VESTIBULAR FUNCTION EVALUATION THROUGH VIDEO HEAD IMPULSE TEST IN PATIENTS WITH OTONEUROLOGICAL COMPLAINTS
Head impulse test; Vestibulo-ocular reflex; Postural balance; Dizziness
Introduction: the video head impulse test (vHIT) is an instrument to evaluation vestibulo-ocular reflex (VOR) at high frequency, fast and objective. Objective: (1) to characterize the change in VOR gain through vHIT in three clinical cases submitted vestibular rehabilitation (VR). (2) verify the association between the results of the vestibular assessment using the vHIT and the different diagnoses of vestibular disorders. Method: research project approved by the Research Ethics Committee of Hospital Universitário Onofre Lopes, under opinion 4,462,519. The preliminary version of the dissertation was divided into two articles. The first study (1) is the report of three clinical cases, submitted to VR and monitored by vHIT, before and after treatment. In the second, cross-sectional and retrospective study (2), the medical records of individuals complaining of dizziness, evaluated in the neurotology clinic and who underwent the vhit exam. Results: (1) it was observed, in the post VR situation, an increase in the VOR gain values for the semicircular canals (SCC) affected, within the normal range, in the three cases, and the extinction or reduction in the occurrence of saccades compensatory measures in affected CSCs. Preliminary results (2): 102 medical records were analyzed, of which 73.53% were female, with a mean age of 51.15 years (SD = 4.24). Regarding vHIT, 38.24% of patients had vestibular hypofunction in at least one SCC, with a predominance of involvement of vertical SCC. There was also a higher percentage of occurrence of compensatory saccades in individuals with deficient gain in vHIT, compatible with vestibular hypofunction.