Usefulness of Video Head Impulse Test Results in the Identification of Meniere's Disease

Kaci, Brahim; Nooristani, Mujda; Mijović, Tamara; Maheu, Maxime

doi:10.3389/fneur.2020.581527

Cited by 13 publications

(3 citation statements)

References 43 publications

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“…VOR gain (eye velocity/head velocity) of >0.8 for horizontal SCCs and of >0.7 for vertical SCCs considered as normal response. Corrective saccades that occurred during head impulse (about 150 ms) or after head impulse called covert and overt saccades, respectively [40,43,44].…”

Section: Video Head Impulse Test (Vhit)mentioning

confidence: 99%

Hearing and Vestibular Testing in Menière’s Disease

Shaabani¹

2022

Recent Advances in Audiological and Vestibular Research

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Endolymphatic hydrops (ELH) known as the main pathophysiology of Menière’s disease (MD) changes both the cochlear and vestibular function of the inner ear. These physiological changes can occur simultaneously (cochleovestibular involvement) or separately (cochlear or vestibular involvement). They can also present unilaterally or bilaterally (simultaneously or sequentially). Moreover, ELH recurs periodically without any specific etiology and known rhythm. Therefore, the patient referred for audiological tests may be in attack phase (acute) or inter-attack phase (chronic). MD itself may be in early- or advanced stage. In addition, considering comorbidity (vestibular or non-vestibular) is vital for differential diagnosis. On the other hand, each audiological test (including PTA, ECochG, VNG, vHIT, SVV, VEMPs …) has its specific diagnostic viewpoint and gives us a limited snapshot of MD’s clinical picture. Consequently, in this chapter, we want to discuss these viewpoints and try to explain associations and dissociations of audiological test findings in MD patients.

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Section: Video Head Impulse Test (Vhit)mentioning

confidence: 99%

Hearing and Vestibular Testing in Menière’s Disease

Shaabani¹

2022

Recent Advances in Audiological and Vestibular Research

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“…Recently, the video head impulse test assessing the vestibulo-ocular reflex, the electrocochleogra-phy, the vestibular evoked myogenic potentials, and the imaging techniques have been used to identify Menière's disease and to distinguish this vestibular disorder from other pathologies (1).…”

Section: Modern Diagnosis Of Menière's Diseasementioning

confidence: 99%

Recent advances in the diagnosis of some common vestibular disorders

Milkov

2021

SSM

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The interest in the diagnosis of common vestibular disorders in children and adults is permanently increasing. In this survey, the applications of the main diagnostic methods in this interdisciplinary field are briefly discussed. The diagnostic capacities of the caloric test, video head impulse test, cervical and ocular vestibular evoked myogenic potentials, videonystagmography, electrococheography, magnetic resonance imaging, computed tomography, etc. are summarized. Special attention is paid to some common vestibular disorders such as Menière's disease, benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, and acute vestibular syndrome. United international efforts will contribute to further improvement of the diagnosis of the vestibular disorders, which warrants their adequate treatment.

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“…We did not choose pure tone audiometry as a cochlear site-specific functional test, because audiometry is already a requirement for the diagnosis of DMD. We also did not include video head impulse test (vHIT) in the analysis of the SCC functional testing, because there is a well-documented dissociation of normal vHIT and abnormal caloric test in MD [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the diagnostic value of hydrops MRI in relation to audiovestibular function tests (electrocochleography, cervical vestibular evoked myogenic potential and caloric test)

Orimoto

Vartanyan²,

O’Leary³

2022

Eur Arch Otorhinolaryngol

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The objective of this systematic review is to compare the diagnostic value of endolymphatic hydrops (EH) magnetic resonance imaging (MRI) with audiovestibular function tests, including electro cochleography (ECochG), cervical vestibular evoked myogenic potential (cVEMP) and caloric tests for the diagnosis of definite Meniere’s disease (DMD). An electronic search was performed in the PubMed, Embase and Cochrane databases in August 2022. Original studies which reported the efficacy of gadolinium MRI for diagnosis of DMD were compared with ECochG, cVEMP and caloric tests from 2007 to 2022 published in English. Two reviewers extracted the methodology and results of MRI and functional tests, assessing them independently. A modified version of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) was used for the assessment of the quality and the risk of bias of each study. The proportion of DMD cases diagnosed by MRI hydrops vs corresponding functional tests were calculated and the relationship between MRI and functional tests were evaluated using the Cohen’s Kappa test. Concerning the MRI, the proportion diagnostic of DMD was 0.67 by cochlear EH and 0.80–0.82 by vestibular EH. Regarding the functional test, the propotiojn diagnostic of DMD was 0.48 by ECochG, 0.76 by cVEMP and 0.65 by caloric test. The findings of this systematic review were that the vestibular EH on imaging most effectively assisted in diagnosing DMD. Among the functional tests, cVEMP was the second most effective test. The agreement between imaging and cVEMP was moderate (0.44), indicating a gap between the patients identified by the imaging and functional tests based on the relatively small number of patients.

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Usefulness of Video Head Impulse Test Results in the Identification of Meniere's Disease

Cited by 13 publications

References 43 publications

Hearing and Vestibular Testing in Menière’s Disease

Hearing and Vestibular Testing in Menière’s Disease

Recent advances in the diagnosis of some common vestibular disorders

Systematic review of the diagnostic value of hydrops MRI in relation to audiovestibular function tests (electrocochleography, cervical vestibular evoked myogenic potential and caloric test)

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