Suppression Head Impulse Paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis

Leonardo Manzari, Marco Tramontano

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Evaluate the potential clinical application of the Suppression Head Impulse Paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis (VN). Methods: A retrospective study was performed. Fifteen patients diagnosed with unilateral VN were identified from a database of ENT vestibular clinic from January 2011 to February 2020. Medical records were reviewed to determine clinical presentation, vestibular testing results, treatment, and recovery. Results: Fifteen patients (7 left ear, 8 right ear, mean age 58.73 ± 10.73, six female) met the inclusion criteria and were enrolled in the study. Significant differences were found in the within-subjects analysis at T1 in DHI score (p = 0.001), VOR gain (p < 0.005), and in the percentages of impulses containing a SHIMPs saccade when the head is passively turned toward the affected side (p = 0.001). Conclusions: SHIMPs paradigm provides useful information about the value of vestibulo-saccadic interaction as new recovery strategies in patients with VN.

Original languageEnglish
Pages (from-to)3205-3212
Number of pages8
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume277
Issue number11
DOIs
Publication statusPublished - Nov 1 2020

Keywords

  • DHI
  • Saccade
  • SHIMP
  • Vestibular compensation
  • Vestibular neuritis
  • Vestibulo-ocular reflex

ASJC Scopus subject areas

  • Otorhinolaryngology

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