Question

A 45-year-old woman is diagnosed with right vestibular neuritis. What findings are expected during the head impulse test in this patient?

• A. When the head is turned to the left, the eyeballs move to the left with Nystagmus.
• B. When the head is turned to the left, the eyeballs move to the right with nystagmus.
• C. When the head is turned to the right, the eyeballs move to the left with Nystagmus.
• D. When the head is turned to the right, the eyeballs move to the right with nystagmus.

Hint:

For vestibular neuritis, remember that the head impulse test will show abnormal eye movement toward the unaffected side (opposite of the impaired ear).

Answer 1

The Correct Option is C

In vestibular neuritis, the head impulse test shows abnormal eye movement due to impaired vestibular function. In this case, turning the head to the right stimulates the impaired right vestibular system, causing a compensatory eye movement to the left, indicative of nystagmus.