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European Archives of Oto-Rhino-Laryngology

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01-01-2022 | Vestibular Schwannoma | Otology

Suppression head impulse testing is recommended for vestibular testing of patients with untreated unilateral vestibular schwannoma

Authors: Morten Klitskov Jensen, Dan Dupont Hougaard

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2022

Abstract

Purpose

Suppression head impulse testing (SHIMP) is a new vestibular method capable of quantifying vestibular function. The aim of this study was to evaluate the feasibility of this test in patients with existing or newly diagnosed vestibular schwannoma (VS) patients by comparing the results with the traditionally used video head impulse test (vHIT or HIMP).

Methods

Fifty-five patients with unilateral VS underwent a wide battery of audiological and vestibular tests. HIMP results were evaluated using newly introduced objective guidelines based on the trace evaluation of pathological saccades. The sensitivity and specificity of HIMP and SHIMP were evaluated and compared. A new SHIMP parameter is presented; the anticompensatory saccade amplitude ratio (ASAR).

Results

We found a marked increase in specificity in HIMP testing using the objective guidelines. SHIMP testing revealed a gain threshold of 0.7 to be optimal in terms of achieving high specificity and sensitivity in relation to HIMP testing. Significant correlations were found between a low ASAR and a high degree of vestibular pathology.

Conclusion

The SHIMP test is a viable addition to the standard HIMP test in patients with VS, especially with the addition of the ASAR, which could prove useful in monitoring the residual vestibular function.

Trial registration number and date of registration

N/A.

Goldbrunner R, Weller M, Regis J, Lund-Johansen M, Stavrinou P, Reuss D, et al. EANO Guideline on the diagnosis and treatment of vestibular schwannoma. Available from: https://academic-oup-com.zorac.aub.aau.dk/neuro-oncology/advance-article/doi/https://doi.org/10.1093/neuonc/noz153/5555902

Taylor R, Kong J, Flanagan S, Pogson J, Croxson G, Pohl D, et al. Prevalence of vestibular dysfunction in patients with vestibular schwannoma using video head-impulses and vestibular-evoked potentials. 2015 262(5):1228–37. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25794859

Lees KA, Tombers NM, Link MJ, Driscoll CL, Neff BA, Van Gompel JJ et al (2018) Natural history of sporadic vestibular schwannoma: a volumetric study of tumor growth 159(3):535–542. https://doi.org/10.1177/0194599818770413CrossRef

Sass HCR, West N, Møller MN, Cayé-Thomasen P. (2018) [Workup and treatment of vestibular schwannomas]. 10 180(37).

Riska KM, Murnane OD (2018) Chapter 8—the video head impulse test. Elsevier Inc. 13 p. (Dizziness and Vertigo Across the Lifespan)

Van de Berg R, Rosengren S, Kingma H (2018) Laboratory testing of the vestibular system. 31(1):425–30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20717033

Halmagyi GM, Chen L, MacDougall HG, Weber KP, McGarvie LA, Curthoys IS (2017) The video head impulse test. Available from: https://www.frontiersin.org/articles/https://doi.org/10.3389/fneur.2017.00258/full

MacDougall H, McGarvie L, Halmagyi G, Rogers S, Manzari L, Burgess A, et al. (2016) A new saccadic indicator of peripheral vestibular function based on the video head impulse test. 87(4):410–8. Available from: https://search.proquest.com/docview/1807534031

Rey-Martinez J, Yanes J, Esteban J, Sanz R, Martin-Sanz E. (2017) The role of predictability in saccadic eye responses in the suppression head impulse test of horizontal semicircular canal function. 8:536. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29093698

10.

Rey‐Martinez J, Thomas‐Arrizabalaga I, Espinosa‐Sanchez JM, Batuecas‐Caletrio A, Trinidad‐Ruiz G, Matiño‐Soler E, et al. (2018) Vestibulo‐ocular reflex gain values in the suppression head impulse test of healthy subjects. 128(10): 2383–9. Available from: https://onlinelibrary.wiley.com/doi/abs/https://doi.org/10.1002/lary.27107

11.

Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory [Internet]. US: American Medical Association; 1990. p. 424–424–7. (Archives of Otolaryngology—Head and Neck Surgery; vol. 116). Available from: https://sfx.aub.aau.dk/sfxaub?sid=Entrez:PubMed&id=pmid:2317323

12.

Hallgren G, Bockhoff LB. The Dizziness Handicap Inventory (DHI) Translation into Danish and test of the Danish version on ten patients with dizziness. University College Sealand 2008.

13.

Y Amy, W Irene, V Salomi, C Stephanie, MS K-J Tammie, (2013) Measurement characteristics and clinical utility of the dizziness handicap inventory among individuals with vestibular disorders. 94(11): 2313–4. Available from: https://www.clinicalkey.es/playcontent/1-s2.0-S0003999313005388

14.

Hougaard DD, Abrahamsen ER (2019) Functional testing of all six semicircular canals with video head impulse test systems. (146). Available from: https://www.jove.com/59012

15.

Abrahamsen E, Christensen A-E, Hougaard D (2018) Intra and interexaminer variability of two separate video head impulse test systems assessing all six semicircular canals. 39(2):e113–22. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00129492-201802000-00022

16.

Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. 42(2):377–81. Available from: https://www.sciencedirect.com/science/article/pii/S1532046408001226

17.

Aalling M, Skals RK, Abrahamsen ER, Hougaard DD (2020). Comparison of test results from two separate video head impulse test systems in a cohort of patients diagnosed with a unilateral vestibular schwannoma. Available from: https://search.proquest.com/docview/2415834205

18.

Hentschel M, Scholte M, Steens S, Kunst H, Rovers M (2017) The diagnostic accuracy of non-imaging screening protocols for vestibular schwannoma in patients with asymmetrical hearing loss and/or unilateral audiovestibular dysfunction: a diagnostic review and meta-analysis. 42(4):815–23. Available from: https://search.datacite.org/works/https://doi.org/10.1111/coa.12788

19.

Wagner J, Glaser M, Wowra B, Muacevic A, Goldbrunner R, Cnyrim C, et al. (2011) Vestibular function and quality of life in vestibular schwannoma: does size matter?. Available from: https://www.frontiersin.org/articles/https://doi.org/10.3389/fneur.2011.00055/full

20.

Kjærsgaard J, Szeremet M, Hougaard D (2019) Vestibular Deficits Correlating to Dizziness Handicap Inventory Score, hearing loss, and tumor size in a Danish cohort of vestibular schwannoma patients. 40(6):813–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31135674

Title: Suppression head impulse testing is recommended for vestibular testing of patients with untreated unilateral vestibular schwannoma
Authors: Morten Klitskov Jensen
Dan Dupont Hougaard
Publication date: 01-01-2022
Publisher: Springer Berlin Heidelberg
Keywords: Vestibular Schwannoma
Vestibular Schwannoma
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2022
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-021-06621-y

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Springer Medicine

Suppression head impulse testing is recommended for vestibular testing of patients with untreated unilateral vestibular schwannoma

Abstract

Purpose

Methods

Results

Conclusion

Trial registration number and date of registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Trial registration number and date of registration

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