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Year: 2013  Vol. 17   Num. Suppl. 1  - Print:
VIDEO HEAD IMPULSE TEST AND BILATERAL VESTIBULAR LOSS: A CASE REPORT
Author(s):
Silvana Nobre de Assis Maxixeiro, Camila de Oliveira Rodrigues, Cláudio Tobias Acatauassú Nunes, Cláudio Tobias Acatauassú Nunes, Jose Cláudio Monteiro Rodrigues Filho, Jussandra Cardoso Rodrigues, Lourival Franco de Sá Neto
Abstract:

OBJECTIVE: The video head impulse test is a new testing device to aid ear, nose and throat doctors (ENT doctors) in vertigo investigations. Studies should be carried out to generate awareness in the community CASE REPORT: A.L.A, A 40 year-old man, developed balance disorders after 3 month stay at the intensive care unit center. He was diagnosed with nephrolithiasis, leading to pyelonephitis and septicemia. A Nephrectomy was performed. Subsequently, he developed skeptic shock and went into a coma. He did not divulge any information about the medications that he was taking during this period. He developed dizziness, oscilopsy, large gait, tending to the right side. The video head impulse device (GN resound Otometrics) showed bilateral hypofunction on the lateral canal and left anterior - right posterior (LARP) plane. Currently, he is in a vestibular rehabilitation program. CONCLUSION: The video head impulse test is an objective device used to investigate semicircular canals. The caloric test is very uncomfortable and can only analyze the lateral canal. The video head impulse device is small, easy to handle and the results obtained are objective and can be compared to the results obtained from the same patient along the treatment (Barim, 2012). Therefore, this device is very important in the diagnosis and follow up patients with balance disorders.

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