Skip to main content
Top
Published in: The Cerebellum 5/2013

01-10-2013 | Letter to the Editor

Perverted Head Impulse Test in Cerebellar Ataxia

Authors: Seong-Hae Jeong, Ji-Soo Kim, In Chul Baek, Jong Wook Shin, Hyunjin Jo, Ae Young Lee, Jae-Moon Kim

Published in: The Cerebellum | Issue 5/2013

Login to get access

Excerpt

In the bedside head impulse test (HIT), the clinician identifies the catch-up saccades after head rotation as an indirect sign of vestibulo-ocular reflex (VOR) deficit [1]. Positive HIT can be observed in central vestibulopathies, in addition to peripheral vestibulopathies [24]. Recent reports proposed that a positive HIT in these patients with preserved caloric response is most likely due to cerebellar flocculus dysfunction, considering the findings of earlier studies related to high-frequency VOR [24]. Also, the dysconjugate upward eye deflection during yaw head impulse was also observed in patients with cerebellar disease [5, 6]. …
Appendix
Available only for authorised users
Literature
2.
go back to reference Kirchner H, Kremmyda O, Hufner K, Stephan T, Zingler V, Brandt T, et al. Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test. Ann N Y Acad Sci. 2011;1233:127–38.PubMedCrossRef Kirchner H, Kremmyda O, Hufner K, Stephan T, Zingler V, Brandt T, et al. Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test. Ann N Y Acad Sci. 2011;1233:127–38.PubMedCrossRef
3.
go back to reference Kremmyda O, Kirchner H, Glasauer S, Brandt T, Jahn K, Strupp M. False-positive head-impulse test in cerebellar ataxia. Front Neurol. 2012;3:162.PubMedCrossRef Kremmyda O, Kirchner H, Glasauer S, Brandt T, Jahn K, Strupp M. False-positive head-impulse test in cerebellar ataxia. Front Neurol. 2012;3:162.PubMedCrossRef
4.
go back to reference Park HK, Kim JS, Strupp M, Zee DS. Isolated floccular infarction: impaired vestibular responses to horizontal head impulse. J Neurol. 2013. (in press) Park HK, Kim JS, Strupp M, Zee DS. Isolated floccular infarction: impaired vestibular responses to horizontal head impulse. J Neurol. 2013. (in press)
5.
go back to reference Walker MF, Zee DS. Directional abnormalities of vestibular and optokinetic responses in cerebellar disease. Ann N Y Acad Sci. 1999;871:205–20.PubMedCrossRef Walker MF, Zee DS. Directional abnormalities of vestibular and optokinetic responses in cerebellar disease. Ann N Y Acad Sci. 1999;871:205–20.PubMedCrossRef
6.
go back to reference Walker MF, Zee DS. Cerebellar disease alters the axis of the high-acceleration vestibuloocular reflex. J Neurophysiol. 2005 Nov;94:3417–29.PubMedCrossRef Walker MF, Zee DS. Cerebellar disease alters the axis of the high-acceleration vestibuloocular reflex. J Neurophysiol. 2005 Nov;94:3417–29.PubMedCrossRef
7.
go back to reference Leigh RJ, Zee DS. The neurology of eye movements. 4th ed. New York: Oxford University Press; 2006. Leigh RJ, Zee DS. The neurology of eye movements. 4th ed. New York: Oxford University Press; 2006.
9.
go back to reference Zhang Y, Partsalis AM, Highstein SM. Properties of superior vestibular nucleus flocculus target neurons in the squirrel monkey. I. General properties in comparison with flocculus projecting neurons. J Neurophysiol. 1995;73:2261–78.PubMed Zhang Y, Partsalis AM, Highstein SM. Properties of superior vestibular nucleus flocculus target neurons in the squirrel monkey. I. General properties in comparison with flocculus projecting neurons. J Neurophysiol. 1995;73:2261–78.PubMed
10.
go back to reference Walker MF, Tian J, Shan X, Tamargo RJ, Ying H, Zee DS. Lesions of the cerebellar nodulus and uvula impair downward pursuit. J Neurophysiol. 2008;100:1813–23.PubMedCrossRef Walker MF, Tian J, Shan X, Tamargo RJ, Ying H, Zee DS. Lesions of the cerebellar nodulus and uvula impair downward pursuit. J Neurophysiol. 2008;100:1813–23.PubMedCrossRef
11.
go back to reference Glasauer S, Hoshi M, Büttner U. Smooth pursuit in patients with downbeat nystagmus. Ann N Y Acad Sci. 2005;1039:532–5.PubMedCrossRef Glasauer S, Hoshi M, Büttner U. Smooth pursuit in patients with downbeat nystagmus. Ann N Y Acad Sci. 2005;1039:532–5.PubMedCrossRef
12.
go back to reference Marti S, Bockisch CJ, Straumann D. Prolonged asymmetric smooth-pursuit stimulation leads to downbeat nystagmus in healthy human subjects. Invest Ophthalmol Vis Sci. 2005;46:143–9.PubMedCrossRef Marti S, Bockisch CJ, Straumann D. Prolonged asymmetric smooth-pursuit stimulation leads to downbeat nystagmus in healthy human subjects. Invest Ophthalmol Vis Sci. 2005;46:143–9.PubMedCrossRef
13.
go back to reference Marti S, Straumann D, Büttner U, Glasauer S. A model-based theory on the origin of downbeat nystagmus. Exp Brain Res. 2008;188:613–31.PubMedCrossRef Marti S, Straumann D, Büttner U, Glasauer S. A model-based theory on the origin of downbeat nystagmus. Exp Brain Res. 2008;188:613–31.PubMedCrossRef
Metadata
Title
Perverted Head Impulse Test in Cerebellar Ataxia
Authors
Seong-Hae Jeong
Ji-Soo Kim
In Chul Baek
Jong Wook Shin
Hyunjin Jo
Ae Young Lee
Jae-Moon Kim
Publication date
01-10-2013
Publisher
Springer US
Published in
The Cerebellum / Issue 5/2013
Print ISSN: 1473-4222
Electronic ISSN: 1473-4230
DOI
https://doi.org/10.1007/s12311-013-0480-0

Other articles of this Issue 5/2013

The Cerebellum 5/2013 Go to the issue