Next Article in Journal
Outcomes, Sequelae, and Ventilatory Strategies in Long COVID Patients with Severe ARDS: A Retrospective Cohort Study
Previous Article in Journal
Outcomes of Strabismus Surgery in Patients with Cranial Nerve Palsy
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

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
1,*,
Patrycja Torchalla
1,
Tomasz Wojciechowski
1,2 and
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
(This article belongs to the Special Issue Modern Concepts on Acoustic Neuroma)

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.
Keywords: vestibular schwannoma; vertigo; video Head Impulse Test vestibular schwannoma; vertigo; video Head Impulse Test

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

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop