The dissociation of video head impulse test (vHIT) and bithermal caloric test results provide topological localization of vestibular system impairment in patients with "definite" Ménière's disease.

Abstract:

PURPOSE:We report 3 patients with Ménière's disease and describe how the combination of audiometry, video head impulse testing, and caloric results may prove helpful in the diagnosis of Ménière's disease. METHOD:Three patients with "definite" Ménière's disease were evaluated in a tertiary care medical center. Each patient underwent videonystagmography, horizontal canal video head impulse testing, and audiometry. RESULTS:All 3 patients demonstrated moderate, flat, sensorineural hearing losses; significant caloric asymmetries; and bilaterally normal video head impulse testing. This pattern of findings suggests differential preservation of high-frequency function (video head impulse testing) with impairment of low-frequency function (unilaterally abnormal caloric test results) in these patients. CONCLUSION:Ipsilesional abnormal caloric testing in the presence of normal video head impulse testing is a pattern of findings observed in a cohort of patients who have "definite" Ménière's disease.

journal_name

Am J Audiol

authors

McCaslin DL,Rivas A,Jacobson GP,Bennett ML

doi

10.1044/2014_AJA-14-0040

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

1-10

issue

1

eissn

1059-0889

issn

1558-9137

pii

1934974

journal_volume

24

pub_type

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