Abnormal Head Impulse Test in a Unilateral Cerebellar Lesion

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Abnormal Head Impulse Test in a Unilateral Cerebellar Lesion

BACKGROUND The findings of head impulse tests (HIT) are usually normal in cerebellar lesions. CASE REPORT A 46-year-old male presented with progressive dizziness and imbalance of 3 weeks duration. The patient exhibited catch-up saccades during bedside horizontal HIT to either side, which was more evident during the rightward HIT. However, results of bithermal caloric tests and rotatory chair ...

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False-Positive Head-Impulse Test in Cerebellar Ataxia

The objective of this study was to compare the findings of the bedside head-impulse test (HIT), passive head rotation gain, and caloric irrigation in patients with cerebellar ataxia (CA). In 16 patients with CA and bilaterally pathological bedside HIT, vestibuloocular reflex (VOR) gains were measured during HIT and passive head rotation by scleral search coil technique. Eight of the patients ha...

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The active head-impulse test in unilateral peripheral vestibulopathy.

BACKGROUND The head-impulse test, which is sensitive and specific for detecting severe unilateral peripheral vestibulopathy, is an accepted part of the neurological examination, especially in patients with vertigo and balance disorders. OBJECTIVE To discover if the head-impulse test is just as useful diagnostically when patients are asked to rotate their own heads, the active head-impulse tes...

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Head Impulse Test

In 1988, Michael Halmagyi and Ian Curthuoys described a simple yet reliable indicator of unilateral peripheral vestibular deficits at the bedside. This 'head impulse test' (HIT) as is has been known since, has stood the test of being a reliable indicator of vestibular deficit, especially for the horizontal semicircular canal. The test has been described using various techniques, such as the scl...

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Bilateral cerebellar dysfunctions in a unilateral meso-diencephalic lesion.

The clinical syndrome of a 65-year-old patient with a slit-shaped right-sided meso-diencephalic lesion was analysed. A cerebellar syndrome with limb-kinetic ataxia, intention tremor and hypotonicity in all extremities as well as ataxic dysarthria was found. The disruption of the two cerebello-(rubro)-thalamic pathways probably explained the signs of bilateral cerebellar dysfunction. The uncross...

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ژورنال

عنوان ژورنال: Journal of Clinical Neurology

سال: 2015

ISSN: 1738-6586,2005-5013

DOI: 10.3988/jcn.2015.11.3.279