What does a positive head shake test mean?

A positive finding of head-shake nystagmus is highly suggestive of an underlying vestibular pathology. A negative head-shake nystagmus test result does not rule out a vestibular pathology.

What is Halmagyi test?

Micheal Halmagyi and Ian Curthoys described this simple and reliable bedside test that could be used for detecting persons with unilateral peripheral vestibular deficits in 1988. It is also known as the Head Thrust Test.

Is vertigo a neurological condition?

Central vertigo is due to a problem in the brain, usually in the brain stem or the back part of the brain (cerebellum). Central vertigo may be caused by: Blood vessel disease. Certain drugs, such as anticonvulsants, aspirin, and alcohol.

Can nystagmus cause head shaking?

Head-shaking nystagmus is also reported in similar peripheral pathologies, such as vestibular neuritis (Choi et al. 2007b) and following vestibular nerve section. Head-shaking nystagmus has also been reported in association with peripheral pathologies such as Ménière’s disease (Asawavichiangianda et al.

Why do I get dizzy shaking my head?

These episodes are triggered by a rapid change in head movement, such as when you turn over in bed, sit up or experience a blow to the head. BPPV is the most common cause of vertigo. Infection. A viral infection of the vestibular nerve, called vestibular neuritis, can cause intense, constant vertigo.

What is the head impulse test used for?

The head impulse test (HIT) is a useful bedside examination to identify a peripheral vestibular deficit for example in patients with vestibular neuritis (VN). The clinician briskly rotates the patient’s head to detect “overt” catch-up saccades after head rotation as a sign of semicircular canal paresis.

What is Videonystagmography test for?

Videonystagmography (VNG) is a test that measures a type of involuntary eye movement called nystagmus. These movements can be slow or fast, steady or jerky. Nystagmus causes your eyes to move from side to side or up and down, or both.

What are symptoms of nystagmus?


  • Involuntary eye movement.
  • Movement can be in one eye or both.
  • Objects may appear blurry and shaky.
  • Nighttime vision problems or sensitivity to light.
  • Balance and dizziness.

What’s the purpose of the head shaking test?

We can help take your research to the next step. The purpose of the HSN test is to identify peripheral vestibular dysfunction. Rapid head shaking and abrupt stopping may elicit nystagmus in patients with vestibular imbalance.

How is the nystagmus test done for head shaking?

Head Shaking Test. This test examines for the presence of nystagmus after 40 full cycles of horizontal head shaking movements. The head is positioned into 30 degrees of cervical flexion in order to orient the lateral canal in the horizontal plane.

What’s the best way to do a head shake?

Methods used in older studies included the patient actively shaking his/her head, while common current practice, it is recommended that the clinician perform a passive head shake in order to ensure appropriate head position, velocity of headshaking, and stillness of the head after headshaking.

What kind of test is the head impulse test?

The Head Impulse Test (HIT) is a widely used clinical assessment technique used to assess the angular vestibulo-ocular reflex (aVOR). Specifically, the HIT assesses horizontal semicircular canal (HSCC) and superior vestibular nerve function in response to discrete, small amplitude (~10◦), high acceleration (~3000-4000 ◦s2) rotational head impulses.