The video head impulse check (vHIT) and caloric check might help differentiate Meniere illness (MD) from vestibular migraine (VM), in accordance with a examine printed on-line Aug. 6 in Frontiers in Neurology.
Eleonora G.M. Vosbeek, from Gelre Hospitals within the Netherlands, and colleagues performed a cohort examine at a tertiary dizziness clinic within the Netherlands involving 194 MD and 101 VM sufferers. Demographic traits, signs at presentation, and outcomes of pure-tone audiometry, caloric testing, and vHIT had been obtained; auditory and vestibular signs and features had been in contrast in MD and VM.
The researchers discovered that every one MD sufferers and 65.7% of VM sufferers skilled no less than one aural symptom throughout vertigo assaults. In contrast with VM sufferers, MD sufferers extra usually had an irregular caloric check, irregular horizontal vHIT, and catch-up saccades throughout the vHIT. For distinguishing MD from VM, the vHIT had a optimistic predictive worth (PPV) of 81% and unfavorable predictive worth (NPV) of 36%. In sufferers with regular vHIT, the caloric check had PPV and NPV of 82% and 55%, respectively. The PPV and NPV had been elevated to 90% and 52%, respectively, by rising the unilateral caloric weak spot threshold to 34%.
“Although our study focused on patients with a diagnosis of VM or MD, our findings suggest that vestibular function tests may support diagnostic refinement and treatment planning in patients who do not (yet) completely fulfill the criteria for VM nor for MD,” the authors write.
One writer disclosed ties to the pharmaceutical trade.
Extra data:
Eleonora G. M. Vosbeek et al, Vestibular perform checks are useful in differentiating between Menière’s illness and vestibular migraine, Frontiers in Neurology (2025). DOI: 10.3389/fneur.2025.1569247
Quotation:
Video head impulse check and caloric check can differentiate Meniere illness from vestibular migraine (2025, September 12)
retrieved 12 September 2025
from https://medicalxpress.com/information/2025-09-video-impulse-caloric-differentiate-meniere.html
This doc is topic to copyright. Other than any truthful dealing for the aim of personal examine or analysis, no
half could also be reproduced with out the written permission. The content material is offered for data functions solely.
