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The Video Head Impulse Test (vHIT)

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The New Neurotology

Abstract

The video head impulse test (vHIT) is presently an essential part of the laboratory vestibular examination for patients with a suspected acute or chronic vestibular disorder. This chapter reviews its neurophysiology, interpretation, and clinical applications. A comparison with the caloric tests is included.

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References

  1. Halmagyi GM, Curthoys IS. A clinical sign of canal paresis. Arch Neurol. 1988;45:737–9.

    Article  CAS  Google Scholar 

  2. Wuyts F. Principle of the head impulse (thrust) test or Halmagyi head thrust test. B-ENT. 2008;4:23–5.

    Google Scholar 

  3. Aw ST, Halmagyi GM, Black RA, Curthoys IS, Yavor RA, Todd MJ. Head impulses reveal loss of individual semicircular canal function. J Vestib Res. 1999;9:173–80.

    CAS  PubMed  Google Scholar 

  4. Halmagyi GM, Aw ST, Cremer PD, Curthoys IS, Todd MJ. Impulsive testing of individual semicircular canal function. Ann N Y Acad Sci. 2001;942:192–200.

    Article  CAS  Google Scholar 

  5. Magnuson M, Karlberg K, Halmagyi M, et al. The video-impulse test enhances the possibility of detecting vestibular lesions. J Vest Res. 2002;11:241–4.

    Google Scholar 

  6. Halmagyi GM, Black RA, Thurtell MJ, Curthoys IS. The human horizontal vestibulo-ocular reflex in response to active and passive head impulses after unilateral vestibular differentiation. Ann N Y Acad Sci. 2003;1004:325–36.

    Article  CAS  Google Scholar 

  7. Black RA, Halmagyi GM, Thurtell MJ, Todd MJ, Curthoys IS. The active head-impulse test in unilateral peripheral vestibulopathy. Arch Neurol. 2005;62:290–3.

    Article  Google Scholar 

  8. Ulmer E, Chays A. Curthoys and Halmagyi head impulse test: an analytical device. Ann Otolaryngol Chir Cervicofac. 2005;122:84–90.

    Article  CAS  Google Scholar 

  9. Weber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM. Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades. Neurology. 2008;70:454–63.

    Article  CAS  Google Scholar 

  10. Weber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM. Horizontal head impulse test detects gentamicin vestibulotoxicity. Neurology. 2009;72:1417–24.

    Article  CAS  Google Scholar 

  11. Weber KP, MacDougall HG, Halmagyi GM, Curthoys IS. Impulsive testing of semicircular-canal function using video-oculography. Ann N Y Acad Sci. 2009;1164:486–91.

    Article  Google Scholar 

  12. Kaźmierczak H, Pawlak-Osin’ska K, Kaźmierczak W. The value of the Halmagyi-Curthoys test in neurological diagnostic procedures. Otolaryngol Pol. 2009;63:364–7.

    Article  Google Scholar 

  13. MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS. The video head impulse test: diagnostic accuracy in peripheral vestibulopathy. Neurology. 2009;73:1134–41.

    Article  CAS  Google Scholar 

  14. Olszewski J, Pietkiewicz P, Milonski J, Bielinska M. The use of VHIT (videonystagmography head impulse test) in the diagnostics of semicircular canal injuries. Otolaryngol Pol. 2010;64:32–5.

    Article  Google Scholar 

  15. Curthoys IS. The interpretation of clinical tests of peripheral vestibular function. Laryngoscope. 2012;122:1342–52.

    Article  Google Scholar 

  16. Welgampola MS, Akdal G, Halmagyi GM. Neuro-otology – some recent clinical advances. J Neurol. 2017;264:188–203. https://doi.org/10.1007/s00415-016-8266-1.

    Article  PubMed  Google Scholar 

  17. Choi JE, Kim Y-K, Young SC, Lee K, Park HW, Yoon SH, Kim H-J, Chung W-H. Morphological correlation between caloric tests and vestibular hydrops in Ménière’s disease using intravenous Gd enhanced inner ear MRI. PLoS One. 2017;12(11):e0188301. https://doi.org/10.1371/journal.pone.0188301.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Blödow A, Heinze M, Bloching MB, von Brevern M, Radtke A, Lempert T. Caloric stimulation and video-head impulse testing in Ménière’s disease and vestibular migraine. Acta Otolaryngol. 2014;134(12):1239–44. https://doi.org/10.3109/00016489.2014.939300.

    Article  PubMed  Google Scholar 

  19. Yuan Q, Zhang Y, Liu DL, Zhang XL, Zhang QF. Vestibular function tests for vestibular migraine: clinical implication of video head impulse and caloric tests. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(13):984–7. https://doi.org/10.13201/j.issn.1001-1781.2017.13.003.

    Article  CAS  PubMed  Google Scholar 

  20. Mangabeira Albernaz PL, Zuma e Maia FC. The video head impulse test. Acta Otolaryngol. 2014;134:1245–50. https://doi.org/10.3109/00016489.2014.942439.

    Article  PubMed  Google Scholar 

  21. Mantokoudis G, Saber Tehrani AS, Kattah JC, Eibenberger K, Guede CI, Zee DS, et al. Quantifying the vestibulo-ocular reflex with video-oculography: nature and frequency of artifacts. Audiol Neurootol. 2015;20(1):39–50. https://doi.org/10.1159/000362780.

    Article  PubMed  Google Scholar 

  22. MacDougall HG, McGarvie LA, Halmagyi GM, Rogers SJ, Manzari L, Burgess AM, Curthoys IS, Weber KP. A new saccadic indicator of peripheral vestibular function based on the video head impulse test. Neurology. 2016;87(4):410–8. https://doi.org/10.1212/WNL.0000000000002827.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology, Albert Einstein Hospital , São Paulo, São Paulo, Brazil

    Pedro Luiz Mangabeira Albernaz

  2. Otology / Neurotology, Clínica Maia, Canoas, Rio Grande do Sul, Brazil

    Francisco Zuma e Maia

  3. Neurotology, Fundación San Lucas para la Neurociencia, Rosário, Santa Fé, Argentina

    Sergio Carmona

  4. Curso de Medicina, Centro Universitário do Pará, Belém, Pará, Brazil

    Renato Valério Rodrigues Cal

  5. Department of Neurology in Hospital de San Luis, Fundación San Lucas para la Neurociencia, Rosario, Santa Fé, Argentina

    Guillermo Zalazar

Authors
  1. Pedro Luiz Mangabeira Albernaz
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  2. Francisco Zuma e Maia
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  3. Sergio Carmona
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  4. Renato Valério Rodrigues Cal
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  5. Guillermo Zalazar
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Albernaz, P.L.M., Zuma e Maia, F., Carmona, S., Cal, R.V.R., Zalazar, G. (2019). The Video Head Impulse Test (vHIT). In: The New Neurotology. Springer, Cham. https://doi.org/10.1007/978-3-030-11283-7_6

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  • DOI: https://doi.org/10.1007/978-3-030-11283-7_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11282-0

  • Online ISBN: 978-3-030-11283-7

  • eBook Packages: MedicineMedicine (R0)

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