{"title":"Negative Video Head Impulse Test in Acute Vestibular Syndrome Does Not Exclude Vestibular Neuritis: Insights and Challenges in Diagnosis","authors":"Pavol Skacik, Stefan Sivak, Egon Kurca","doi":"10.1002/ccr3.70300","DOIUrl":null,"url":null,"abstract":"<p>Video Head Impulse Test (v-HIT) is a valuable tool for diagnosing acute and chronic vestibular disorders but may yield false negatives in acute vestibular neuritis. Clinical judgment remains paramount; integrating patient history, physical findings, and ancillary tests ensures accurate diagnosis, especially when v-HIT results conflict with the clinical picture and other diagnostic tools.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 3","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.70300","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.70300","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Video Head Impulse Test (v-HIT) is a valuable tool for diagnosing acute and chronic vestibular disorders but may yield false negatives in acute vestibular neuritis. Clinical judgment remains paramount; integrating patient history, physical findings, and ancillary tests ensures accurate diagnosis, especially when v-HIT results conflict with the clinical picture and other diagnostic tools.
期刊介绍:
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).