{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:45:17Z","timestamp":1790786717715,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The video head impulse test (vHIT) and cervical and ocular vestibular evoked myogenic potentials (cVEMP and oVEMP) are new methods for measuring peripheral vestibular function. The objectives of this study were to compare these tests and the traditionally used caloric test in patients with small and medium\u2010sized untreated vestibular schwannoma (VS) and to measure the correlation between the tests' results and tumor volume.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>National cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary university clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prevalence of abnormal cVEMP, oVEMP, caloric test, and 6\u2010canal vHIT results on the tumor side and the nontumor side were compared and related to tumor volume with regression analyses in 137 consecutive VS patients assigned to a wait\u2010and\u2010scan protocol in the period 2017 to 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sensitivity of 6\u2010canal vHIT, caloric test, cVEMP, and oVEMP to detect vestibulopathy in VS patients was 51%, 47%, 39%, and 25%, respectively. Normal tests were found in 21% of the patients. The results of vHIT and caloric test were related to tumor volume, but this was not found for cVEMP and oVEMP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The caloric test and 6\u2010canal vHIT showed the highest sensitivity in detecting vestibulopathy in untreated VS patients. vHIT, and particularly the posterior canal, was limited with a high prevalence of abnormal results on the nontumor side. A combination of cVEMP and caloric test was favorable in terms of a relatively high sensitivity and low prevalence of abnormal results on the nontumor side. Larger tumors had a higher rate of pathology on caloric testing and vHIT.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.399","type":"journal-article","created":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T02:05:43Z","timestamp":1687226743000},"page":"1268-1275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Vestibular Tests Related to Tumor Volume in 137 Patients With Small to Medium\u2010Sized Vestibular Schwannoma"],"prefix":"10.1002","volume":"169","author":[{"given":"Kathrin Skorpa","family":"Nilsen","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, Haukeland University Hospital Norwegian National Advisory Network on Vestibular Disorders Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein Helge Glad","family":"Nordahl","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Haukeland University Hospital Norwegian National Advisory Network on Vestibular Disorders Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Erik","family":"Berge","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Haukeland University Hospital Norwegian National Advisory Network on Vestibular Disorders Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhanushan","family":"Dhayalan","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Bergen  Norway"},{"name":"Department of Neurosurgery Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederik Kragerud","family":"Goplen","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Haukeland University Hospital Norwegian National Advisory Network on Vestibular Disorders Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00258"},{"key":"e_1_2_9_3_1","first-page":"47","article-title":"Otolith function testing","volume":"82","author":"Taylor RL","year":"2019","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016488509126555"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000668"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep18599"},{"issue":"189","key":"e_1_2_9_7_1","first-page":"45","article-title":"Electronystagmography","volume":"189","author":"Jongkees LB","year":"1964","journal-title":"Acta Otolaryngol Suppl"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2015.1087"},{"key":"e_1_2_9_9_1","volume-title":". 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