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head thrust test; head impulse test

Indications: - vertigo - can help distinguishing vestibular neuronitis from stroke Procedure: - patient fixes on a central target - head is rotated passively - a normal response is equal & opposite eye movement that keeps the eyes stationary in space & fixed on the target Clinical significance: - vertigo with an abnormal head thrust test suggests a peripheral cause of vertigo, i.e. vestibular neuronitis - vertigo in a normal head thrust test suggests a central cause, i.e. stroke

General

maneuver

References

  1. Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010