Evidence map›Paper›PMID 39128115›Full record

ArticleThe journal of international advanced otology2024

Can Video Head Impulse Testing Be Used to Estimate the Involved Canal in Benign Paroxysmal Positional Vertigo?

Mustafa Uslu, Murat Eğrilmez, Murat Cem Miman

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Article in The journal of international advanced otology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Mustafa UsluDepartment of Otolaryngology, Izmir University of Economics, Medical Point Hospital, Faculty of Medicine, Izmir, Türkiye.
Murat EğrilmezDepartment of Otolaryngology, Izmir University of Economics, Medical Point Hospital, Faculty of Medicine, Izmir, Türkiye.
Murat Cem MimanDepartment of Otolaryngology, Izmir University of Economics, Medical Point Hospital, Faculty of Medicine, Izmir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere may be confusion about which canal is involved in patients with benign paroxysmal positional vertigo (BPPV), especially with those that have subtle findings. The study aimed to determine if video head impulse testing may be used in such patients as a diagnostic tool. Symptom scoring and treatment efficiency in BPPV are essential parts of the process. Therefore, inventories like "Dizziness Handicap Inventory" may be useful in this regard.

methodsPatients with posterior and lateral canal BPPV were included. Video head impulse testing was performed prior to treatment and 1 week after treatment. Vestibuloocular reflex (VOR) gains were noted and compared to the opposite side. The presence of correction saccades was noted as well. Also, pretreatment and posttreatment Dizziness Handicap Inventory scores were compared.

resultsFifty-seven patients were diagnosed with posterior canal BPPV, and sixteen were with horizontal canal BPPV. In patients with posterior canal BPPV, there was no difference between the involved canal VOR gains and the other canals on the same side (P=.639). The involved horizontal canal did not differ from the opposite horizontal canal. Patients with lateral canal BPPV show more significant improvement after treatment compared to patients with posterior canal BPPV.

conclusionVideo head impulse testing may not be used to estimate the involved canal in BPPV; however, it may be used to evaluate the efficiency of the treatment, especially in the lateral canal.

Indexed as

Benign Paroxysmal Positional VertigoHead Impulse TestReflex, Vestibulo-OcularSemicircular CanalsVideo RecordingAdultAgedFemaleHumansMaleMiddle AgedSaccades

Identifiers

PMID39128115
PMCPMC11232066

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