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ENT Assessment of Vestibular Function 3e372575

Positive head impulse test is suggestive of -

A
Injury to vestibular nuclei
B
Injury to peripheral vestibular nerve
C
Lesion in the brain stem
D
Injury to Occulomotor nerve
High-Yield Explanation
Ans. is 'b' i.e.. Injury7 to peripheral vestibular nerve Head Impulse Testo It is also called head thrust test.o It is test for the diagnosis of injury to vestibular nerve which forms the peripheral vestibular pathway,o Clinician asks the patient to fix his gaze on a target and then perform passive horizontal and vertical head impulses and observes the patient's eyes.o Observation of a refixation saccade after the head impulse indicates decreased decreasedvestibulo ocular reflex secondary7 to peripheral vestibular lesions (vestibular nerve involvement).

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