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vHIT Atlas
An interactive teaching tool

Foundations

1.Introduction2.Anatomy and physiology3.Technique4.Normal traces5.Saccades and VOR gain6.HIMP vs SHIMP

Disease pages

7.Vestibular neuritis8.Meniere disease9.Vestibular schwannoma10.BPPV11.Vestibular migraine12.Bilateral vestibulopathy13.Central vHIT patterns14.Ototoxicity15.Post-surgical vHIT

Populations

16.Paediatric vHIT17.Age-related vestibular loss

Acute syndrome

18.HINTS and acute vestibular syndrome

Interpretation

19.Interpretation and reporting

Tools

SimulatorsPattern trainerClinical casesSelf-assessmentGlossaryReferencesProgressPrint everything
Theme

Simulators

Six interactive tools for pattern recognition and physiology.

Eye-vs-head velocity
Manipulate VOR gain and saccade parameters across five clinical presets.
Six-canal geometry
Click each canal to see thrust direction, plane, and nerve division.
Cupula dynamics
Animated endolymph flow and cupula deflection across head rotations.
Pattern recognition trainer
Identify disease archetypes from six-canal traces.
Saccade timing trainer
Click to mark covert and overt saccades on novel traces.
HIMP vs SHIMP
Compare both paradigms across four clinical scenarios.

vHIT Atlas

An interactive teaching atlas of the video head impulse test (vHIT). Content synthesised from validated peer-reviewed sources, Bárány Society criteria, and the Halmagyi–Curthoys literature.

→ Full references & acknowledgements

Built for

Audiologists, ENT and neurology trainees, vestibular physiotherapists, and clinicians who want a structured way to learn vHIT interpretation.


GlossaryPattern trainerClinical casesSelf-assessmentSimulatorsReferencesMy progressPrint allChangelog

Concept & design

Dr Prahlada N.B

Karnataka ENT Hospital and Research Centre (R),
Champions Educational and Medical Society (R), and
Amogh Foundation, Chitradurga, Karnataka, India

Please share your valuable feedback to:
prahladnb@kenthospitals.com

Disclaimer

For educational purposes only. Not for clinical use. The vHIT Atlas is an instructional resource intended to support learning about the video head impulse test. Clinicians remain completely responsible for the interpretation of findings, the formulation of a differential diagnosis, and any clinical decision. Nothing in this application replaces individualised assessment, hands-on training, expert consultation, or established practice guidelines.

© 2026 Dr Prahlada N.B · Karnataka ENT Hospital and Research Centre (R) · Champions Educational and Medical Society (R) · Amogh Foundation