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Clinical Application of Video Head Impulse Test in Acute Vestibular Syndrome

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대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2020.01|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제63권 제1호|pp. 3-13

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참고문헌

키워드

Vestibular neuritisAcute unilateral vestibulopathyAcute vestibular syndromeVideo head impulse test
주제분류이비인후과학

초록

Acute unilateral vestibulopathy (AUV) is the recommended term [rather than the more widelyused ‘vestibular neuritis (VN)’] for all pathologies involving sudden impairment of the unilateralperipheral vestibular function regardless of the exact location of the lesion. Acute vestibularsyndrome (AVS) is an upper-level entity of AUV, which is the most common cause of AVS,and includes acute central vertigo. AVS typically presents with the symptoms of new onset continuousvertigo, gait instability, and nausea/vomiting lasting several days to weeks. The videohead impulse test (vHIT) was recently developed and has been widely adopted at clinics andemergency centers. In this study, we will review the differential diagnosis of AVS using vHIT. In addition, we will describe the subtypes of VN and the use of vHIT for follow-up testing inAVS.

Abstract

Acute unilateral vestibulopathy (AUV) is the recommended term [rather than the more widelyused ‘vestibular neuritis (VN)’] for all pathologies involving sudden impairment of the unilateralperipheral vestibular function regardless of the exact location of the lesion. Acute vestibularsyndrome (AVS) is an upper-level entity of AUV, which is the most common cause of AVS,and includes acute central vertigo. AVS typically presents with the symptoms of new onset continuousvertigo, gait instability, and nausea/vomiting lasting several days to weeks. The videohead impulse test (vHIT) was recently developed and has been widely adopted at clinics andemergency centers. In this study, we will review the differential diagnosis of AVS using vHIT. In addition, we will describe the subtypes of VN and the use of vHIT for follow-up testing inAVS.

참고문헌 (44)

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Long-Term Changes in Video Head Impulse and Caloric Tests in Patients with Unilateral Vestibular Neuritis김성헌, 이현진, 정진세대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2019 · 제62권 제1호Normal Caloric Responses during Acute Phase of Vestibular Neuritis구자원, 김지수, 김효정, 박성호, 이순옥대한신경과학회 · Journal of Clinical Neurology2016 · 제12권 제3호Usefulness of Nystagmus Patterns in Distinguishing Peripheral From Central Acute Vestibular Syndromes at the Bedside: A Critical ReviewAlexander A. Tarnutzer, Sun-Uk Lee대한신경과학회 · Journal of Clinical Neurology2025 · 제21권 제3호Dissociated Results between Caloric and Video Head Impulse Tests in Dizziness: Prevalence, Pattern, Lesion Location, and Etiology구자원, 권은진, 김지수, 김효정, 오희종, 이주영, 최정윤대한신경과학회 · Journal of Clinical Neurology2020 · 제16권 제2호Vestibular Neuritis With Minimal Canal Paresis: Characteristics and Clinical Implication김규성, 김대영, 김현지, 황준하대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2017 · 제10권 제2호Mastoid Vibration Reduces Ipsilesional Shift of Subjective Visual Horizontal in Patients with Acute Stage of Unilateral Vestibulopathy김건우, 이민영, 정재윤대한청각학회 · Journal of Audiology & Otology2017 · 제21권 제2호

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