ORIGINAL RESEARCH article
Front. Neurol.
Sec. Neuro-Otology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1642700
This article is part of the Research TopicNew Methods in Neuro-otology: Vestibular TestingView all 9 articles
Correlation of Skull Vibration-Induced Nystagmus Test and Video Head Impulse Test in Patients with Sudden Sensorineural Hearing Loss with Vertigo
Provisionally accepted
- Xijing Hospital, Air Force Medical University, Xi’an, China
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Objective: The study aims to examine the agreement between the skull vibration-induced nystagmus test (SVINT), video head impulse test (vHIT), and caloric test (CaT) in detecting vestibular function asymmetry in patients with unilateral sudden sensorineural hearing loss with vertigo (SSNHL-V). Methods: This study included 71 patients with SSNHL-V and 20 healthy controls. All participants underwent comprehensive audiological and vestibular function assessments. This study evaluated the correlation between SVINT and CaT/vHIT in detecting vestibular asymmetry. Furthermore, we analyzed the correlation between SVINT findings and (1) the classification of audiograms, and (2) the degree of hearing loss in SSNHL patients with vertigo. Results: The agreement between the result of SVINT and horizontal semicircular canal (HSCC) results of vHIT (kappa = 0.668, p < 0.05) was superior to that between the SVINT and CaT (kappa = 0.324, p < 0.05), as well as between the SVINT and vertical semicircular canal (SCC) results of vHIT (kappa = 0.345, p < 0.05). SVINT had a sensitivity of 96.7% and a specificity of 73.2% when using the HSCC results of vHIT as the standard. The SVINT did not correlate with the classification of the audiogram and the degree of hearing loss (F = 5.968, p > 0.05; χ2 = 0.017, p > 0.05). Conclusions: SVINT is a bedside test that enables simple and rapid screening for a high-frequency functional asymmetry of HSCC in patients with sudden sensorineural hearing loss with vertigo.
Keywords: skull vibration-induced nystagmus test1, sudden sensorineuralhearing loss2, hearing audiogram3, video head impulse test4, caloric test5
Received: 07 Jun 2025; Accepted: 08 Sep 2025.
Copyright: © 2025 Guo, Lin, Hang and Zha. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ying Lin, Xijing Hospital, Air Force Medical University, Xi’an, China
Ding-jun Zha, Xijing Hospital, Air Force Medical University, Xi’an, China
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