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Vestibulo-ocular reflex assessed with Video Head Impulse Test in children with Vestibular Migraine: Our experience

Rosana Rodríguez-Villalba1, Miguel Caballero-Borrego2, Vanessa Villarraga3

  • 1Hospital Sant Joan de Déu, Department of Otorhinolaryngology, Barcelona, Spain; Althaia Xarxa Assistencial Universitària de Manresa, Department of Otorhinolaryngology, Manresa, Spain.

International Journal of Pediatric Otorhinolaryngology
|August 3, 2020
PubMed

Insights

Pediatric Vestibular Migraine (VM) patients show higher gain values in vestibulo-ocular reflex (VOR) tests. The video Head Impulse Test (vHIT) is an effective tool for assessing VOR in children with VM.

Area of Science:

  • Neurology
  • Pediatrics
  • Ophthalmology

Background:

  • Vestibular Migraine (VM) in children presents diagnostic challenges due to symptom variability and age-related communication difficulties.
  • VM can mimic other pediatric neurological and vestibular disorders.
  • Predicting outcomes and managing pediatric VM can be complex.

Purpose of the Study:

  • To evaluate the vestibulo-ocular reflex (VOR) in pediatric patients diagnosed with Vestibular Migraine.
  • To compare VOR test results between pediatric VM patients and healthy children.
  • To determine the utility of the video Head Impulse Test (vHIT) in this population.

Main Methods:

  • A prospective, multicenter study included 21 pediatric patients (aged 11-16 years) meeting VM criteria.
  • The video Head Impulse Test (vHIT) using EyeSeeCam® was employed to assess VOR.
  • Results were compared between VM patients and a control group of healthy children.

Main Results:

  • Pediatric patients diagnosed with Vestibular Migraine exhibited higher gain values during vHIT compared to asymptomatic individuals.
  • The vHIT demonstrated higher gain values in VM patients.

Conclusions:

  • The video Head Impulse Test (vHIT) is a valuable and efficient diagnostic tool for evaluating vestibular function in children.
  • Higher vHIT gain values may indicate Vestibular Migraine in pediatric populations.
  • vHIT offers a faster alternative to other vestibular function tests in children.

Keywords:
Vestibular migraineVestibular testing in childrenVestibulo-ocular reflexVideo head impulse test

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