{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:35:04Z","timestamp":1777563304747,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100030943","name":"Chosun University Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100030943","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The monothermal caloric test (MCT) is a simplified alternative to the traditional bithermal caloric test for evaluating vestibular function. However, its diagnostic correlation with video head impulse test (vHIT) parameters, particularly in acute vestibular neuritis (VN), has not been thoroughly established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included 32 patients with acute VN who underwent bithermal caloric testing and vHIT within 5\u2009days of symptom onset. Caloric responses were analyzed to determine unilateral weakness (UW) and monothermal caloric asymmetry (MCA) for warm and cold stimuli, with and without correction for spontaneous nystagmus (SN). The vHIT was performed using head impulse paradigm (HIMP) and suppression HIMP (SHIMP). Gain, gain asymmetry, and the presence of corrective saccades were evaluated. Correlation analyses were performed between caloric parameters and vHIT metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant asymmetry was observed in the vHIT gain between the ipsilesional and contralesional ears in both the HIMP and the SHIMP (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Uncorrected warm MCA showed a stronger correlation with vHIT gain asymmetry (HIMP:\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.561,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001; SHIMP:\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.672,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) than UW or SN-adjusted MCA values. Notably, SN correction reduced the correlation strength between MCT and vHIT results, suggesting SN as a clinically-relevant marker of vestibular asymmetry in the acute stage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Warm MCA without SN adjustment demonstrated the strongest correlation with high-frequency vestibulo-ocular reflex deficits measured using the vHIT in patients with acute VN. These findings suggest that the uncorrected MCT may be valuable and practical in assessing vestibular hypofunction, particularly when interpreted alongside the vHIT. The complementary use of the MCT and vHIT may enhance diagnostic accuracy and efficiency in acute vestibular evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613251371483","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:25:29Z","timestamp":1756815929000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Clinical Utility of Monothermal Caloric Testing in Comparison With the Video Head Impulse Test in Patients With Vestibular Neuritis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8392-5759","authenticated-orcid":false,"given":"Gi-Sung","family":"Nam","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Chosun University College of Medicine, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0509-0677","authenticated-orcid":false,"given":"Sung Il","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Chosun University College of Medicine, Gwangju, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3233\/VES-2003-132-306"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197309000-00005"},{"key":"e_1_3_2_4_2","volume-title":"Physiologie Und Pathologie (Funktions-Pr\u00fcfung) Des Bogengang-Apparates Beim Menschen: Klinische Studien","author":"B\u00e1r\u00e1ny R","year":"1907","unstructured":"B\u00e1r\u00e1ny R. Physiologie Und Pathologie (Funktions-Pr\u00fcfung) Des Bogengang-Apparates Beim Menschen: Klinische Studien. F. Deuticke; 1907."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2022.2059711"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07660-9"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-021-10667-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-022-03123-z"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181bacf85"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4157-4"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07366-y"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312200611"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N2283"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11236977"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197902000-00015"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816630963"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31819c3ec7"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400413"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3233\/VES-220201"},{"key":"e_1_3_2_20_2","first-page":"65","article-title":"Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo","volume":"24","author":"Jongkees LB","year":"1962","unstructured":"Jongkees LB, Maas JP, Philipszoon AJ. Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo. Pract Otorhinolaryngol. 1962;24:65-93.","journal-title":"Pract Otorhinolaryngol"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1971.00770070527008"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002827"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818768218"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251371483","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251371483","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251371483","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:03Z","timestamp":1777401543000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251371483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":22,"alternative-id":["10.1177\/01455613251371483"],"URL":"https:\/\/doi.org\/10.1177\/01455613251371483","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]},"article-number":"01455613251371483"}}