{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T05:36:37Z","timestamp":1776836197202,"version":"3.51.2"},"reference-count":40,"publisher":"American Academy of Audiology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Vestibular neuritis (VN) is a peripheral vestibular disorder commonly associated with viral infections or vascular insults and may affect either the superior or inferior division of the vestibular nerve. Diagnosis is based on case history and clinical vestibular\n assessments, including cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials (VEMPs). The video head impulse test (vHIT) is a recent advancement that enables canal-specific assessment of the vestibulo-ocular reflex (VOR), aiding in identifying nerve involvement.\n                    <jats:bold>Purpose:<\/jats:bold>\n                    This study aimed to compare and correlate vestibular profiles of superior VN (SVN) and inferior VN (IVN) using vHIT-derived parameters (VOR gain and corrective saccades) and VEMPs, and to explore VEMP tuning shift characteristics in patients with VN.\n                    <jats:bold>Research\n Design:<\/jats:bold>\n                    A prospective case review was conducted using purposive sampling of patients diagnosed with VN.\n                    <jats:bold>Study Sample:<\/jats:bold>\n                    Eighteen patients with VN (SVN: n = 10; IVN: n = 8) were evaluated through case history, pure-tone audiometry, cVEMP, oVEMP, and vHIT. SVN was defined\n by abnormal oVEMPs with preserved cVEMPs and IVN by reduced or absent cVEMPs with preserved oVEMPs.\n                    <jats:bold>Intervention:<\/jats:bold>\n                    No therapeutic intervention was administered; only diagnostic assessments were conducted.\n                    <jats:bold>Data Collection and Analysis:<\/jats:bold>\n                    VEMP responses at\n 500\u2009and\u20091000\u2009Hz were analyzed for tuning shifts. vHIT parameters included VOR gain and corrective saccades across semicircular canals. Mann\u2010Whitney tests compared VOR gain, corrective saccades, and tuning shifts between groups. Spearman correlation assessed associations\n between VEMP and vHIT parameters.\n                    <jats:bold>Results:<\/jats:bold>\n                    No significant difference in VOR gain was found between SVN and IVN groups (p &gt; 0.05). However, SVN patients exhibited significantly more corrective saccades in the lateral canal (p &lt; 0.05). Tuning shifts were more frequent\n in IVN (50 percent), suggesting altered saccular frequency sensitivity. Significant correlations were found between saccadic metrics and VEMP amplitudes.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Combined analysis of vHIT and VEMP, particularly including corrective saccade and tuning shift parameters,\n enhances the diagnostic precision in differentiating SVN from IVN.\n                    <jats:bold>Clinical Relevance Statement:<\/jats:bold>\n                    These findings support incorporating advanced vestibular tests, vHIT (VOR gain, corrective saccades), and VEMP (cVEMP, oVEMP) into routine clinical protocols to improve differential\n diagnosis, monitor vestibular integrity, and guide individualized management in patients with VN.\n                  <\/jats:p>","DOI":"10.3766\/jaaa.250027","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T01:05:26Z","timestamp":1760749526000},"page":"116-124","source":"Crossref","is-referenced-by-count":0,"title":["Differentiating Superior and Inferior Vestibular Neuritis: Insights from an Integrated VEMP and vHIT Assessment"],"prefix":"10.3766","volume":"37","author":[{"given":"Sejal","family":"Somani","sequence":"first","affiliation":[{"name":"*School of Audiology and Speech-Language Pathology, Bharati Vidyapeeth (Deemed to be University), Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharda","family":"Sarda","sequence":"additional","affiliation":[{"name":"*School of Audiology and Speech-Language Pathology, Bharati Vidyapeeth (Deemed to be University), Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","reference":[{"issue":"(1)","key":"c1","first-page":"91","article-title":"Incidence, seasonality and comorbidity in vestibular neuritis","volume":"36","year":"2015","journal-title":"Neurological Sciences"},{"issue":"(3)","key":"c2","first-page":"416","article-title":"Distribution of herpes simplex virus type 1 in human geniculate and vestibular ganglia: implications for vestibular neuritis","volume":"46","year":"1999","journal-title":"Annals of Neurology"},{"issue":"(5)","key":"c3","first-page":"768","article-title":"Individual semicircular canal function in superior and inferior vestibular neuritis","volume":"57","year":"2001","journal-title":"Neurology"},{"key":"c4","first-page":"418","volume-title":"Baloh and Honrubia\u2019s clinical neurophysiology of the vestibular system","year":"2011"},{"issue":"(4)","key":"c5","first-page":"681","article-title":"Value of the video head impulse test in assessing vestibular deficits following vestibular neuritis","volume":"271","year":"2014","journal-title":"European Archives of Oto-Rhino-Laryngology"},{"issue":"(1)","key":"c6","first-page":"3","article-title":"Vestibular falls","volume":"3","year":"1993","journal-title":"Journal of Vestibular Research: Equilibrium & Orientation"},{"issue":"(2)","key":"c01155334","first-page":"406","article-title":"General vestibular testing","volume":"116","year":"2005","journal-title":"Clinical Neurophysiology"},{"issue":"(1)","key":"c7","first-page":"377","article-title":"An electrical tuning mechanism in turtle cochlear hair cells","volume":"312","year":"1981","journal-title":"The Journal of Physiology"},{"issue":"(2)","key":"c8","first-page":"132","article-title":"A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli","volume":"121","year":"2010","journal-title":"Clinical Neurophysiology"},{"key":"c2084407","first-page":"201","article-title":"Vestibular System","volume":"355","year":"2007","journal-title":"Textbook of Clinical Neurology"},{"issue":"(4)","key":"c9","first-page":"987","article-title":"LXXVIII the pathology, symptomatology and diagnosis of certain common disorders of the vestibular system","volume":"61","year":"1952","journal-title":"Annals of Otology, Rhinology & Laryngology"},{"issue":"(5)","key":"c10","first-page":"996","article-title":"Physiology of peripheral neurons innervating otolith organs of the squirrel monkey. III. Response dynamics","volume":"39","year":"1976","journal-title":"Journal of Neurophysiology"},{"issue":"(3)","key":"c11","first-page":"755","article-title":"Vestibular neuritis spares the inferior division of the vestibular nerve","volume":"119","year":"1996","journal-title":"Brain"},{"issue":"(1)","key":"c12","first-page":"809","article-title":"Mechanisms of hair cell tuning","volume":"61","year":"1999","journal-title":"Annual Review of Physiology"},{"key":"c905311","doi-asserted-by":"crossref","first-page":"258","DOI":"10.3389\/fneur.2017.00258","article-title":"The video head impulse test","volume":"8","year":"2017","journal-title":"Frontiers in Neurology"},{"key":"c13","first-page":"1","article-title":"Vestibular evoked myogenic potentials in the sternomastoid muscle are not of lateral canal origin","volume":"115","year":"1995","journal-title":"Acta Oto-Laryngologica"},{"issue":"(1)","key":"c14","first-page":"37","article-title":"Vestibular function after acute vestibular neuritis","volume":"28","year":"2010","journal-title":"Restorative Neurology and Neuroscience"},{"issue":"(4623)","key":"c15","first-page":"508","article-title":"A micromechanical contribution to cochlear tuning and tonotopic organization","volume":"222","year":"1983","journal-title":"Science"},{"issue":"(1)","key":"c16","first-page":"88","article-title":"Peripheral vestibular disorders: an epidemiologic survey in 70 million individuals","volume":"40","year":"2019","journal-title":"Otol Neurotol"},{"key":"c37","article-title":"Video Head Impulse Test: Assessing All 6 Semicircular Canals [Video]","year":"2015"},{"issue":"(03)","key":"c17","first-page":"185","article-title":"Vestibular neuritis","volume":"33","year":"2013","journal-title":"Seminars in Neurology"},{"issue":"(6)","key":"c18","first-page":"797","article-title":"Clinical characteristics of acute vestibular neuritis according to involvement site","volume":"40","year":"2019","journal-title":"Otology and Neurotology"},{"issue":"(2)","key":"c19","first-page":"31","article-title":"The different stages of vestibular neuritis from the point of view of the video head impulse test","volume":"10","year":"2020","journal-title":"Audiology Research"},{"issue":"(11)","key":"c20","first-page":"3205","article-title":"Suppression head impulse paradigm (SHIMP) in evaluating the vestibulo-saccadic interaction in patients with vestibular neuritis","volume":"277","year":"2020","journal-title":"European Archives of Oto-Rhino-Laryngology"},{"issue":"(19)","key":"c21","first-page":"2118","article-title":"Burden of dizziness and vertigo in the community","volume":"168","year":"2008","journal-title":"Archives of Internal Medicine"},{"issue":"(11)","key":"c22","first-page":"1671","article-title":"Vestibular evoked myogenic potential in vestibular neuritis","volume":"268","year":"2011","journal-title":"European Archives of Oto-Rhino-Laryngology"},{"issue":"(6)","key":"c23","first-page":"e65","article-title":"Effects of age on the tuning of the cVEMP and oVEMP","volume":"34","year":"2013","journal-title":"Ear & Hearing"},{"issue":"(8)","key":"c24","first-page":"1938","article-title":"Vestibular-evoked extraocular potentials produced by stimulation with bone-conducted sound","volume":"116","year":"2005","journal-title":"Clinical Neurophysiology"},{"issue":"(11)","key":"c25","first-page":"2198","article-title":"Effects of muscle contraction on cervical vestibular evoked myogenic potentials in normal subjects","volume":"126","year":"2015","journal-title":"Clinical Neurophysiology"},{"key":"c26","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3109\/00016489309128061","article-title":"Vestibular neuronitis: epidemiological survey by questionnaire in Japan","volume":"113","year":"1993","journal-title":"Acta Oto-Laryngologica"},{"issue":"(2)","key":"c27","first-page":"369","article-title":"Cervical and ocular vestibular-evoked myogenic potentials in acute vestibular neuritis","volume":"123","year":"2012","journal-title":"Clinical Neurophysiology"},{"key":"c28","first-page":"1","article-title":"Vestibular neuronitis: an otoneurological evaluation","volume":"105","year":"1988","journal-title":"Acta Oto-Laryngologica"},{"issue":"(5)","key":"c29","first-page":"509","article-title":"Vestibular neuritis","volume":"29","year":"2009","journal-title":"Seminars in Neurology"},{"key":"c30","volume-title":"Vertigo and dizziness: Common complaints","year":"2023"},{"issue":"(16)","key":"c31","first-page":"1704","article-title":"Vestibular neuritis affects both superior and inferior vestibular nerves","volume":"87","year":"2016","journal-title":"Neurology"},{"issue":"(6)","key":"c32","first-page":"1084","article-title":"Ocular vestibular evoked myogenic potential to air conducted sound stimulation and video head impulse test in acute vestibular neuritis","volume":"34","year":"2013","journal-title":"Otol Neurotol"},{"issue":"(6)","key":"c33","first-page":"796","article-title":"Characteristics of tone burst-evoked myogenic potentials in the sternocleidomastoid muscles","volume":"22","year":"2001","journal-title":"Otol Neurotol"},{"key":"c34","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.cnp.2021.02.008","article-title":"The spectrum of acute vestibular neuropathy through modern vestibular testing: a descriptive analysis","volume":"6","year":"2021","journal-title":"Clinical Neurophysiology Practice"},{"issue":"(2)","key":"c35","first-page":"347","article-title":"Diagnostic value of gains and corrective saccades in video head impulse test in vestibular neuritis","volume":"159","year":"2018","journal-title":"Otolaryngology\u2013Head and Neck Surgery"},{"issue":"(1\u20136)","key":"c36","first-page":"352","article-title":"Responses of squirrel monkey vestibular neurons to audio-frequency sound and head vibration","volume":"84","year":"1977","journal-title":"Acta Oto-Laryngologica"}],"container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2026\/00000037\/00000002\/art00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:37:17Z","timestamp":1776832637000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.250027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3,1]]}},"alternative-id":["1050-0545(20260301)37:2L.116;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.250027","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,1]]}}}