ArticleAudiology & neuro-otology2023
Refining the Video Head Impulse Test Diagnostic Accuracy: A Case-Control Study.
Article in Audiology & neuro-otology, 2023. 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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Who cites it
10 citing papers in PubMed, 9 citations in OpenAlex.
- Vestibular Rehabilitation Using Dynamic Posturography: Functional Stability and Fall Risk Outcomes From a Randomized Trial.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Trial
- Differences in Left-Right Vestibulo-Ocular Reflex Gain in the Video Head Impulse Test.Journal of clinical medicine · 2026Article
- Normal Gain with Corrective Saccades in the Video Head Impulse Test: Clinical Implications and Diagnostic Considerations.Diagnostics (Basel, Switzerland) · 2026Article
- A Case Report on Balance Progress in a Patient with Body Lateropulsion: Focusing on Vestibulo-ocular Reflex and Subjective Visual Vertical.Progress in rehabilitation medicine · 2026Article
- The Effect of Sleep Deprivation on the Vestibulo-Ocular Reflex and Vestibular Adaptation in Healthcare Night-Shift Workers.The Laryngoscope · 2025Article
- Quality of Large-Scale Video Head Impulse Test Data: The Coronary Artery Risk Development in Young Adults (CARDIA) Study.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2025Observational
- Diagnostic Utility of Vestibular Markers in Identifying Mild Cognitive Impairment and Early Alzheimer's Disease in Older Adults.Journal of clinical medicine · 2025Article
- Goggle Versus Remote-Camera Video Head Impulse Test Device Comparison.Ear and hearing · 2024Article
- Insights Into Vestibulo-Ocular Reflex Artifacts: A Narrative Review of the Video Head Impulse Test (vHIT).Cureus · 2024Review
- A Clinical Infrared Video-Oculoscopy Suppression Head Impulse (IR-cSHIMP) Test.Audiology research · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCurrent clinical practice considers the vestibulo-ocular reflex (VOR) gain as registered by the video head impulse test (vHIT) as the primary measure for semicircular canal function, while the role of the re-fixation saccades (RSs) is still under evaluation. The goal of the study was to appraise the added benefit of RS towards the improvement of vHIT diagnostic accuracy in cases of suspected left horizontal semicircular canal dysfunction.
methodsThe vHIT recordings of 40 patients with left-sided horizontal VOR gains <0.8 were retrospectively evaluated for the presence of RS. The study groups included 20 patients with a final diagnosis of left horizontal semicircular canal dysfunction and 20 patients for whom vestibular dysfunction was ruled out.
resultsGain values >0.72 were found in all patients with no vestibular disease and in 4 (20%) patients having vestibulopathy. Significantly higher average left-sided RS velocity and frequency were found among the vestibular patients. VOR gain <0.72 was found to be highly specific for the diagnosis of vestibular dysfunction. However, for gain values in the range of 0.72-0.79, the presence of RS with frequency >80% largely improved vHIT diagnostic accuracy.
conclusionsAlthough VOR gain <0.8 is considered to reflect dysfunction, a significant false-positive rate for left-sided horizontal vHIT was found for gains in the range of 0.72-0.79. The presence of RS with frequency >80% could improve vHIT diagnostic ability in these patients.
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