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Journal of Neurology

, Volume 264, Issue 5, pp 1002–1004 | Cite as

Clinical and video head impulses: a simple bedside test in children

  • Nadine Lehnen
  • Cecilia RamaioliEmail author
  • Nicholas Sean Todd
  • Klaus Bartl
  • Stefan Kohlbecher
  • Klaus Jahn
  • Erich Schneider
Letter to the Editors

Dear Sirs,

Missed vestibular deficiency in children bares the risk of delayed postural, motor, and cognitive development [1, 2]. Conversely, of the 5–25% of children experiencing dizziness or vertigo per year [3], many will have migraine-equivalents [4] or somatoform disorders [5], where it is important to reassure children and parents about the normal peripheral-vestibular function. This requires a good history and an easy vestibular function test [6]. Whereas in adults, clinical [7] and now also video-based head impulses [8, 9] are widely used to assess vestibulo-ocular reflex (VOR) function, and there has long been no quantitative bedside test of vestibular function in children [10]. In addition, the stationary tests available (calorics and rotational chair testing) may induce unpleasant vertigo and nausea [10, 11] and are, therefore, not always tolerated by children [11].

Here, we determined feasibility and normative data for video head impulses in children. We first performed the...

Keywords

Head Velocity Head Impulse Head Impulse Testing Rotational Chair Vestibular Function Test 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

We thank Solveig Schneider and Grit Paerschke for help with subject recruitment. This work was supported by the German Federal Ministry of Education and Research (Grant 01 EO 1401) and by the Faculty of Medicine of the University of Munich.

Compliance with ethical standards

Conflicts of interest

NL is a shareholder and consultant of EyeSeeTec GmbH. She received speaker honoraria and compensation for travel expenses from Interacoustics. NST is an employee of EyeSeeTec GmbH. KB and SK are shareholders and employees of EyeSeeTec GmbH. ES is the managing director and a shareholder of EyeSeeTec GmbH and an unpaid consultant to Interacoustics. He received speaker honoraria and compensation for travel expenses from Interacoustics and Actelion. CR and KJ have no competing interests to report.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Center for Sensorimotor Research, NeurologyMunich University HospitalMunichGermany
  2. 2.German Center for Vertigo and Balance DisordersMunich University HospitalMunichGermany
  3. 3.Department of Psychosomatic Medicine and PsychotherapyKlinikum rechts der Isar, Technical University of MunichMunichGermany
  4. 4.Schön Klinik Bad AiblingBad AiblingGermany
  5. 5.Brandenburg University of TechnologyCottbus-SenftenbergGermany

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