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Updated: Jun 9, 2025

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
Published on: April 28, 2020
Vestibular Disorders Limited to the Vertical Semicircular Canals
Pedro Luiz Mangabeira Albernaz1, Flavia Salvaterra Cusin2, Bernardo Faria Ramos3
1Department of Otolaryngology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
The video head impulse test (vHIT) now allows evaluation of vertical semicircular canal disorders. These specific vestibular disorders, affecting 2.63% of patients, can stem from various labyrinthine diseases.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular System Physiology
Background:
- The video head impulse test (vHIT) has advanced the assessment of all six semicircular canals.
- Vestibular disorders specifically affecting the vertical semicircular canals require focused investigation.
Purpose of the Study:
- To investigate and characterize vestibular disorders exclusively impacting the vertical semicircular canals.
- To evaluate the utility of vHIT in diagnosing these specific vestibular dysfunctions.
Main Methods:
- A cohort of 9,891 patients underwent vHIT assessment.
- Identified 26 patients (2.63%) with reduced vestibulo-ocular reflex (VOR) limited to vertical canals.
- All identified patients reported vestibular symptoms.
Main Results:
- The 26 patients exhibited diverse vestibular system disorders.
- Ten of these patients were diagnosed with vestibular neuritis.
- vHIT successfully identified and evaluated these isolated vertical canal deficits.
Conclusions:
- Vestibular disorders confined to the vertical semicircular canals are now diagnosable using vHIT.
- These specific deficits can be associated with a range of labyrinthine diseases.
- vHIT provides a crucial tool for understanding and managing vertical semicircular canal pathologies.
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