ArticleNeurology2023
Analyses of Head-Impulse Tests in Patients With Posterior Circulation Stroke and Vestibular Neuritis.
Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 20 citations in OpenAlex.
- Separating stroke and acute unilateral vestibulopathy using history, examination and vestibular tests: a machine learning approach.Journal of neurology · 2026Article
- Associations Between the Vestibulo-Ocular Reflex and Cognitive Function in de novo Parkinson's Disease.Journal of movement disorders · 2026Article
- Active head-impulse tests may help detect acute unilateral vestibulopathy: a preliminary study.Frontiers in neurology · 2026Article
- Neurotologic Findings of Idiopathic Acute Unilateral Audiovestibulopathy.European journal of neurology · 2025Article
- The Vestibulo-Ocular Reflex is Associated With Visuospatial Dysfunction in Patients With Parkinson's Disease.Brain and behavior · 2025Article
- Separation of stroke from vestibular neuritis using the video head impulse test: machine learning models versus expert clinicians.Journal of neurology · 2025Article
- Progress in the Study of Diagnostic Methods for Central Acute Vestibular Syndrome of a Vascular Cause.International journal of general medicine · 2025Review
- Cerebellar Hemorrhage Masquerading as Unilateral Vestibulopathy: A Case Report.Case reports in neurological medicine · 2025Article
- Four-hour-delayed 3D-FLAIR MRIs in patients with acute unilateral peripheral vestibulopathy.Annals of clinical and translational neurology · 2024Article
- Neck rigidity: a pitfall for video head-impulse tests in Parkinson's disease.Journal of neurology · 2024Article
- Scale for Ocular Motor Disorders in Ataxia (SODA) in Patients with Multiple System Atrophy.Cerebellum (London, England) · 2024Article
- Effects of pupil size in video head-impulse tests.Journal of neurology · 2024Article
- Selective otolithic dysfunction in patients presenting with acute spontaneous vertigo: consideration based on MRI.Frontiers in neurology · 2024Article
- Bilaterally positive head-impulse tests can differentiate AICA infarction from labyrinthitis.Frontiers in neurology · 2024Article
- Neurological update: neuro-otology 2023.Journal of neurology · 2023Article
- Article
- Prospective analysis of video head impulse tests in patients with acute posterior circulation stroke.Frontiers in neurology · 2023Article
- The clinical value of vHIT saccadic parameters in the diagnosis and management of central vestibular disorders: a narrative review.Frontiers in neurologyReview
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Authors and funding
7 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe interpretation of video head-impulse tests (video-HITs) can often be complicated, limiting their clinical utility in acute vestibular syndrome. We aimed to determine video-HIT findings in patients with posterior circulation strokes (PCSs) and vestibular neuritis (VN).
methodsWe retrospectively analyzed the results of video-HITs in 59 patients with PCS. Irrespective of the actual lesion revealed later on MRIs, ipsilateral and contralateral sides were assigned according to the direction of slow phase of spontaneous nystagmus (SN). Then, the patterns of video-HIT findings were classified according to the vestibulo-ocular reflex (VOR) gain for the horizontal canals; (1) ipsilaterally positive, (2) contralaterally positive, (3) bilaterally normal, and (4) bilaterally positive. The abnormal responses were further defined into (5) wrong-way saccades, (6) perverted, and (7) early acceleration followed by premature deceleration. We also analyzed the asymmetry of the corrective saccadic amplitude between the sides, calculated from the sum of cumulative saccadic amplitudes on both sides. The results were compared with video-HIT results from 71 patients with VN.
resultsVideo-HITs were normal in 32 (54%), ipsilaterally positive in 11 (19%), bilaterally positive in 10 (17%), and contralaterally positive in 6 (10%) patients with PCS. Wrong-way saccades were more frequently observed in VN than in PCS (31/71 [44%] vs 5/59 [8%], DISCUSSION: Patients with PCS may show various head-impulse responses that deviate from the findings expected in VN, which include normal, contralaterally positive, and negative saccadic amplitude asymmetry (i.e., greater cumulative saccadic amplitude contralaterally). A thorough analysis of corrective saccades in video-HITs can improve the differentiation of PCS from VN even before MRIs.
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