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Open AccessArticle
Application of Video Head Impulse Test in the Diagnosis and Follow-Up of Vestibular Schwannoma: Case Series, Narrative Literature Review and Clinical Practice Implications
by
Agnieszka Jasińska-Nowacka
Agnieszka Jasińska-Nowacka 1,*
,
Patrycja Torchalla
Patrycja Torchalla 1
,
Tomasz Wojciechowski
Tomasz Wojciechowski 1,2
and
Kazimierz Niemczyk
Kazimierz Niemczyk 1
1
Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, 02-097 Warsaw, Poland
2
Department of Descriptive and Clinical Anatomy, Medical University of Warsaw, 02-097 Warsaw, Poland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(20), 7222; https://doi.org/10.3390/jcm14207222 (registering DOI)
Submission received: 28 August 2025
/
Revised: 5 October 2025
/
Accepted: 9 October 2025
/
Published: 13 October 2025
Abstract
Background/Objectives: Vestibular schwannoma (VS) is a benign cerebellopontine angle tumor causing audiological and vestibular symptoms. This pilot study aimed to describe the application of video Head Impulse Test (vHIT) in the diagnosis and follow-up of patients with unilateral VS treated surgically. The objective was to describe a detailed interpretation of vHIT—not only numerical parameters such as gain and corrective saccades, but also a visual analysis of vHIT curves. Methods: The results were presented in four cases for better understanding and more straightforward explanation. The patients underwent surgery through the middle cranial fossa and translabyrinthine approach. In each patient, vHIT examinations were performed preoperatively and at one month, three months, and one year after the surgery. Results: Before treatment, vestibular loss features varied within the presented cases. Findings of vestibulo-ocular reflex deficiency were most pronounced in the lateral semicircular canals. After the surgery, severe signs of acute labyrinth denervation were found during the first follow-up visit. Over time, features indicating central compensation became more pronounced, despite a decrease in gain in subsequent vHIT examinations. Conclusions: Detailed analysis of vHIT curves is crucial to analyze vestibulo-ocular reflex in patients with VS. Our preliminary data confirms that vHIT examination can be helpful in the postoperative follow-up assessment and compensation evaluation.
Share and Cite
MDPI and ACS Style
Jasińska-Nowacka, A.; Torchalla, P.; Wojciechowski, T.; Niemczyk, K.
Application of Video Head Impulse Test in the Diagnosis and Follow-Up of Vestibular Schwannoma: Case Series, Narrative Literature Review and Clinical Practice Implications. J. Clin. Med. 2025, 14, 7222.
https://doi.org/10.3390/jcm14207222
AMA Style
Jasińska-Nowacka A, Torchalla P, Wojciechowski T, Niemczyk K.
Application of Video Head Impulse Test in the Diagnosis and Follow-Up of Vestibular Schwannoma: Case Series, Narrative Literature Review and Clinical Practice Implications. Journal of Clinical Medicine. 2025; 14(20):7222.
https://doi.org/10.3390/jcm14207222
Chicago/Turabian Style
Jasińska-Nowacka, Agnieszka, Patrycja Torchalla, Tomasz Wojciechowski, and Kazimierz Niemczyk.
2025. "Application of Video Head Impulse Test in the Diagnosis and Follow-Up of Vestibular Schwannoma: Case Series, Narrative Literature Review and Clinical Practice Implications" Journal of Clinical Medicine 14, no. 20: 7222.
https://doi.org/10.3390/jcm14207222
APA Style
Jasińska-Nowacka, A., Torchalla, P., Wojciechowski, T., & Niemczyk, K.
(2025). Application of Video Head Impulse Test in the Diagnosis and Follow-Up of Vestibular Schwannoma: Case Series, Narrative Literature Review and Clinical Practice Implications. Journal of Clinical Medicine, 14(20), 7222.
https://doi.org/10.3390/jcm14207222
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