Skip to main content

Advertisement

SpringerLink
Log in

Suppression Head Impulse Paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis

  • Short Communication
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Evaluate the potential clinical application of the Suppression Head Impulse Paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis (VN).

Methods

A retrospective study was performed. Fifteen patients diagnosed with unilateral VN were identified from a database of ENT vestibular clinic from January 2011 to February 2020. Medical records were reviewed to determine clinical presentation, vestibular testing results, treatment, and recovery.

Results

Fifteen patients (7 left ear, 8 right ear, mean age 58.73 ± 10.73, six female) met the inclusion criteria and were enrolled in the study. Significant differences were found in the within-subjects analysis at T1 in DHI score (p = 0.001), VOR gain (p < 0.005), and in the percentages of impulses containing a SHIMPs saccade when the head is passively turned toward the affected side (p = 0.001).

Conclusions

SHIMPs paradigm provides useful information about the value of vestibulo-saccadic interaction as new recovery strategies in patients with VN

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS (2009) The video head impulse test: diagnostic accuracy in peripheral vestibulopathy. Neurology 73:1134–1141. https://doi.org/10.1212/WNL.0b013e3181bacf85

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  2. Leigh RJ, Zee DS (2006) The neurology of eye movements. Fa Davis, Philadelphia

    Google Scholar 

  3. Demer JL (1995) Evaluation of vestibular and visual oculomotor function. Otolaryngol Head Neck Surg 112:16–35. https://doi.org/10.1016/S0194-59989570301-2

    Article  PubMed  CAS  Google Scholar 

  4. Halmagyi GM, Curthoys IS (1987) Human compensatory slow eye movements in the absence of vestibular function. In: Graham MD, Kemink JL (eds) The vestibular system: neurophysiologic and clinical research. Raven Press, New York

    Google Scholar 

  5. Halmagyi GM, Curthoys IS (1988) A clinical sign of canal paresis. Arch Neurol 45:737–739. https://doi.org/10.1001/archneur.1988.00520310043015

    Article  PubMed  CAS  Google Scholar 

  6. Weber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM (2008) Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades. Neurology 70(6):454–463

    Article  CAS  Google Scholar 

  7. MacDougall HG, McGarvie LA, Halmagyi GM, Rogers SJ, Manzari L, Burgess AM, Curthoys IS, Weber KP (2016) A new saccadic indicator of peripheral vestibular function based on the video head impulse test. Neurology 87:410–418. https://doi.org/10.1212/WNL.0000000000002827p

    Article  PubMed  PubMed Central  Google Scholar 

  8. Shen Q, Magnani C, Sterkers O, Lamas G, Vidal PP, Sadoun J, Curthoys IS, de Waele C (2016) Saccadic velocity in the new suppression head impulse test: a new indicator of horizontal vestibular canal paresis and of vestibular compensation. Front Neurol 7:160. https://doi.org/10.3389/fneur.2016.00160

    Article  PubMed  PubMed Central  Google Scholar 

  9. Park JS, Lee JY, Nam W, Noh S, Chang SO, Kim MB (2020) Comparing the suppression head impulse paradigm and the head impulse paradigm in vestibular neuritis. Otol Neurotol 41:76–82. https://doi.org/10.1097/MAO.0000000000002453

    Article  Google Scholar 

  10. Guan Q, Zhang L, Hong W, Yang Y, Chen Z, Lu P, Zhang D, Hu X (2017) Video head impulse test for early diagnosis of vestibular neuritis among acute vertigo. Can J Neurol Sci 44:556–561. https://doi.org/10.1017/cjn.2017.202

    Article  PubMed  Google Scholar 

  11. Roberts H, McGuigan S, Infeld B, Sultana RV, Gerraty RP (2016) A video-oculographic study of acute vestibular syndromes. Acta Neurol Scand. https://doi.org/10.1111/ane.12536

    Article  PubMed  Google Scholar 

  12. de Waele C, Shen Q, Magnani C, Curthoys IS (2017) A novel saccadic strategy revealed by suppression head impulse testing of patients with bilateral vestibular loss. Front Neurol 8:419. https://doi.org/10.3389/fneur.2017.00419

    Article  PubMed  PubMed Central  Google Scholar 

  13. Jacobson GP, Newman CW, Hunter L, Balzer GK (1991) Balance function test correlates of the dizzines handicap inventory. J Am Acad Audiol 2:253–260

    PubMed  CAS  Google Scholar 

  14. Halmagyi GM, Passe G, Williams R (2004) Memorial lecture: new clinical tests of unilateral vestibular dysfunction. J Laryngol Otol 118:589–600. https://doi.org/10.1258/0022215041917862

    Article  PubMed  Google Scholar 

  15. Manzari L, Burgess AM, MacDougall HG, Curthoys IS (2013) Vestibular function after vestibular neuritis. Int J Audiol 52:713–718. https://doi.org/10.3109/14992027.2013.809485

    Article  PubMed  CAS  Google Scholar 

  16. Manzari L, Burgess AM, MacDougall HG, Curthoys IS (2011) Objective verification of full recovery of dynamic vestibular function after superior vestibular neuritis. Laryngoscope. https://doi.org/10.1002/lary.22227

    Article  PubMed  Google Scholar 

  17. Crane BT, Demer JL (1999) Latency of voluntary cancellation of the human vestibulo-ocular reflex during transient yaw rotation. Exp Brain Res 127:67–74. https://doi.org/10.1007/s002210050774

    Article  PubMed  CAS  Google Scholar 

Download references

Funding

The authors report no financial support.

Author information

Authors and Affiliations

  1. MSA ENT Academy Center, Cassino, Italy

    Leonardo Manzari

  2. Fondazione Santa Lucia IRCCS, Rome, Italy

    Marco Tramontano

  3. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale, Aldo Moro 5, 00185, Rome, Italy

    Marco Tramontano

Authors
  1. Leonardo Manzari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marco Tramontano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Leonardo Manzari.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest.

Ethics approval

The study was approved by local ethics committee.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Manzari, L., Tramontano, M. Suppression Head Impulse Paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis. Eur Arch Otorhinolaryngol 277, 3205–3212 (2020). https://doi.org/10.1007/s00405-020-06085-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-020-06085-6

Keywords

Search

Navigation