The caloric–vHIT dissociation: a deeper look into the problem
The caloric–vHIT dissociation: a deeper look into the problem
The dissociation between caloric testing and the video head impulse test (vHIT represents a well-recognized but often underutilized phenomenon in clinical vestibulology.
Although both tests assess horizontal semicircular canal function, they probe the vestibulo-ocular reflex under profoundly different stimulation paradigms, allowing selective dysfunction to emerge.
A classical paradigm, reinterpreted through a modern clinical framework.
Scientific focus of the webinar:
- Physiological mechanisms underlying caloric–vHIT dissociation
- Frequency-domain selectivity in vestibular dysfunction
- Reduced caloric responses with preserved vHIT gain in Ménière’s disease
- Central sensory modulation patterns in vestibular migraine
- Diagnostic and phenotypic value in early-stage and borderline cases
- Integrated interpretation for refined clinical stratification
- Implications for future personalized approaches in vestibular medicine
This seminar will provide a clinically rigorous and physiologically grounded framework for interpreting classical vestibular tests within a modern diagnostic paradigm
Nicolás Pérez Fernández
Dr. Nicolás Pérez Fernández is a specialist in Otorhinolaryngology at Clínica Universidad de Navarra, Spain. With decades of experience, he is an expert in balance disorders, particularly vestibular pathologies, and their diagnostic approaches. Dr. Pérez Fernández has published extensively in peer-reviewed journals, focusing on vestibular diagnostics and rehabilitation techniques. He is a renowned educator and speaker, frequently contributing to international conferences and academic seminars. Known for his innovative research, he has developed and applied advanced methodologies in clinical practice, particularly in vestibular assessment using vHIT and other cutting-edge tools. Dr. Pérez Fernández combines clinical expertise with a passion for advancing diagnostic precision in otorhinolaryngology.

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