Skip to main content
Log in

Perverted Head Impulse Test in Cerebellar Ataxia

  • Letter to the Editor
  • Published:
The Cerebellum Aims and scope Submit manuscript

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

Access this article

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

Instant access to the full article PDF.

Fig. 1

References

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

    Article  PubMed  CAS  Google Scholar 

  2. Kirchner H, Kremmyda O, Hufner K, Stephan T, Zingler V, Brandt T, et al. Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test. Ann N Y Acad Sci. 2011;1233:127–38.

    Article  PubMed  Google Scholar 

  3. Kremmyda O, Kirchner H, Glasauer S, Brandt T, Jahn K, Strupp M. False-positive head-impulse test in cerebellar ataxia. Front Neurol. 2012;3:162.

    Article  PubMed  Google Scholar 

  4. Park HK, Kim JS, Strupp M, Zee DS. Isolated floccular infarction: impaired vestibular responses to horizontal head impulse. J Neurol. 2013. (in press)

  5. Walker MF, Zee DS. Directional abnormalities of vestibular and optokinetic responses in cerebellar disease. Ann N Y Acad Sci. 1999;871:205–20.

    Article  PubMed  CAS  Google Scholar 

  6. Walker MF, Zee DS. Cerebellar disease alters the axis of the high-acceleration vestibuloocular reflex. J Neurophysiol. 2005 Nov;94:3417–29.

    Article  PubMed  Google Scholar 

  7. Leigh RJ, Zee DS. The neurology of eye movements. 4th ed. New York: Oxford University Press; 2006.

    Google Scholar 

  8. Kheradmand A, Zee DS. Cerebellum and ocular motor control. Front Neurol. 2011;2:53.

    Article  PubMed  Google Scholar 

  9. Zhang Y, Partsalis AM, Highstein SM. Properties of superior vestibular nucleus flocculus target neurons in the squirrel monkey. I. General properties in comparison with flocculus projecting neurons. J Neurophysiol. 1995;73:2261–78.

    PubMed  CAS  Google Scholar 

  10. Walker MF, Tian J, Shan X, Tamargo RJ, Ying H, Zee DS. Lesions of the cerebellar nodulus and uvula impair downward pursuit. J Neurophysiol. 2008;100:1813–23.

    Article  PubMed  Google Scholar 

  11. Glasauer S, Hoshi M, Büttner U. Smooth pursuit in patients with downbeat nystagmus. Ann N Y Acad Sci. 2005;1039:532–5.

    Article  PubMed  Google Scholar 

  12. Marti S, Bockisch CJ, Straumann D. Prolonged asymmetric smooth-pursuit stimulation leads to downbeat nystagmus in healthy human subjects. Invest Ophthalmol Vis Sci. 2005;46:143–9.

    Article  PubMed  Google Scholar 

  13. Marti S, Straumann D, Büttner U, Glasauer S. A model-based theory on the origin of downbeat nystagmus. Exp Brain Res. 2008;188:613–31.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All authors report no disclosures.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Seong-Hae Jeong.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

The video demonstrates upward deflection during horizontal head impulse. (WMV 4513 kb)

Dissociated gain of vertical head impulse, i.e., decreased during upward pitch and increased during downward pitch, is shown on video clip. (WMV 1772 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jeong, SH., Kim, JS., Baek, I.C. et al. Perverted Head Impulse Test in Cerebellar Ataxia. Cerebellum 12, 773–775 (2013). https://doi.org/10.1007/s12311-013-0480-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12311-013-0480-0

Keywords

Navigation