A possible objective test to detect benign paroxysmal positional vertigo.The role of the caloric and

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Background:Benign paroxysmal positional vertigo (BPPV) is characterized by vertigo lasting from sec-onds to minutes,induced by head movements.Objectives:Our study aimed to investigate the clinical significance of the caloric vestibular and video head-impulse tests (vHIT) diagnosing the disorder.Methods:68 patients suffering from posterior canal BPPV (25 male,43 females,mean age ± SD,54.5 ±13.2 years) and 56 patients with a normal functioning vestibular system as control were investigated.Bithermal caloric test and vHIT was performed during the same medical check-up.Canal paresis (CP%),gain (GA) and asymmetry (GA%) parameters were calculated.Results:The Dix-Hallpike manoeuvre was only positive in 4% of this population.The CP% parameter was only pathologic in two patients,and there was no significant difference between control and BPPV pa-tients (p =0.76).The GA value was never under 0.8 in this population,but GA% was abnormal in 632%.A significant difference comparing the GA% values to the control group was seen (p =0.034).There was no correlation detected between the CP% and GA% values in BPPV.Regarding the GA% value,61% sensitivity and 76% specificity was seen.Conclusion:The Dix-Hallpike manoeuvre was not often positive in the non-acute phase of BPPV;therefore,objective testing is essential.The caloric test does not have clinical significance in BPPV,but vHIT can be helpful based on the GA% parameter.
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