Normative values for the video Head Impulse Test in children without otoneurologic symptoms and their evolution across childhood by gender.

Eur Arch Otorhinolaryngol

Otorhinolaryngology-Head and Neck Surgery Department, Hospital Clínic, University of Barcelona, C/Villarroel, 170, Esc. 8, 2ª, 08036, Barcelona, Spain.

Published: September 2023


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Article Abstract

Purpose: The video Head Impulse Test is routinely used to assess semicircular canal function in adults, but to date, pediatric reference values are scarce. This study aimed to explore the vestibulo-ocular reflex (VOR) in healthy children at different development stages and to compare the obtained gain values with reference to those in an adult population.

Methods: This prospective, single-center study recruited 187 children from among patients without otoneurological diseases, healthy relatives of these patients, and staff families from a tertiary hospital. Patients were divided into three groups by age: 3-6 years, 7-10 years, and 11-16 years. The vestibulo-ocular reflex was assessed by video Head Impulse Test, using a device with a high-speed infrared camera and accelerometer (EyeSeeCam; Interacoustics, Denmark).

Results: We found a lower vestibulo-ocular reflex gain of both horizontal canals in the 3-6-year-old group when compared with the other age groups. No increasing trend was found in the horizontal canals from age 7-10 years to age 11-16 years, and no differences were found by sex.

Conclusion: Gain values in the horizontal canals increased with age until children reached age 7-10 years and matched the normal values for adults.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382384PMC
http://dx.doi.org/10.1007/s00405-023-07900-6DOI Listing

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