Isolated Corrective Saccades in the Bilateral Posterior Canal Stimulation During the Video Head Impulse Test: A Marker of Central Vestibulopathy?

Genoveva Hurtado; Elizabeth A Poth; Neil P Monaghan; Shaun A Nguyen; Habib G Rizk

doi:10.1097/AUD.0000000000001617

Isolated Corrective Saccades in the Bilateral Posterior Canal Stimulation During the Video Head Impulse Test: A Marker of Central Vestibulopathy?

Ear Hear. 2024 Dec 23. doi: 10.1097/AUD.0000000000001617. Online ahead of print.

Authors

Genoveva Hurtado¹, Elizabeth A Poth¹, Neil P Monaghan^{1

2}, Shaun A Nguyen¹, Habib G Rizk¹

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
² College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.

PMID: 39710867
DOI: 10.1097/AUD.0000000000001617

Abstract

Objectives: This study aimed to determine if the presence of corrective saccades during video head impulse test (vHIT) stimulation of the bilateral posterior semicircular canals (PSCs) correlated with other vestibular test results, demographics, symptoms, or diagnoses.

Design: This study was a retrospective chart review where 1006 subjects' vHIT records were screened with 17 subjects meeting inclusion criteria for isolated bilateral PSC saccades.

Results: Of the 1006 patients undergoing vHIT testing, only 1.7% had isolated bilateral PSC saccades. The median age of subjects was 73 years, with a range of 61 to 85 years. Statistical significance was identified between groups with abnormal PSC vHIT gain and abnormal ocular vestibular evoked myogenic potential results as well as those with 1 to 2 diagnoses.

Conclusions: Our study confirms the rarity of isolated bilateral PSC vHIT saccades and as well as association with central vestibulopathy. Correlations with other vestibular test results, demographics, symptoms, or diagnoses may be strengthened with future large-scale studies. Further understanding of the clinical utility of isolated bilateral PSC vHIT saccades is needed. Patients with bilateral PSC vHIT abnormalities may benefit from a comprehensive neurological evaluation and consultation.