642 results match your criteria Vestibuloocular Reflex Testing


Vestibular Function in Older Adults With Cognitive Impairment: A Systematic Review.

Ear Hear 2021 Apr 22. Epub 2021 Apr 22.

1Department of Translational Neurosciences, University of Antwerp, Antwerp, Belgium 2Department of Otorhinolaryngology-Head and neck surgery, Antwerp University Hospital, Edegem, Belgium 3Department of Education, Health & Social Work, University College Ghent, Ghent, Belgium 4Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), VUB, Brussels, Belgium 5Department of Biomedical Sciences and Institute Born-Bunge, University of Antwerp, Antwerp, Belgium 6Department of Neurology, Antwerp University Hospital, Edegem, Belgium.

Importance: Given the rising prevalence of patients with dementia and those at risk for it, early identification is prioritized. As vestibular dysfunction is associated with Alzheimer's disease (AD) and may contribute to its onset, vestibular assessment may yield an opportunity in early dementia screening.

Objective: This systematic review structures and compares the different raw outcome measures used to assess vestibular function while comparing older adults with preserved cognition to individuals with cognitive impairment, either suffering from mild cognitive impairment (MCI) or AD. Read More

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Detection of VOR dysfunction during the gaze stabilization test: Does target size matter?

J Vestib Res 2021 Apr 21. Epub 2021 Apr 21.

Dizziness and Balance Center, Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, Saint Louis, MO, USA.

Background: The Gaze Stabilization Test (GST) identifies vestibulo-ocular reflex (VOR) dysfunction using a decline in target recognition with increasing head velocity, but there is no consensus on target (optotype) size above static visual acuity.

Objective: To determine the optimal initial optotype size above static visual acuity to be used during the GST in subjects with unilateral vestibular dysfunction and healthy individuals.

Methods: Eight subjects with unilateral vestibular dysfunction (UVD) and 19 age-matched, healthy control subjects were studied with the standard GST protocol using two optotype sizes, 0. Read More

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Estimated Vestibulogram (EVEST) for Effective Vestibular Assessment.

Biomed Res Int 2021 2;2021:8845943. Epub 2021 Mar 2.

Department of Biophysics and Department of Pathological Physiology, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.

Background: The availability and development of methods testing the vestibuloocular reflex (VOR) brought a broader view into the lateral semicircular canal (L-SCC) function. However, the higher number of evaluated parameters makes more difficult the specialist's diagnose-making process.

Purpose: To provide medical specialists, a new diagnostic-graphic tool, Estimated Vestibulogram- EVEST, enabling a quick and easy-to-read visualization and comparison of the VOR test results within the L-SCC. Read More

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Once-Daily Incremental Vestibular-Ocular Reflex Adaptation Training in Patients With Chronic Peripheral Vestibular Hypofunction: A 1-Week Randomized Controlled Study.

J Neurol Phys Ther 2021 04;45(2):87-100

Balance and Vision Laboratory, Neuroscience Research Australia, Sydney, Australia (C.N.R., M.C.S., P.D.C., W.V.C.F., C.J.T., A.A.M.); Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Australia (C.N.R., A.A.M.); Laboratory of Vestibular NeuroAdaptation, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland (M.C.S.); Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland (M.C.S., A.A.M.); Royal North Shore Hospital, Sydney, Australia (P.D.C.); and School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, Australia (A.A.M.).

Background And Purpose: This was a double-blinded randomized controlled study to investigate the effects of once-daily incremental vestibulo-ocular reflex (VOR) training over 1 week in people with chronic peripheral vestibular hypofunction.

Methods: A total of 24 patients with peripheral vestibular hypofunction were randomly assigned to intervention (n = 13) or control (n = 11) groups. Training consisted of either x1 (control) or incremental VOR adaptation exercises, delivered once daily for 15 minutes over 4 days in 1 week. Read More

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Does the video head impulse test replace caloric testing in the assessment of patients with chronic dizziness? A systematic review and meta-analysis.

Braz J Otorhinolaryngol 2021 Feb 13. Epub 2021 Feb 13.

University of Campinas, Department of Otolaryngology Head and Neck Surgery, Campinas, SP, Brazil.

Introduction: Caloric testing is the most frequently used test to assess peripheral vestibular function since the beginning of the 20th century. However, the video head impulse test, vHIT, has gained prominence in the field of neurotology, as it is a faster examination, easier to perform and less uncomfortable for the patient.

Objective: To compare, through systematic review and meta-analysis, the proportion of altered cases between vHIT tests and caloric testing in patients with chronic dizziness, in addition to assessing the sensitivity and specificity of vHIT, with caloric testing as the gold standard. Read More

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February 2021

Pre-habilitation Before Vestibular Schwannoma Surgery-Impact of Intratympanal Gentamicin Application on the Vestibulo-Ocular Reflex.

Front Neurol 2021 9;12:633356. Epub 2021 Feb 9.

Department of Neurology, University Hospital Zurich, Zurich, Switzerland.

Patients with vestibular schwannoma that show residual peripheral-vestibular function before surgery may experience sudden and substantial vestibular loss of function after surgical resection. To alleviate the sudden loss of peripheral-vestibular function after vestibular-schwannoma (VS) resection, pre-surgical intratympanic gentamicin application was proposed. We hypothesized that this approach allows for a controlled reduction of peripheral-vestibular function before surgery but that resulting peripheral-vestibular deficits may be canal-specific with anterior-canal sparing as observed previously in systemic gentamicin application. Read More

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February 2021

Vestibular, Gaze, and Balance Disorders in Asymptomatic Congenital Cytomegalovirus Infection.

Pediatrics 2021 Feb 8;147(2). Epub 2021 Jan 8.

Departments of Pediatrics.

Background And Objectives: Congenital cytomegalovirus (cCMV) is the leading nongenetic cause of sensorineural hearing loss and developmental disabilities. Because there are limited data from studies of vestibular involvement in select groups of children with cCMV, the true frequency of vestibular disorders in cCMV is likely underestimated. Our objective for this study is to determine the prevalence of vestibular, gaze, and balance disorders in a cohort of children with asymptomatic cCMV. Read More

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February 2021

Is Vestibular Meniere's Disease Associated With Endolymphatic Hydrops?

Front Surg 2020 18;7:601692. Epub 2020 Dec 18.

Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Vestibular Meniere's disease (American Academy of Ophthalmology and Otolaryngology, 1972) also known as possible Meniere's disease (American Academy of Otolaryngology Head and Neck Surgery, 1995) or vestibular type of atypical Meniere's disease (V-AMD) (Japan Society for Equilibrium Research, 2017) is characterized by an episodic vertigo without hearing loss. Though named as Meniere's disease (MD), this entity may not be caused solely by endolymphatic hydrops (EH). To estimate the role of EH in vestibular Meniere's disease in comparison with definite Meniere's disease. Read More

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December 2020

Unusual Vestibulo-Ocular Reflex Responses in Patients With Peripheral Vestibular Disorders Detected by the Caloric Step Stimulus Test.

Front Neurol 2020 30;11:597562. Epub 2020 Nov 30.

Department of Otolaryngology, Tokyo Medical and Dental University, Tokyo, Japan.

The caloric step stimulus test consists of the changes in head position from the sitting to supine positions and continuous caloric irrigation. This test can provide a single labyrinth with a stimulus similar to constant head acceleration in rotational testing and, therefore, can evaluate vestibulo-ocular reflex (VOR) dynamics more precisely than can conventional methods. To assess the clinical utility of the test in the assessment of the VOR dynamics of diseases, we performed the test in patients with peripheral vestibular disorders, including sudden idiopathic hearing loss, vestibular neuritis, Meniere disease, vestibular Meniere disease, or chronic unilateral idiopathic vestibulopathy and normal controls. Read More

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November 2020

Worldwide survey on laboratory testing of vestibular function.

Neurol Clin Pract 2020 Oct;10(5):379-387

Department of Neurology and German Center for Vertigo and Balance Disorders (MS, JT), Ludwig Maximilians University, Munich, Campus Grosshadern, Germany; Institute for Medical Information Processing (JG, EG), Biometrics and Epidemiology and German Center for Vertigo and Balance Disorders, Ludwig Maximilians University, Munich, Germany; Department of Surgical Sciences (GL), Uppsala University, Sweden; and Department of Otolaryngology (HK), Maastricht University Medical Centre, The Netherlands.

Background: The function of the peripheral vestibular system can nowadays be quantified. The video head impulse test (vHIT) and caloric irrigation are used for the semicircular canals, cervical vestibular evoked myogenic potentials (cVEMP) for the sacculus, and ocular vestibular evoked myogenic potentials (oVEMP) for the utriculus. Because there is no agreement on normal and pathologic values, we performed a worldwide survey. Read More

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October 2020

Evaluation of Interexaminer Variability in Video Head Impulse Test Results.

J Am Acad Audiol 2020 09 20;31(8):613-619. Epub 2020 Oct 20.

Department of Otorhinolaryngology, Subdepartment of Audiology, School of Medicine, Marmara University, Istanbul, Turkey.

Objective: The video head impulse test (vHIT) is a diagnostic tool to assess the function of the semicircular canals and branches of the vestibular nerve. The aim of this study was to analyze the interexaminer variability of vHIT results in healthy subjects.

Materials And Methods: A total of 21 healthy participants were included in the study. Read More

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September 2020

High-frequency semicircular canal deficit affects postural control in hearing-impaired children.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Oct 15. Epub 2020 Oct 15.

Service d'audiologie et explorations otoneurologiques, CHU Édouard-Herriot, Lyon, France; Université Claude-Bernard Lyon 1, Lyon, France; Paris Hearing Institute, Institut Pasteur, Inserm U1120, Paris, France.

Objectives: The present study aimed to analyse the impact of vestibulo-ocular reflex (VOR) gain deficit on postural control (PC) in children with sensorineural hearing loss.

Methods: A retrospective study included 55 children with sensorineural hearing loss between 4 and 17 years of age. The Video Head Impulse Test (vHIT®) was used to assess semicircular canal function. Read More

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October 2020

Are gain values significantly altered by manual data selection when performing the video Head Impulse Test (v-HIT) on all six semicircular canals with two different v-HIT systems.

J Vestib Res 2020 ;30(5):305-317

Department of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Denmark.

Background: It has not yet been tested whether averaged gain values and the presence of pathological saccades are significantly altered by manual data selection or if data selection only done by the incorporated software detection algorithms provides a reliable data set following v-HIT testing.

Objective: The primary endpoint was to evaluate whether the averaged gain values of all six SCCs are significantly altered by manual data selection with two different v-HIT systems.

Method: 120 subjects with previously neither vestibular nor neurological disorders underwent four separate tests of all six SCCs with either EyeSeeCam® or ICS Impulse®. Read More

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January 2020

Vestibular/Ocular Motor Screening is Independently Associated With Concussion Symptom Severity in Youths.

Clin J Sport Med 2020 Sep 15. Epub 2020 Sep 15.

Department of Neurology, Methodist Hospital, Houston, Texas.

Objective: To examine the independent contributions of the Vestibular/Ocular Motor Screening (VOMS) to concussion symptom severity in youths while controlling for computerized neurocognitive screening performance, demographics, and medical history.

Study Design: Cross-sectional.

Setting: Concussion specialty clinic. Read More

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September 2020

Vestibular function assessment following cochlear implantation using rotatory chair testing.

Eur Arch Otorhinolaryngol 2020 Aug 28. Epub 2020 Aug 28.

Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin Alkom, Menoufia, 11835, Egypt.

Purpose: Study aimed to assess short- and long-term impact of unilateral cochlear implantation in children on the angular vestibulo-ocular reflex using rotatory chair test.

Methods: Two groups; A (early postoperative evaluation) and B (later on evaluation) were included, each consisted of 23 cochlear implant candidates' children with unilateral implant surgeries were performed in El-Galaa Hospital, Cairo, Egypt. They were assessed by rotatory chair test; sinusoidal harmonic acceleration paradigm. Read More

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Resolved External Ophthalmoplegia and Hearing Loss in Wernicke's Encephalopathy With Thiamine Replacement.

J Neuroophthalmol 2020 Aug 19. Epub 2020 Aug 19.

Illinois Neurologic Institute, Saint Francis Medical Center, University of Illinois College of Medicine, Peoria, Illinois..

Background: Wernicke encephalopathy (WE) is classically described by a clinical triad consisting of confusion, ataxia, and ophthalmoplegia, but recent reports emphasize a history of malnutrition along with 2 elements of the WE triad (Caine's criteria) to enhance diagnostic sensitivity. The ophthalmoplegia, vestibular, and auditory expeditious improvement with intravenous thiamine usually confirms the diagnosis; serum levels generally provide additional diagnostic certainty.

Methods: Here, we discuss the case of a woman with a distant history of gastric sleeve, poor nutrition and protracted vomiting, who developed acute confusion, imbalance, near-total external ophthalmoplegia (EO), and hearing loss. Read More

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Video head impulse testing in patients with benign paroxysmal positional vertigo.

Acta Otolaryngol 2020 Dec 17;140(12):977-981. Epub 2020 Aug 17.

ENT Department, Anadolu Health Center.

Background: Vestibulo-ocular reflex (VOR) function is expected to be normal in patients with benign paroxysmal positional vertigo (BPPV) during sudden head rotations.

Aim: The aim of this study is to analyze VOR by video head impulse test (vHIT) in patients with BPPV in order to determine the potential value of clinical application of vHIT in BPPV.

Material And Method: Sixty patients with BPPV were included for the study from out-patient admissions. Read More

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December 2020

VOR gain calculation methods in video head impulse recordings.

J Vestib Res 2020 ;30(4):225-234

Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Background: International consensus on best practices for calculating and reporting vestibular function is lacking. Quantitative vestibulo-ocular reflex (VOR) gain using a video head impulse test (HIT) device can be calculated by various methods.

Objective: To compare different gain calculation methods and to analyze interactions between artifacts and calculation methods. Read More

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January 2020

Comparison of the results of caloric and video head impulse tests in patients with Meniere's disease and vestibular migraine.

Eur Arch Otorhinolaryngol 2020 Aug 9. Epub 2020 Aug 9.

Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey.

Purpose: To compare the results of video head impulse test (vHIT) and caloric testing (CT) in patients with vestibular migraine (VM) and Ménière's disease (MD) and to investigate the relationship between these two tests.

Methods: Patients with definite unilateral MD and VM were included in the study. All patients underwent both vHIT and CT. Read More

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Vestibulo-ocular reflex assessed with Video Head Impulse Test in children with Vestibular Migraine: Our experience.

Int J Pediatr Otorhinolaryngol 2020 Oct 3;137:110161. Epub 2020 Jul 3.

Hospital Sant Joan de Déu, Department of Otorhinolaryngology, Barcelona, Spain. Electronic address:

Vestibular Migraine in children can mimic other disorders, especially at presentation. Outcome is hard to predict and management may be challenging due to the fact that many of the patients are too young to describe their symptoms and these are not always accompanied by headache.

Objective: To assess vestibulo-ocular reflex (VOR) in pediatric patients who meet criteria for defined Vestibular Migraine and to compare results to healthy controls. Read More

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October 2020

Vestibular and Ocular Motor Properties in Lateral Medullary Stroke Critically Depend on the Level of the Medullary Lesion.

Front Neurol 2020 5;11:390. Epub 2020 Jun 5.

Faculty of Medicine, University of Zurich, Zurich, Switzerland.

Lateral medullary stroke (LMS) results in a characteristic pattern of brainstem signs including ocular motor and vestibular deficits. Thus, an impaired angular vestibulo-ocular reflex (aVOR) may be found if the vestibular nuclei are affected. We aimed to characterize the frequency and pattern of vestibular and ocular-motor deficits in patients with LMS. Read More

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The vestibular implant: Opinion statement on implantation criteria for research.

J Vestib Res 2020 ;30(3):213-223

Division of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.

This opinion statement proposes a set of candidacy criteria for vestibular implantation of adult patients with bilateral vestibulopathy (BVP) in a research setting. The criteria include disabling chronic symptoms like postural imbalance, unsteadiness of gait and/or head movement-induced oscillopsia, combined with objective signs of reduced or absent vestibular function in both ears. These signs include abnormal test results recorded during head impulses (video head impulse test or scleral coil technique), bithermal caloric testing and rotatory chair testing (sinusoidal stimulation of 0. Read More

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January 2020

Assessment of the Progression of Vertical Semicircular Canal Dysfunction and Increased Vestibular Endolymphatic Hydrops in Patients With Early-Stage Ménière Disease.

JAMA Otolaryngol Head Neck Surg 2020 09;146(9):789-800

Department of Otolaryngology, University of Tokushima School of Medicine, Tokushima, Japan.

Importance: Vertical semicircular canals and endolymphatic hydrops play important roles in the pathophysiological mechanisms of Ménière disease. However, their characteristics and associations with disease progression during medical treatment have not been determined.

Objective: To examine the function of both the horizontal and vertical semicircular canals in patients with Ménière disease and to evaluate the change in endolymphatic hydrops volume during medical treatment, including treatment with diuretic therapy, over a 2-year period. Read More

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September 2020

Impact of cochlear implantation on the function of the three semicircular canals.

Int J Audiol 2020 Nov 9;59(11):843-849. Epub 2020 Jul 9.

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Objective: To assess the effect of cochlear implantation on the function of the semicircular canals (SCC) and on experienced vestibular symptoms. Second, to determine the relation between vestibular test results.

Design: Retrospective cohort study assessing absolute and categorised results of caloric irrigation test, video Head Impulse Test (vHIT) and Dizziness Handicap Inventory (DHI) before and after cochlear implantation. Read More

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November 2020

Separating posterior-circulation stroke from vestibular neuritis with quantitative vestibular testing.

Clin Neurophysiol 2020 Aug 8;131(8):2047-2055. Epub 2020 Jun 8.

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia. Electronic address:

Objective: To separate vestibular neuritis (VN) from posteriorcirculation stroke (PCS) using quantitative tests of canal and otolith function.

Methods: Video Head-Impulse tests (vHIT) were used to assess all three semicircular canal pairs; vestibulo-ocular reflex (VOR) gain and saccade metrics were examined. Cervical and ocular-Vestibular-Evoked Myogenic Potentials (c- and oVEMP) and Subjective Visual Horizontal (SVH) were used to assess otolith function. Read More

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The effect of superior canal dehiscence size and location on audiometric measurements, vestibular-evoked myogenic potentials and video-head impulse testing.

Eur Arch Otorhinolaryngol 2021 Apr 26;278(4):997-1015. Epub 2020 Jun 26.

ENT & Audiology Unit, Department of Diagnostic, Experimal and Specialty Medicine (DIMES), S.Orsola - Malpighi University Hospital, Bologna, Italy.

Purpose: To correlate objective measures of audio-vestibular function with superior canal dehiscence (SCD) size and location in ears with SCD and compare results with literature.

Methods: We retrospectively evaluated 242 patients exhibiting SCD and/or extremely thinned bone overlying superior canals (SC) on CT scans and selected 73 SCD patients (95 ears with SCD). Data concerning audiometry, impedance audiometry, video-head impulse test (vHIT), cervical vestibular-evoked myogenic potentials (cVEMPs) and ocular VEMPs (oVEMPs) to air- (AC) and bone-conducted (BC) stimuli were collected for each pathologic ear and correlated with dehiscence size and location. Read More

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Effects of parameters of video head impulse testing on visually enhanced vestibulo-ocular reflex and vestibulo-ocular reflex suppression.

Clin Neurophysiol 2020 Aug 29;131(8):1839-1847. Epub 2020 May 29.

Neurotology Unit, ENT Department, Hospital Universitario Donostia, San Sebastián - Donostia, Spain. Electronic address:

Objective: To investigate the main effects of some testing and analysis variables on clinically quantified visually enhanced vestibulo-ocular reflex (VVOR) and vestibulo-ocular reflex suppression (VORS) results using video head impulse test.

Methods: This prospective observational clinical study included 19 healthy participants who underwent the VVOR and VORS tests. The effect of demographic variables, head oscillation frequency, rotation direction, visual acuity and analysis time window width and location of the recorded tests on the quantified results of both VVOR and VORS were evaluated. Read More

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Comparison of test results from two separate video head impulse test systems in a cohort of patients diagnosed with a unilateral vestibular schwannoma.

Eur Arch Otorhinolaryngol 2020 Nov 20;277(11):3185-3193. Epub 2020 Jun 20.

Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.

Purpose: Video head impulse testing (vHIT) is a relatively new technology enabling evaluation of vestibular function. The aim of this study was to compare the test results from two separate vHIT systems in a group of patients diagnosed with a unilateral vestibular schwannoma (VS) with regards to sensitivity, specificity and inter-examiner differences.

Methods: Forty-two patients were examined with two separate vHIT systems: EyeSeeCam (system A) and ICS Impulse (system B), by one of two examiners. Read More

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November 2020

Vestibular impact of Friedreich ataxia in early onset patients.

Cerebellum Ataxias 2020 28;7. Epub 2020 May 28.

Center for Balance Evaluation in Children (EFEE), Otolaryngology Department, Assistance Publique des Hôpitaux de Paris, Universitary Robert-Debré Hospital, F-75019 Paris, France.

Background: Friedreich ataxia (FRDA) is the most frequent form of inherited ataxias. Vestibular and auditory assessments are not commonly part of the check up for these patients despite hearing and balance complaints. Screening of vestibular and auditory function was performed in a large group of young patients with genetically confirmed FRDA. Read More

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Quantitative Analysis of Saccade Gain in Video Head Impulse Testing.

Otolaryngol Head Neck Surg 2020 10 9;163(4):799-805. Epub 2020 Jun 9.

Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Objective: To quantitatively analyze corrective saccade (CS) gain and further characterize the specific relationship between vestibulo-ocular reflex (VOR) gain and CS gain in patients with vestibular loss and healthy controls.

Study Design: Prospective combined with retrospective study.

Setting: Affiliated Sixth People's Hospital, Shanghai Jiao Tong University. Read More

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October 2020