Normal values of vHIT in children
Abstract Introduction and objective:The cephalic impulse test, described in 1988 by Curthoys and Halmagyi, aims to study the vestibulo-ocular reflex. The current devices reduce the stress of patients when performing the test which is very important in children. The aim of this study is to determine if the normal values of vHIT are the same in adults as in children. Method: A prospective study was carried out on 50 children who attended ENT’s office at the Santa Maria de Lleida University Hospital between January and June 2017. Children attending ENT’s office were selected for other causes not related to disturbances of balance between the 5-year age and 12 years. Results: The results show an average gain in horizontal semicircular canals of 0.9 with a standard deviation of 0.08. Discussion: The results obtained in our study in children are similar to those obtained in the general population. Previous studies are considered values of normality gains of 0.87 with a standard deviation of 0.10 and establishing pathological values of less than 0.8. The vHIT is an easy and sensitive assessment tool to evaluate vestibular function in children and the vHIT should be used as a standard test in the paediatric vestibular evaluation. Conclusions: In our opinion, the study through the vHIT is a relatively easy test to perform in children and in our study the results suggest that normal values in children are similar to the population.
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Alshehri MM, Sparto PJ, Furman JM, Fedor S, Mucha A, Henry LC, Whitney SL. The usefulness of the video head impulse test in children and adults post-concussion. J Vestib Res. 2016;26(5-6):439-446. - https://doi.org/10.3233/VES-160598. - PMid:28262647
Blödow A, Helbig R, Wichmann N, Bloching M, Walther LE. [The video head impulse test: first clinical experiences]. HNO. 2013;61(4):327-34. - https://doi.org/10.1007/s00106-012-2592-0 - https://doi.org/10.1007/s00106-012-2502-5
Brodsky JR, Lipson S, Wilber J, Zhou G. Benign Paroxysmal Positional Vertigo (BPPV) in Children and Adolescents: Clinical Features and Response to T110 Pediatric Patients. Otol Neurotol. 2018;39(3):344-50. - https://doi.org/10.1097/MAO.0000000000001673. - PMid:29287036
Davitt M, Delvecchio MT, Aronoff SC.The Differential Diagnosis of Vertigo in Children: A Systematic Review of 2726 Cases. Pediatr Emerg Care. 2017 Oct 31. - https://doi.org/10.1097/PEC.0000000000001281. - PMid:29095392
Deissler A, Albers L, von Kries R, Weinberger R, Langhagen T, Gerstl L, Heinen F, Jahn K, Schröder AS. Health-Related Quality of Life of Children/Adolescents with Vertigo: Retrospective Study from the German Center of Vertigo and Balance Disorders. Neuropediatrics. 2017;48(2):91-7. - https://doi.org/10.1055/s-0037-1598645. - PMid:28196383
Hamilton SS1, Zhou G2, Brodsky JR3. Video head impulse testing (vHIT) in the pediatric population. Int J Pediatr Otorhinolaryngol. 2015;79(8):1283-7. - https://doi.org/10.1016/j.ijporl.2015.05.033. - PMid:26066850
Jahn K. Vertigo and dizziness in children. Handb Clin Neurol. 2016;137:353-63. - https://doi.org/10.1016/B978-0-444-63437-5.00025-X. - PMid:27638083
Khater AM, Afifi PO. Video head-impulse test (vHIT) in dizzy children with normal caloric responses. Int J Pediatr Otorhinolaryngol. 2016;87:172-7. - https://doi.org/10.1016/j.ijporl.2016.06.030. - PMid:27368467
Nassif N, Balzanelli C, Redaelli de Zinis LO.Preliminary results of video Head Impulse Testing (vHIT) in children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2016 Sep;88:30-3. - https://doi.org/10.1016/j.ijporl.2016.06.034. - PMid:27497382
Ross LM, Helminski JO. Test-retest and Interrater Reliability of the Video Head Impulse Test in the Pediatric Population. Otol Neurotol. 2016;37(5):558-63. - https://doi.org/10.1097/MAO.0000000000001040. - PMid:27093033
Wenzel A, Eck S, Hülse K, Rohr K, Hörmann K, Umbreit C, Hülse M, Hülse R. Development of a new software and test setup for analyzing hVOR in very young children by vHIT. J Vestib Res. 2017;27(2-3):155-62. - https://doi.org/10.3233/VES-170611. - PMid:29064825
Wiener-Vacher SR, Wiener SI.Video Head Impulse Tests with a Remote Camera System: Normative Values of Semicircular Canal Vestibulo-Ocular Reflex Gain in Infants and Children. Front Neurol. 2017 Sep 7;8:434. - https://doi.org/10.3389/fneur.2017.00434. - PMid:28936193 PMCid:PMC5594068
Wolter NE, Gordon KA, Papsin BC, Cushing SL. Vestibular and Balance Impairment Contributes to Cochlear Implant Failure in Children. Otol Neurotol. 2015 Jul;36(6):1029-34. - https://doi.org/10.1097/MAO.0000000000000751. - PMid:25853610
Alshehri MM, Sparto PJ, Furman JM, Fedor S, Mucha A, Henry LC, Whitney SL. The usefulness of the video head impulse test in children and adults post-concussion. J Vestib Res. 2016;26(5-6):439-446. - https://doi.org/10.3233/VES-160598. - PMid:28262647
Blödow A, Helbig R, Wichmann N, Bloching M, Walther LE. [The video head impulse test: first clinical experiences]. HNO. 2013;61(4):327-34. - https://doi.org/10.1007/s00106-012-2592-0 - https://doi.org/10.1007/s00106-012-2502-5
Brodsky JR, Lipson S, Wilber J, Zhou G. Benign Paroxysmal Positional Vertigo (BPPV) in Children and Adolescents: Clinical Features and Response to T110 Pediatric Patients. Otol Neurotol. 2018;39(3):344-50. - https://doi.org/10.1097/MAO.0000000000001673. - PMid:29287036
Davitt M, Delvecchio MT, Aronoff SC.The Differential Diagnosis of Vertigo in Children: A Systematic Review of 2726 Cases. Pediatr Emerg Care. 2017 Oct 31. - https://doi.org/10.1097/PEC.0000000000001281. - PMid:29095392
Deissler A, Albers L, von Kries R, Weinberger R, Langhagen T, Gerstl L, Heinen F, Jahn K, Schröder AS. Health-Related Quality of Life of Children/Adolescents with Vertigo: Retrospective Study from the German Center of Vertigo and Balance Disorders. Neuropediatrics. 2017;48(2):91-7. - https://doi.org/10.1055/s-0037-1598645. - PMid:28196383
Hamilton SS1, Zhou G2, Brodsky JR3. Video head impulse testing (vHIT) in the pediatric population. Int J Pediatr Otorhinolaryngol. 2015;79(8):1283-7. - https://doi.org/10.1016/j.ijporl.2015.05.033. - PMid:26066850
Jahn K. Vertigo and dizziness in children. Handb Clin Neurol. 2016;137:353-63. - https://doi.org/10.1016/B978-0-444-63437-5.00025-X. - PMid:27638083
Khater AM, Afifi PO. Video head-impulse test (vHIT) in dizzy children with normal caloric responses. Int J Pediatr Otorhinolaryngol. 2016;87:172-7. - https://doi.org/10.1016/j.ijporl.2016.06.030. - PMid:27368467
Nassif N, Balzanelli C, Redaelli de Zinis LO.Preliminary results of video Head Impulse Testing (vHIT) in children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2016 Sep;88:30-3. - https://doi.org/10.1016/j.ijporl.2016.06.034. - PMid:27497382
Ross LM, Helminski JO. Test-retest and Interrater Reliability of the Video Head Impulse Test in the Pediatric Population. Otol Neurotol. 2016;37(5):558-63. - https://doi.org/10.1097/MAO.0000000000001040. - PMid:27093033
Wenzel A, Eck S, Hülse K, Rohr K, Hörmann K, Umbreit C, Hülse M, Hülse R. Development of a new software and test setup for analyzing hVOR in very young children by vHIT. J Vestib Res. 2017;27(2-3):155-62. - https://doi.org/10.3233/VES-170611. - PMid:29064825
Wiener-Vacher SR, Wiener SI.Video Head Impulse Tests with a Remote Camera System: Normative Values of Semicircular Canal Vestibulo-Ocular Reflex Gain in Infants and Children. Front Neurol. 2017 Sep 7;8:434. - https://doi.org/10.3389/fneur.2017.00434. - PMid:28936193 PMCid:PMC5594068
Wolter NE, Gordon KA, Papsin BC, Cushing SL. Vestibular and Balance Impairment Contributes to Cochlear Implant Failure in Children. Otol Neurotol. 2015 Jul;36(6):1029-34. - https://doi.org/10.1097/MAO.0000000000000751. - PMid:25853610
Melgarejo-Moreno, P., Galindo-Ortego, J., Ghani, F., García-González, B., Borras-Perera, M., Bellera-Villar, P., & Moreno-Galindo, C. (2019). Normal values of vHIT in children. Revista ORL, 10(1), 21–25. https://doi.org/10.14201/orl.17894
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