging of Meniere's disease: integrating electrocochleography with vestibular tests.Frontiers in neuroscience · 2025Article
- Prognostic significance vestibular examination results in patients with vestibular migraine.Frontiers in neurology · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: We are now able to detect abnormalities for any semicircular canal with the use of the video head impulse test (vHIT). Prior to the vHIT, the gold standard for unilateral canal paresis of the lateral canal was considered the caloric test. Clinical cases where the caloric test and vHIT are discordant are not uncommon. Methods: Retrospective study. All consecutive cases of dizziness seen from 11/2020 to 12/2021 for which the patient underwent both caloric and vHIT tests performed within 10 days, were reviewed. Patients with discordant results were included. We evaluated the caloric response, vHIT gains for all canals and saccades, with and without gain abnormalities. Results: We included 74 cases of dizziness with dissociated results. The most common finding was a normal caloric response with abnormal vHIT results (60.8%); the main abnormal finding on vHIT was the presence of saccades. In this group, 37.7% of patients had normal gains and refixation saccades. In addition, the most found low gain was for the posterior canal. The main diagnosis in this group was vestibular migraine. For the group with unilateral caloric paresis and normal vHIT gain in the lateral canal, the main diagnosis was Ménière's disease. Discussion: The most common disorders with discordant results were Ménière's disease and vestibular migraine. The caloric test and vHIT are complementary and combining both tests provide greater clinical information. Further research is needed to understand refixation saccades with normal gains.
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