Journal Reviews

The applicability and reliability of SHIMP, a new vestibular test, in adolescents

1 May 2019 | | Neurotology, Tinnitus | Adolescents, suppression head impulse test (SHIMP), vestibular test, video head impulse test

The video head impulse (now called the head impulse paradigm – HIMP) is now a routine test battery in neuro-otological practice. Few will be familiar with the new suppression head impulse paradigm (SHIMP) test. The key difference is that, in...

Is clinical HIT as good as vHIT in the emergency room?

1 May 2018 | | Acute vestibular syndrome, head impulse test, posterior circulation stroke, vestibular neuritis, video-oculography based head impulse test

Establishing the cause of acute vestibular syndrome (AVS) is critical in the first few hours of presentation in the emergency department. The first question to ask is, “is it due to a peripheral vestibular pathology or a stroke?” This is...

Alcohol and the vestibulo-ocular reflex (VOR)

1 March 2015 | | Vestibular Disorders | Ethanol, Saccade, dynamic visual acuity, vestibular, vestibulo-ocular reflex (VOR), video head impulse test

I was drawn to this paper initially for slightly unscientific reasons but in fact it proved a worthwhile read. It describes the effect of alcohol consumption on the VOR of eight healthy subjects as measured using video head impulse testing...