OBJECTIVES: This study aims to quantitatively analyze vestibulo-ocular reflex (VOR) gain and saccade characteristics during video head impulse testing (vHIT) in patients with vestibular migraine (VM), providing evidence for clinical diagnosis.
Microsaccade analysis during video head impulse testing (vHIT) may add diagnostic value in vestibular migraine, but findings need replication before changing standard diagnostic protocols.
Identifying quantitative eye-movement markers like microsaccades could improve diagnostic precision for vestibular migraine, which currently lacks reliable objective tests.
- 01vHIT was used to measure VOR gain and saccade characteristics in vestibular migraine patients.
- 02Microsaccade patterns differed quantitatively between vestibular migraine patients and controls.
- 03Microsaccades may serve as an auxiliary (supplementary) diagnostic marker alongside standard vHIT metrics.
- 04Study adds to growing evidence that eye-movement analysis can support vestibular migraine diagnosis.
- 05Clinical adoption awaits larger validation studies.
Microsaccade characteristics measured via vHIT have auxiliary diagnostic value in vestibular migraine.
studypartially supportedVOR gain and saccade characteristics differ between vestibular migraine patients and controls.
studypartially supported- PMID
- 42337838
- DOI
- 10.1002/lary.70698.
- Journal
- The Laryngoscope
- Publication type
- research_article
- Evidence level
- 4
- Population
- Vestibular migraine patients and healthy controls
- Intervention
- Video head impulse testing (vHIT) with quantitative microsaccade and VOR gain analysis
- Comparator
- Healthy controls
Primary outcomes
VOR gain measurements; Microsaccade characteristics and frequency; Diagnostic accuracy of microsaccade metrics for vestibular migraine