Published in:
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
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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 [
2‐
4]. 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 [
2‐
4]. Also, the dysconjugate upward eye deflection during yaw head impulse was also observed in patients with cerebellar disease [
5,
6]. …