Comparison of the Bedside Head-Impulse Test with the Video Head-Impulse Test in a Clinical Practice Setting: A Prospective Study of 500 Outpatients

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Comparison of the Bedside Head-Impulse Test with the Video Head-Impulse Test in a Clinical Practice Setting: A Prospective Study of 500 Outpatients

OBJECTIVES The primary aim was to determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the bedside head-impulse test (bHIT) using the video HIT (vHIT) as the gold standard for quantifying the function of the vestibulo-ocular reflex (VOR). Secondary aims were to determine the bHIT inter-rater reliability and sensitivity in detecting unil...

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The Video Head Impulse Test

In 1988, we introduced impulsive testing of semicircular canal (SCC) function measured with scleral search coils and showed that it could accurately and reliably detect impaired function even of a single lateral canal. Later we showed that it was also possible to test individual vertical canal function in peripheral and also in central vestibular disorders and proposed a physiological mechanism...

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The video head impulse test.

CONCLUSION Additional research is needed to validate the importance of the video head impulse tests (vHIT), but it provides an important contribution to the evaluation of anterior and posterior semicircular canal disorders. OBJECTIVES To share observations of the vHIT test in clinical neurotology and to discuss the significance of the study findings. METHODS This study comprised 200 patient...

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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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The video head impulse test: diagnostic accuracy in peripheral vestibulopathy.

BACKGROUND The head impulse test (HIT) is a useful bedside test to identify peripheral vestibular deficits. However, such a deficit of the vestibulo-ocular reflex (VOR) may not be diagnosed because corrective saccades cannot always be detected by simple observation. The scleral search coil technique is the gold standard for HIT measurements, but it is not practical for routine testing or for ac...

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ژورنال

عنوان ژورنال: Frontiers in Neurology

سال: 2016

ISSN: 1664-2295

DOI: 10.3389/fneur.2016.00058