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Economic Testing of Unilateral Vestibular Failure

Holger A Rambold*

Identifying unilateral vestibular failure of the semicircular canals (SCC) is important in vertigo and dizziness disease. There are different vestibular tests available: rotatory testing (RT), bithermal caloric irrigation (CI) and the video-head-impulse test (vHIT). This review comments on the current knowledge and on economic aspects of the testing methods. RT are a very specials tests and should be only used in specialized vertigo/dizziness centres. It is recommended to use both, vHIT and CI to identify unilateral vestibular failure as the methods do not replace each other.