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84th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

08.05. - 12.05.2013, Nürnberg

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Changes of head impulse test, sensory organisation test and dizziness handicap inventory after acute vestibular damage

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  • author presenting/speaker Jahn Boeven - Department of Otolaryngology and Head and Neck Surgery, University Hospital of Aachen, Aachen, Germany
  • corresponding author Jonas Jae-Hyun Park - Department of Otolaryngology and Head and Neck Surgery, University Hospital of Aachen, Aachen, Germany
  • author Martin Westhofen - Department of Otolaryngology and Head and Neck Surgery, University Hospital of Aachen, Aachen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 84th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Nürnberg, 08.-12.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13hno10

doi: 10.3205/13hno10, urn:nbn:de:0183-13hno105

Published: July 30, 2013

© 2013 Boeven et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Introduction: After an acute damage of the peripheral vestibular organ the vestibulo-ocular reflex usually recovers in the head impulse test. The present study was designed to quantify the dynamic changes of the vestibulo-ocular reflex during the head impulse test after acute peripheral vestibular damage. Furthermore vestibulo-ocular reflex changes during the head impulse test were compared to changes in the sensory organisation test (SOT) and in the dizziness handicap inventory (DHI).

Patients and methods: 5 patients were examined with the ICS Impulse (Otometrics), the SOT gemessen and the DHI. Examination dates were after day 1, month 1, month 3 and month 6.

Results: While a significant improvement in SOT and DHI was seen, covert and overt saccades still remained in the head impulse test. Slow recovery of the vestibulo-ocular reflex was seen. Late overt saccades declined after six months.

Discussion: Subjective complaints recover much quicker than the vestibulo-ocular reflex. Late overt saccades might be a parameter for central compensation.