Indian Journal of Otology

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 23  |  Issue : 4  |  Page : 247--251

Efficacy of vestibulo-ocular reflex gain and refixation saccades of video head impulse test in identifying vestibular pathologies


Niraj Kumar Singh1, Rajeshwari Govindaswamy2, Nirmala Jagadish3 
1 Department of Audiology, All India Institute of Speech and Hearing, Mysore, Karnataka, India
2 Department of Otorhinolaryngology, All India Institute of Speech and Hearing, Mysore, Karnataka, India
3 Department of ENT, Mandya Institute of Medical Sciences, Mandya, Karnataka, India

Correspondence Address:
Dr. Niraj Kumar Singh
Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Mysore - 570 006, Karnataka
India

Aim: Video head impulse test is a clinical tool found useful for assessment of each of the 6 semicircular canals independent of each other. However there is little known about relative efficacy of the two measures, vestibulo-ocular reflex gain and refixation saccade, in identifying the presence of a vestibular pathology. The present study therefore aimed at investigating the utility of each of these measures in identifying vestibular pathology. Materials and Methods: Twenty subjects with normal audio-vestibular system and 20 subjects with vestibulopathies underwent video head impulse testing. Results: The VOR gain was significantly higher in lateral and posterior canals and presence of refixation saccades was in significantly higher proportion of individuals with vestibulopathies than the controls (p < 0.05). When presence of either refixation saccades or reduced VOR gain was considered an abnormal result, the sensitivity was ~71% and ~43% and specificity was ~92% and ~82% for lateral and posterior canals respectively. When presence of either refixation saccades or reduced VOR gain for either of the two canals was considered an abnormal result, the sensitivity shot up to reach ~86% whereas the specificity plummeted slightly to drop to75%. Conclusion: The video head impulse test can differentiate vestibulopathies from normal individuals and hence a clinically useful tool.


How to cite this article:
Singh NK, Govindaswamy R, Jagadish N. Efficacy of vestibulo-ocular reflex gain and refixation saccades of video head impulse test in identifying vestibular pathologies.Indian J Otol 2017;23:247-251


How to cite this URL:
Singh NK, Govindaswamy R, Jagadish N. Efficacy of vestibulo-ocular reflex gain and refixation saccades of video head impulse test in identifying vestibular pathologies. Indian J Otol [serial online] 2017 [cited 2020 Aug 6 ];23:247-251
Available from: http://www.indianjotol.org/article.asp?issn=0971-7749;year=2017;volume=23;issue=4;spage=247;epage=251;aulast=Singh;type=0