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Video Head Impulse Test for Early Diagnosis of Vestibular Neuritis Among Acute Vertigo

  • Qiongfeng Guan (a1) (a2), Lisan Zhang (a1), Wenke Hong (a2), Yi Yang (a1), Zhaoying Chen (a2), Peilin Lu (a1), Dan Zhang (a1) and Xingyue Hu (a1)...
Abstract

Background: This study assesses the value of the video head impulse test (vHIT) for early diagnosis of vestibular neuritis (VN) among acute vertigo. Methods: Thirty-three cases of vestibular neuritis (VN), 96 patients with other acute vertigo (AV), and 50 cases of normal controls used vHIT to quantitatively test a pair of horizontal vestibulo-ocular reflection (VOR) gains, two pairs of vertical VOR gains, and the corresponding three pairs of VOR gain asymmetry. The peculiarity of VOR gains in VN and the differences between VN and other AV, normal controls by vHIT, were collected and analyzed. Results: There were statistically significant differences in the three pairs of VOR gains asymmetry between VN and other AV, and normal controls (P<0.01). The sensitivity was 87.9% and specificity was 94.3% in differentiating VN from normal and other acute vertigo by vHIT. Conclusions: This study shows vHIT has advantages in the diagnosis of VN in acute vertigo with good sensitivity and specificity and indicates a widespread clinical application.

Test vidéo d’impulsion de la tête dans le diagnostic précoce de la névrite vestibulaire chez les patients atteints de vertige aigu. Contexte : Au cours de cette étude nous avons évalué le test vidéo d’impulsion de la tête (vHIT) dans le diagnostic de la névrite vestibulaire (NV) chez les patients atteints de vertige aigu (VA). Méthodologie : Nous avons utilisé le vHIT pour évaluer quantitativement les gains d’une paire de reflexes vestibulo-oculaires (VOR) horizontaux, les gains de deux paires de VOR verticaux et l’asymétrie des gain des trois paires de VOR correspondants, chez 33 patients atteints de névrite vestibulaire, 96 patients présentant d’autres vertiges aigus et 50 sujets normaux. La particularité des gains de VOR dans la NV et les différences entre la NV et les autres VA et les sujets témoins au vHIT ont été notées et analysées. Résultats : Nous avons constaté qu’il existait des différences significatives au point de vue statistique dans l’asymétrie des trois paires de gains du VOR entre les patients atteints de NV et de VA, ainsi que des sujets témoins (p < 0,01). La sensibilité était de 87,9% et la spécificité de 94,3% pour distinguer la NV de la normale et des autres vertiges aigus au moyen du vHIT. Conclusions : Cette étude démontre que le vHIT comporte des avantages dans le diagnostic de la NV chez les patients qui présentent un vertige aigu et que la sensibilité et la spécificité du test sont bonnes, ce qui appuie une utilisation généralisée du vHIT en clinique.

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Copyright
Corresponding author
Correspondence to: Xingyue Hu, Department of Neurology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, #3 Qingchun East Road, Hangzhou, China. Email: huxingyue2003@126.com.
References
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Canadian Journal of Neurological Sciences
  • ISSN: 0317-1671
  • EISSN: 2057-0155
  • URL: /core/journals/canadian-journal-of-neurological-sciences
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