discogenic Posted March 6, 2013 Share Posted March 6, 2013 http://www.medpagetoday.com/Cardiology/Strokes/37680 Sounds pretty useful, but obviously still in the early stages. Anyone familiar with this? Link to comment Share on other sites More sharing options...
polarbebe Posted March 6, 2013 Share Posted March 6, 2013 Very interesting. I am not familiar with this technology, nor have I ever tried or seen the horizontal head impulse test done in a clinical setting (only seen a few videos on Youtube). I have performed and worked with neurologists in the ED using Dix-Hallpike... with limited success (few neurologists attempt it), most just went by history and doing a complete neuro exam (checking for ataxia and to walk the patient). A study from Neurology showed that several patients with a positive horizontal head impulse test (hHIT) had a posterior circulation stroke. It appears, a positive hHIT does not rule out a vertebrobasilar CVA. "Forty-three subjects enrolled. One had an equivocal h-HIT. Patients with APV (acute vestibulopathy) had a positive h-HIT (n = 8/8, 100%). Most patients with stroke had a negative h-HIT (n = 31/34, 91%). However, contrary to conventional wisdom, three patients with stroke (9%) demonstrated a positive h-HIT (1 vestibulocerebellar, 1 pontocerebellar, 1 pontocerebello-labyrinthine stroke)." http://www.ncbi.nlm.nih.gov/pubmed/18541870 Link to comment Share on other sites More sharing options...
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